Implementation, generalization and long-term results of the "choosing well" diabetes self-management intervention

Patient Educ Couns. Oct-Nov 2002;48(2):115-22. doi: 10.1016/s0738-3991(02)00025-3.


Prerequisites for translating intervention research findings into practice are maintenance of results, generalization of effects and consistency of implementation. This report presents 12 months follow-up information on a randomized 2x2 factorial trial evaluating the incremental effects of adding (1) telephone follow-up or (2) a community resources utilization component to a basic touchscreen computer-assisted dietary goal-setting intervention for 320 type 2 diabetes patients. All conditions evidenced significant improvement from baseline to the 12 months follow-up across behavioral, biological and psychosocial measures. There were few consistent differences between conditions, but results were robust across interventionists and clinics. The telephone follow-up component appeared to enhance long-term results on some measures. When considered along with earlier results from a randomized trial that included a control condition without goal setting, it is concluded that this basic goal-setting intervention can be consistently implemented by a variety of interventionists and produce lasting improvements.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Analysis of Variance
  • Computer-Assisted Instruction*
  • Diabetes Mellitus, Type 2 / diet therapy*
  • Diet, Diabetic
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Program Evaluation*
  • Risk Reduction Behavior*
  • Self Care / methods*
  • Telephone
  • Treatment Outcome