Posthospital Heart-Healthy Behaviors in Adults With Comorbid Diabetes

Melodee L. Vanden Bosch, William D. Corser, Yan Xie and Margaret Holmes-Rovner

Clinical Nursing Research, 2012, vol. 21, issue 3, 327-349

Abstract: The purpose of these secondary analyses was to examine relationships between patient factors and patient-provider decision-making style (PDM) on heart-healthy behavior changes in 142 adults with diabetes after hospitalization for an acute coronary syndrome (ACS). A clinical trial randomized adults to either control or a telephone coaching intervention. Generalized estimating equations were used to analyze the relationship between patient factors and PDM style on longitudinal postdischarge changes in three heart-healthy behaviors, avoiding high fat foods, weight loss, and increased physical activity. Neither PDM style nor telephone coaching intervention affected heart-healthy behaviors in this population. Although adults with diabetes preferred collaborative patient-provider decision-making, present levels of provider engagement were not sufficient to support behavior change. Results suggest the need for sustained and tailored nursing interventions to facilitate heart-healthy behavior changes in adults with diabetes after ACS hospitalization.

Keywords: cardiovascular disease; diabetes; clinical research; physical activity; weight loss; post acute care settings; nursing interventions (search for similar items in EconPapers)
Date: 2012
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:21:y:2012:i:3:p:327-349

DOI: 10.1177/1054773811422123

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