Online Behavioral Intervention for Glycemic Control in Type 2 Diabetes Mellitus: A Case Study.
DOI:
https://doi.org/10.14635/ipsic.1930Keywords:
Behavior Modification Techniques; Treatment Adherence; Case Study; Applied Behavior Analysis; Diabetes Mellitus, Online Treatment.Abstract
The aim of this study was to evaluate the efficacy of a behavioral treatment directed to non-pharmacological adherence behaviors and glycemic control in a patient with T2DM. This is a case study of a male patient, 65 years old, which reported difficulties to modify his diet and lack of disease control characterized for glycemic values between 200 and 300 mg/dl. The patient was treated with an 11-sessions behavioral intervention which was divided into three phases (evaluation, treatment, and follow-up). Daily capillary glycemic measures were taken (fasting and post-dinner) adding a weekly meal consumption report. Visual analyses were practiced, and size effect was calculated for each phase. complemented with the size effect calculation. We found a glycemic reduction (both fasting and post-dinner) through the intervention and in two months follow-up, with a significant, middle size effect. Besides, the patient reported reduction in scrap-food and increase in fruits and vegetables ingestion. The results showed the efficacy of an intervention promoting non-pharmacological adherence behaviors and blood glucose reduction.
The efficacy of the intervention may be due to the generation of health-related thinking patterns (consequences of behavior and perceived vulnerability) facilitated by an educational process. Besides, the self-control strategies contributed to the execution and maintenance of the goals.
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