TY - JOUR
T1 - Effects of the Mediterranean lifestyle program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease
AU - Toobert, Deborah J.
AU - Strycker, Lisa A.
AU - Glasgow, Russell E.
AU - Barrera, Manuel
AU - Angell, Karyn
N1 - Funding Information:
The work reported here was supported by Grant R01 HL62156 from the National Heart, Lung, and Blood Institute. We thank Kate Bennett, SuAn Carey, Melda DeSalvo, Katie Geiser, Nancy Hopps, Sally Huck, Molly Kennedy, Tamberly Koorndyk, Katie Marcotte, Donna O’Neill, Janice Radcliffe, and Serge Renaud for their contributions during the development and intervention phases of this project. We are deeply indebted to the wonderful women who participated in this study.
PY - 2005
Y1 - 2005
N2 - Background: The Mediterranean Lifestyle Program was evaluated for its effects on multiple behavioral risk factors for coronary heart disease (CHD) among postmenopausal women with diabetes. Purpose: Our purpose is to test a comprehensive lifestyle management intervention to reduce CHD risk in postmenopausal women with type 2 diabetes. Methods: Participants (N = 279) were randomized to usual care (UC) or Mediterranean Lifestyle Program, a lifestyle change intervention aimed at the behavioral risk factors (eating patterns, physical activity, stress management, and social support) affecting risk for CHD in postmenopausal women with type 2 diabetes. Results: In original and intent-to-treat analyses, Mediterranean Lifestyle Program participants showed significantly greater improvement in dietary behaviors, physical activity, stress management, perceived support, and weight loss at 6 months compared to UC. Conclusions: This study demonstrated the effectiveness of the Mediterranean Lifestyle Program in improving self-care among women with type 2 diabetes, showed that postmenopausal women could make comprehensive lifestyle changes, and provided evidence that a program using social-cognitive strategies and peer support can be used to modify multiple lifestyle behaviors.
AB - Background: The Mediterranean Lifestyle Program was evaluated for its effects on multiple behavioral risk factors for coronary heart disease (CHD) among postmenopausal women with diabetes. Purpose: Our purpose is to test a comprehensive lifestyle management intervention to reduce CHD risk in postmenopausal women with type 2 diabetes. Methods: Participants (N = 279) were randomized to usual care (UC) or Mediterranean Lifestyle Program, a lifestyle change intervention aimed at the behavioral risk factors (eating patterns, physical activity, stress management, and social support) affecting risk for CHD in postmenopausal women with type 2 diabetes. Results: In original and intent-to-treat analyses, Mediterranean Lifestyle Program participants showed significantly greater improvement in dietary behaviors, physical activity, stress management, perceived support, and weight loss at 6 months compared to UC. Conclusions: This study demonstrated the effectiveness of the Mediterranean Lifestyle Program in improving self-care among women with type 2 diabetes, showed that postmenopausal women could make comprehensive lifestyle changes, and provided evidence that a program using social-cognitive strategies and peer support can be used to modify multiple lifestyle behaviors.
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U2 - 10.1207/s15324796abm2902_7
DO - 10.1207/s15324796abm2902_7
M3 - Article
C2 - 15823786
AN - SCOPUS:17844388621
SN - 0883-6612
VL - 29
SP - 128
EP - 137
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 2
ER -