Efeito de três procedimentos de intervenção sobre adesão ao tratamento em adultos com diabetes

Abstract

Due to the high prevalence of diabetes, studies have been conducted in an attempt to produce consistent knowledge to minimize this problem and investigate the variables that affect the purchasing adherence behavior. However, it is not clear which educational strategies are more effective, or if the effectiveness is related to a set of these strategies. Aim of this study, we sought to analyze the effect of three interventional procedures based on behavioral technologies to promote the nutrition and physical activity rule-following for adults diagnosed with type 2 diabetes. These procedures relate to: (1) providing information about diabetes, (2) information combined with the provision of feedback for behaviors related to diabetes treatment, and (3) provision of information combined with the self-monitoring training of behaviors related to treatment diabetes. Diet and regular physical activity were the aspects investigated in this study. Participants 12 adults diagnosed with Type 2 diabetes, selected in Hiperdia Program of the two health services in Belém-Pará city. Participants were divided into three conditions: Information Condition, Information and Feedback Condition, Information and Self-Monitoring Condition. Data were collected in the home environment of the participants through interview scripts, test of knowledge about diabetes treatment, feedback protocol, manual of guidelines and protocols on diabetes of nutrition and physical activity self-monitoring. The results show that during the study was improvement in the level of knowledge about diabetes care after using the guidebook, but not enough to ensure adherence on the Information Condition, and Information and Feedback Condition. However, participants in the three conditions showed positive changes in ways that were not the focus of study, such as use of medication and foot care. The provision of information combined with self-monitoring training exerted a greater effect on increasing the quality of reporting of behaviors and the construction and expansion of compliance behaviors class of behavior reported as the lowest adherence was the performance of physical activity, compared eating behavior.