Selected Abstract

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Glasgow, R.E., Toobert, D.J., Hampson, S.E., & Strycker, L.A. (2002) Implementation, generalization, and long-term results of the Choosing Well diabetes self-management intervention. Patient Education and Counseling 48(2): 115-122.

Prerequisites for translating intervention research findings into practice are maintenance of results, generalization of effects, and consistency of implementation. This report presents 12-month follow-up information on a randomized 2 X 2 factorial trial evaluating the incremental effects of adding 1) telephone follow-up or 2) a community resources utilization component to a basic touchscreen computer-assisted dietary goal-setting intervention for 320 type 2 diabetes patients. All conditions evidenced significant improvement from baseline to the 12-month follow-up across behavioral, biological, and psychosocial measures. There were few consistent differences between conditions, but results were robust across interventionists and clinics. The telephone follow-up component appeared to enhance long-term results on some measures. When considered along with earlier results from a randomized trial that included a control condition without goal setting, it is concluded that this basic goal-setting intervention can be consistently implemented by a variety of interventionists and produce lasting improvements.