Aim: To evaluate a culturally-adapted method of lifestyle assessment, counseling, and education among Arab people with diabetes who have varying literacy skills using an interactive computerized tool and graphically-enhanced patient logs for dietary and physical activity. The investigators hypothesize that this tool will: a) increase patients' knowledge and understanding of the role of lifestyle (diet and physical activity) in diabetes management; b) improve patients' engagement in monitoring dietary intake and physical activity; c) improve dietary and physical activity behaviors and self-blood glucose monitoring (SBGM) practices; d) improve glycemic control; and, e) improve the efficiency of lifestyle assessment, education and counseling while increasing patients' engagement in the process.
Aim: To evaluate a culturally-adapted method of lifestyle assessment, counseling, and education among Arab people with diabetes who have varying literacy skills using an interactive computerized tool and graphically-enhanced patient logs for dietary and physical activity. The investigators will evaluate the effectiveness of this method for: a) increasing patients' knowledge and understanding of the role of lifestyle (diet and physical activity) in diabetes management; b) improving patients' engagement in monitoring dietary intake and physical activity; c) improving dietary and physical activity behaviors and self-blood glucose monitoring (SBGM) practices; d) improving glycaemic control; and, e) improving the efficiency of lifestyle assessment, education and counseling while increasing patients' engagement in the process.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
lifestyle counselling using the interactive assessment, counselling and education (I-ACE)-based method.
lifestyle counselling using the standard lifestyle advice (SLA) program currently provided to Clalit Health Services patients.
Clalit Health Services, Shomron administration
Hadera, Israel
Change in lifestyle knowledge
Change in diabetes-related lifestyle (diet and physical activity) knowledge, will be assessed with a diet knowledge questionnaire specially adapted for this population. Change in physical activity knowledge will be measured with the SKILLD diabetes knowledge questionnaire.
Time frame: Baseline, 3rd,6th,12th months
Patients' lifestyle monitoring
Patient engagement in monitoring diet intake and physical activity, assessed with 3-day dietary and physical activity records.
Time frame: 1st,2nd,3rd,6th months
Dietary and physical activity behaviours
Dietary and physical activity behaviours, assessed with food frequency and physical activity questionnaires.
Time frame: Baseline and 12 months.
SBGM practices
Self Blood Glucose Monitoring practices. Information will be downloaded from the blood glucose meters' memory.
Time frame: 1st, 2nd, 3rd, 6th, 12th months.
Glycaemic control
Glycaemic control, assessed with HbA1c levels.
Time frame: Baseline, 3rd,6th, and 12th months.
Weight and waist circumference
Change of weight and waist circumference during follow-up.
Time frame: Baseline, 3rd, 6th, and 12th months.
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