Social Support and Social-ecological Resources as Mediators of Lifestyle Intervention Effects for Type 2 Diabetes

Author:

Barrera Manuel1,Toobert Deborah J.2,Angell Karyn L.2,Glasgow Russell E.3,MacKinnon David P.4

Affiliation:

1. Arizona State University & Oregon Research Institute, USA,

2. Oregon Research Institute, USA

3. Kaiser Permanente Colorado, USA

4. Arizona State University, USA

Abstract

A study was conducted to determine if an intervention could change social support and social-ecological resources of post-menopausal women diagnosed with type 2 diabetes, and if those changes mediated the intervention’s effects on health behaviors and outcomes. Women ( N = 279) were randomly assigned to receive a comprehensive 6-month Mediterranean Lifestyle Program (MLP) or usual care from their physicians (UC). MLP was successful in changing social embeddedness and social-ecological resources, but not a measure of perceived support. Changes in social-ecological resources mediated intervention effects on fat consumption, exercise and glycemic control. The experimental manipulation of mediators and the demonstrated mediation effects support the conclusion that social-ecological resources can contribute to improvements in healthful lifestyles for women with type 2 diabetes.

Publisher

SAGE Publications

Subject

Applied Psychology

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