Social support and social-ecological resources as mediators of lifestyle intervention effects for type 2 diabetes

被引：72
|
作者：
Barrera, M [1 ]
Toobert, DJ [1 ]
Angell, KL [1 ]
Glasgow, RE [1 ]
Mackinnon, DP [1 ]
机构：
[1] Arizona State Univ, Dept Psychol, Tempe, AZ 85287 USA
来源：
JOURNAL OF HEALTH PSYCHOLOGY | 2006年 / 11卷 / 03期
关键词：
intervention; mediation; social support; type; 2; diabetes;
D O I：
10.1177/1359105306063321
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
A study was conducted to determine if an intervention could change social support and social-ecological resources of post-menopausal women diagnosed with type 2 diabetes, and if those changes mediated the intervention's effects on health behaviors and outcomes. Women (N = 279) were randomly assigned to receive a comprehensive 6-month Mediterranean Lifestyle Program (MLP) or usual care from their physicians (UC). MLP was successful in changing social embeddedness and social-ecological resources, but not a measure of perceived support. Changes in social-ecological resources mediated intervention effects on fat consumption, exercise and glycemic control. The experimental manipulation of mediators and the demonstrated mediation effects support the conclusion that social-ecological resources can contribute to improvements in healthful lifestyles for women with type 2 diabetes.
引用
收藏
页码：483 / 495
页数：13
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