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Problem Solving Training to Enhance Dietary Self-management in a Diabetic Patient

Published online by Cambridge University Press:  16 June 2009

Tracy A. Goodall ,
W. Kim Halford  and
Robin Mortimer
Tracy A. Goodall
Affiliation:
University of Queensland and Royal Brisbane Hospital
W. Kim Halford
Affiliation:
University of Queensland and Royal Brisbane Hospital
Robin Mortimer
Affiliation:
University of Queensland and Royal Brisbane Hospital
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Extract

A central aspect of self-management of diabetes involves patients regulating the timing and intake of dietary carbohydrates. A 20 year old female diabetic patient was taught to identify deviations from appropriate dietary self-management, and a problem solving intervention was used to train new behavior in settings associated with such deviations. Dietary behavior and blood glucose levels were monitored in a diary and electronically, and treatment effects were evaluated in a multiple baseline across settings design. Treatment resulted in clear improvement in dietary management, and a substantial gain in blood glucose control at the end of intervention. At follow-up dietary change was maintained. Long term effects on blood glucose levels were confounded by a reduction in insulin dosage between treatment and follow-up.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 21 , Issue 2 , April 1993 , pp. 147 - 155
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1993

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