Impact of Communicating Familial Risk of Diabetes on Illness Perceptions and Self-Reported Behavioral Outcomes A randomized controlled trial

被引:55
作者
Pijl, Miranda [1 ,2 ]
Timmermans, Danielle R. M. [1 ,2 ]
Claassen, Liesbeth [1 ,2 ]
Janssens, A. Cecile J. W. [3 ]
Nijpels, Giel [1 ,4 ]
Dekker, Jacqueline M. [2 ]
Marteau, Theresa M. [5 ]
Henneman, Lidewij [1 ,2 ]
机构
[1] Vrije Univ Amsterdam, Med Ctr, Dept Publ & Occupat Hlth, Amsterdam, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr, EMGO Inst, Amsterdam, Netherlands
[3] Erasmus Univ, Med Ctr, Dept Publ Hlth, Rotterdam, Netherlands
[4] Vrije Univ Amsterdam, Med Ctr, Dept Gen Practice, Amsterdam, Netherlands
[5] Kings Coll London, Psychol & Genet Res Grp, London WC2R 2LS, England
关键词
POPULATION; HISTORY;
D O I
10.2337/dc08-1049
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - To assess the potential effectiveness of communicating familial risk of diabetes on illness perceptions and self-reported behavioral outcomes. RESEARCH DESIGN AND METHODS - individuals With a family history of diabetes were randomized to receive risk information based on familial and general risk factors (n = 59) or general risk factors alone (n = 59). outcomes were assessed using questionnaires at baseline, I week, and 3 months. RESULTS - Compared with individuals receiving general risk information, those receiving familial risk information perceived heredity to be a more important cause of diabetes (P < 0.01) at I-week follow-up, perceived greater control over preventing diabetes (P < 0,05), and reported having eaten more healthily (P = 0.01) after 3 months. Behavioral intentions did not differ between the groups. CONCLUSIONS - Communicating familial risk increased personal control and, thus, did not result in fatalism. Although the intervention did not influence intentions to change behavior, there was some evidence to suggest it increases healthy behavior.
引用
收藏
页码:597 / 599
页数:3
相关论文
共 15 条
[1]   Perceived risk for Type 2 diabetes in participants in a stepwise population-screening programme [J].
Adriaanse, MC ;
Snoek, FJ ;
Dekker, JM ;
Spijkerman, AMW ;
Nijpels, G ;
van der Ploeg, HM ;
Heine, RJ .
DIABETIC MEDICINE, 2003, 20 (03) :210-215
[2]  
Alssema M, 2008, Ned Tijdschr Geneeskd, V152, P2418
[3]   Preventing type 2 diabetes [J].
Harwell, TS ;
Dettori, N ;
Flook, BN ;
Priest, L ;
Williamson, DF ;
Helgerson, SD ;
Gohdes, D .
DIABETES CARE, 2001, 24 (11) :2007-2008
[4]   Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): a randomised trial [J].
Kinmonth, Ann-Louise ;
Wareham, Nicholas J. ;
Hardeman, Wendy ;
Sutton, Stephen ;
Prevost, A. Toby ;
Fanshawe, Tom ;
Williams, Kate M. ;
Ekelund, Ulf ;
Spiegelhalter, David ;
Griffin, Simon J. .
LANCET, 2008, 371 (9606) :41-48
[5]   Genetic risk and behavioural change [J].
Marteau, TM ;
Lerman, CY .
BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7293) :1056-1059
[6]   The revised Illness Perception Questionnaire (IPQ-R) [J].
Moss-Morris, R ;
Weinman, J ;
Petrie, KJ ;
Horne, R ;
Cameron, LD ;
Buick, D .
PSYCHOLOGY & HEALTH, 2002, 17 (01) :1-16
[7]  
Pierce M, 2000, BRIT J GEN PRACT, V50, P867
[8]  
PIJL M, PREV CHRONI IN PRESS
[9]   Informing patients of familial diabetes mellitus risk: How do they respond? A cross-sectional survey [J].
Qureshi, Nadeem ;
Kai, Joe .
BMC HEALTH SERVICES RESEARCH, 2008, 8 (1)
[10]   Illness causal attributions: An exploratory study of their structure and associations with other illness cognitions and perceptions of control [J].
Shiloh, S ;
Rashuk-Rosenthal, D ;
Benyamini, Y .
JOURNAL OF BEHAVIORAL MEDICINE, 2002, 25 (04) :373-394