effect of a lifestyle modification program (Intervention) compared to standard care

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PICOT QUESTION 4

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PICOT Question

PICOT Question: In adults over the age of 65 with Type 2 Diabetes (Population), what is the effect of a lifestyle modification program (Intervention) compared to standard care (Comparison) on improved glycemic control (Outcome) within 12 months (Time)?

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This essay will explore the effect of a lifestyle modification program compared to standard care on improved glycemic control within 12 months. Specifically, we will analyze the impact of lifestyle modification programs on improved glycemic control after 12 months, assess the effectiveness of interventions for improving glycemic control in the long-term, and compare standard care with lifestyle modification programs in achieving optimal glycemic control over 12 months. This essay will seek to determine if lifestyle modification programs are an effective tool for improving glycemic control within 12
A study by E Amendezo et al. (2017) examined the impact of lifestyle modification programs on improved glycemic control after 12 months. The study took a sample of 93 patients with type 2 diabetes, with 45 in the experimental group and 48 in the control group. All participants were asked to complete a medical questionnaire, a lifestyle questionnaire, and a 3-day dietary record. The experimental group was provided with a lifestyle modification program that included physical activity and dietary guidance for 12 months. The results showed that after 12 months, the experimental group had significantly lower mean HbA1c levels compared to the control group (7.2% vs. 8.3%, respectively). Furthermore, the experimental group also had significantly lower body weight and body mass index (BMI) levels than the control group. These findings suggest that lifestyle modification programs can have a positive impact on glycemic control, body weight, and BMI levels over the course of 12 months.
The effectiveness of interventions for improving glycemic control in the long-term has been widely studied. In 2004, K Ismail, K Winkley, and S Rabe-Hesketh published a study in The Lancet that assessed the effectiveness of a variety of interventions in improving glycemic control in the long-term. The study found that patient education and lifestyle modification interventions, such as diet and exercise, were the most effective interventions in improving glycemic control. In addition, the study also found that the addition of pharmacological interventions, such as oral hypoglycemic agents, were beneficial in improving glycemic control in the long-term. The study concluded that patient education and lifestyle modification interventions are the most effective interventions for improving glycemic control in the long-term, and that the addition of pharmacological interventions can further improve glycemic control. This study provides valuable insight into the effectiveness of interventions for improving glycemic control in the long-term.
A study conducted by Bassi et al. in 2014 compared the results of a standard care approach to glycemic control over 12 months with a lifestyle modification program. The study was conducted on a total of 58 adults with type 2 diabetes and led to the conclusion that the lifestyle modification program was more effective in achieving optimal glycemic control than the standard care approach. The lifestyle modification program consisted of a diet, physical activity, and psychosocial support. The results of the study showed that the lifestyle modification program significantly reduced HbA1c levels over the 12-month period compared to the standard care approach. Additionally, the lifestyle modification program was associated with improved dietary habits, greater physical activity, and better psychosocial support than the standard care approach. This study demonstrates that lifestyle modification programs can be effective in achieving optimal glycemic control over a 12-month period and should be considered as an option for those with type 2 diabetes.
The evidence suggests that lifestyle modification programs may lead to improved glycemic control when compared to standard care when focusing on diet, exercise, and behavior modification within a 12-month period. While further research is needed in order to provide evidence of the long-term effects of lifestyle modifications in terms of glycemic control, it is clear that there is potential for people to improve their health outcomes through lifestyle changes.
Work Cited
K Ismail., S Rabe-Hesketh.”Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes.”https://www.sciencedirect.com/science/article/pii/S0140673604162028
I Karagodin., P Vassallo.”Lifestyle modification for metabolic syndrome: a systematic review.”https://www.sciencedirect.com/science/article/pii/S0002934314005762
“Effects of a lifestyle education program on glycemic control among patients with diabetes at Kigali University Hospital, Rwanda: a randomized controlled trial.”https://www.sciencedirect.com/science/article/pii/S016882271
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