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

页码：483 / 495

页数：13