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The feasibility of medical nutrition therapy (MNT) practice guidelines among Chinese type 2 diabetic patients: a pilot randomized-controlled trial.January 2002 (has links)
by Annie Chi Kwan Lam. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 112-119). / Abstracts in English and Chinese ; questionnaires also in Chinese. / Acknowledgements --- p.i / Abstract --- p.ii-vi / List of Figures --- p.vii / List of Tables --- p.vii-x / List of Abbreviations --- p.xi / Table of Contents --- p.xii-xvi / Chapter Chapter One: --- Background / Chapter 1.1 --- Diabetes Mellitus: A public health burden / Chapter 1.1.1 --- Definition and Health Consequences --- p.2 / Chapter 1.1.2 --- Prevalence of Type 2 Diabetes Mellitus in Asia --- p.3 / Chapter 1.1.3 --- Prevalence of Type 2 Diabetes Mellitus in the Hong Kong Chinese Population --- p.4 / Chapter 1.1.4 --- Medical Burden of Diabetes Mellitus in Hong Kong --- p.7 / Chapter 1.2 --- Clinical Intervention To Improve Glycemic Control / Chapter 1.2.1 --- The United Kingdom Prospective Studies (UKPDS) --- p.8 / Chapter 1.2.2 --- The Diabetes and Complications Trial (DCCT) --- p.9 / Chapter 1.2.3 --- Another Clinical Trial of Lifestyle Intervention --- p.10 / Chapter 1.2.4 --- Physical Activity in Diabetes Management --- p.12 / Chapter 1.3 --- Dietetic Situation in Hong Kong / Chapter 1.3.1 --- Survey of the Hong Kong Dietetics Situation --- p.15 / Chapter 1.3.2 --- Current Situation of Prince of Wales Hospital --- p.17 / Chapter 1.3.3 --- Diabetes Knowledge and Compliance Level in Hong Kong Patients --- p.22 / Chapter 1.4 --- Medical Nutrition Therapy and Practice Guidelines / Chapter 1.4.1 --- Definition --- p.24 / Chapter 1.4.2 --- Development of the Practice Guidelines --- p.24 / Chapter 1.4.3 --- Recommended Procedure for the Practice Guidelines in Type 2 Diabetic Patients --- p.28 / Chapter 1.5 --- Study Purpose and Objectives --- p.32 / Chapter Chapter Two: --- Study Design and Method / Chapter 2.1 --- Research Design --- p.34 / Chapter 2.2 --- Sample Selection --- p.34 / Chapter 2.2.1 --- Method of Randomization --- p.35 / Chapter 2.2.2 --- Sample Size Calculation --- p.36 / Chapter 2.2.3 --- Inclusion Criteria --- p.37 / Chapter 2.2.4 --- Exclusion Criteria --- p.38 / Chapter 2.3 --- Summary of Patient Procedure --- p.38 / Chapter 2.3.1 --- Definition Of The Two Treatments --- p.41 / Chapter 2.3.2 --- Research Procedure For PGC Group --- p.43 / Chapter 2.3.3 --- Research Procedure For CC Group --- p.49 / Chapter 2.4 --- Outcome Measures / Chapter 2.4.1 --- Anthropometrics Variable --- p.50 / Chapter 2.4.2 --- Laboratory Data --- p.51 / Chapter 2.4.3 --- Pre-testing For Questionnaires --- p.51 / Chapter 2.4.4 --- Dietary Variables --- p.52 / Chapter 2.4.5 --- Measurement of Diabetes Knowledge --- p.53 / Chapter 2.4.6 --- Measurement of Barriers To Diet Compliance --- p.54 / Chapter 2.4.7 --- Measurement of Physical Activity --- p.54 / Chapter 2.4.8 --- Measurement of Barriers To Exercise Compliance --- p.54 / Chapter 2.4.9 --- Measurement of Overall Compliance in MNT --- p.55 / Chapter 2.5 --- Statistical Analysis --- p.57 / Chapter 2.6 --- Ethics --- p.58 / Chapter Chapter Three: --- Results / Chapter 3.1 --- Subjects and Response Rate --- p.60 / Chapter 3.1.1 --- Baseline Characteristics of the PGC and CC Group --- p.61 / Chapter 3.2 --- Results of Intervention Process Between PGC and CC Group / Chapter 3.2.1 --- Attendance Rate --- p.67 / Chapter 3.2.2 --- Total Patient-Dietitian Contact Time --- p.67 / Chapter 3.2.3 --- Satisfaction With Dietetic Services --- p.68 / Chapter 3.2.4 --- Other Alternatives Treatment --- p.69 / Chapter 3.2.5 --- Changes In Medical Therapy After Intervention --- p.69 / Chapter 3.2.6 --- Hospital Admission --- p.71 / Chapter 3.3 --- Outcomes - Questionnaires Results Between PGC and CC Group / Chapter 3.3.1 --- Food Frequency Questionnaire --- p.72 / Chapter 3.3.2 --- Physical Activity Questionnaire --- p.72 / Chapter 3.3.3 --- Diabetes Knowledge --- p.72 / Chapter 3.3.4 --- Barrier To Diet Compliance --- p.72 / Chapter 3.3.5 --- Barrier To Exercise Compliance --- p.73 / Chapter 3.3.6 --- Overall Medical Nutrition Therapy Compliance --- p.78 / Chapter 3.4 --- Outcomes - Anthropometry Results Between PGC and CC Group --- p.79 / Chapter 3.5 --- Outcomes - Laboratory Results Between PGC and CC Group / Chapter 3.5.1 --- Glycemic Control --- p.83 / Chapter 3.5.2 --- Lipid --- p.84 / Chapter Chapter four: --- Discussion and Conclusion / Chapter 4.1 --- Enrollment / Chapter 4.1.1 --- Response Rates --- p.91 / Chapter 4.1.2 --- Behavior Change Model --- p.92 / Chapter 4.1.3 --- Participation of Subjects --- p.93 / Chapter 4.1.4 --- Randomization --- p.93 / Chapter 4.2 --- Measurements / Chapter 4.2.1 --- Questionnaire --- p.94 / Chapter 4.2.2 --- Blinding Process --- p.94 / Chapter 4.2.3 --- Laboratory --- p.94 / Chapter 4.3 --- Outcomes / Chapter 4.3.1 --- Questionnaire Outcomes --- p.95 / Chapter 4.3.2 --- Anthropometry Outcomes --- p.100 / Chapter 4.3.3 --- Glycemic Outcomes --- p.102 / Chapter 4.3.4 --- MNT Process Outcomes --- p.103 / Chapter 4.3.5 --- Limitations --- p.104 / Chapter 4.4 --- Clinical Significance and Implications --- p.104 / Chapter 4.5 --- Conclusions and Recommendations --- p.110 / References --- p.112 / Appendices --- p.120
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