Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes

Br J Health Psychol. 2004 Sep;9(Pt 3):365-79. doi: 10.1348/1359107041557066.


Objectives: The aim of the present study was to develop, implement and evaluate a brief intervention to improve adherence to the recommended lifestyle changes for patients with Type 2 diabetes, in particular to help patients to reduce the total amount of fat consumed and to increase lifestyle physical activity levels.

Design and method: A brief, tailored lifestyle self-management intervention for patients with Type 2 diabetes was evaluated in a randomized controlled trial. One hundred participants (aged 40 - 70 yrs) completed assessments at three time points- baseline, three months and one year. Participants were allocated to either an intervention group who received the brief tailored intervention including follow-up telephone calls, or a usual care control group.

Results: Results indicate that the intervention was successful in helping patients to reduce fat intake and, to a lesser extent, increase lifestyle physical activity levels. These self-reported changes in behaviour were reflected in the objective data with weight maintenance in the intervention group compared to the control group, together with a significant reduction (2 cm) in waist circumference.

Conclusions: These results provide further evidence of the effectiveness of tailored interventions for lifestyle change.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Body Weight
  • Diabetes Mellitus, Type 2 / therapy*
  • Dietary Fats / administration & dosage*
  • Female
  • Humans
  • Life Style*
  • Male
  • Middle Aged
  • Motor Activity*
  • Self Care / methods*
  • Time Factors
  • Treatment Outcome
  • Waist-Hip Ratio


  • Dietary Fats