A controlled study of weight reduction in type 2 diabetics treated by two reinforcers |
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| Authors: | H Zapotoczky B Semlitsch G Herzog B Bahadori A Siebenhofer T R Pieber H G Zapotoczky |
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| Institution: | (1) Department of Internal Medicine, University Hospital, Wenisbucherstrase 9, A-8044 Graz, Austria;(2) Department of Psychiatry, University Hospital, Graz, Austria |
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| Abstract: | The aim of this clinical study was to evaluate a practicable method to improve metabolic control and body weight in obese
patients suffering from Type 2 diabetes. Eighteen overweight Type 2 diabetic patients received an outpatient psychoeducational
group program over 1 year, which was centered on aspects of metabolic control in diabetes. This group was compared with 18
control patients who did not obtain any special psychoeducational training. There was a significant reduction of glycosylated
hemoglobin and body weight over 1 year in the treatment group compared with the controls. In conclusion, 1 year of psychoeducational
training of obese Type 2 diabetic patients significantly improved body weight and glycosylated hemoglobin. Implications are
described for professional health care management of the disorder and aspects of the learning theory. |
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| Keywords: | operant reinforcement Type 2 diabetes outpatient health care management weight loss HbA1c |
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