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their behavior and expectation. It is easier to be accepted by
patients and execute the plan when the volunteers spread out
their self-experience through WOM than through professional
health educator. The disease age and patient self-manage-
ment maturity level of the theoretical model (TTM) are
irrelevant to the clinical results.
Conclusion:
It is possible to have the different effects and
results when the patient
’
s characteristics andmedical WOM in
different ways and social media. This dedication is reflected
through patient
’
s personal interesting topics, WOM inference
model, and personalized on-line to off-line (O2O) interactive
engagement. Not only does the patients
’
mental status affect
their behavioral maturity when they are consulting with the
diabetes volunteers, but the volunteers
’
training, the difficulty
of the public health education, and the scale of the institution
will affect the depth and coverage in the future research.
PF-06
Effects of community-based self-weighing campaign over
holiday seasons: Effects on weight loss, rates of diabetes and
prediabetes, and medical costs
Masayuki DOMICHI
1
, Yoshiko NIKI
2
, Akiko SUGANUMA
1
,
Shinsuke NIRENGI
1
, Naoki SAKANE
1
*.
1
Division of Preventive
Medicine, Clinical Research Institute, National Hospital Organization
Kyoto Medical Center,
2
Kato Civic Life Part Health Division (Health
Center), Japan
Objectives:
The prevalence of diabetes is increasing with the
westernized lifestyle and aging in Japan. Diabetes prevention
is an urgent issue in Japan. Weight loss of overweight and
obese people is a key to preventing diabetes. However, the
body weight tends to increase in holiday seasons (Christmas
through New Year). Long-term weight management programs
are needed over such holiday seasons. The standardized
mortality ratio (SMR) for diabetes is high in Kato City, Hyogo
Prefecture, Japan. The aim of the present study was to evaluate
the effect of a community-based self-weighing campaign
on weight changes, rates of diabetes and prediabetes, and
medical costs.
Methods:
This study was a public health campaign using self-
weighing twice a day held in Kato City from 2008 to 2015.
Inclusion criteria included an age of 20
–
74 and BMI
≥
23 kg/m
2
.
The goal of this campaignwas to lose 3 kg of bodyweight over 3
months from November to February, every year. During this
period, 47 shops in Kato City supported the campaign in
various ways, for example, some fitness gyms reduced the
joining fee, several restaurants offered special low-calorie
menus, and a number of electronics stores sold weight scales
at a bargain price. The city homepage delivered the effective
and safe weight reduction program using a weight chart.
Cable TV also delivered programs including diabetes preven-
tion with a doctor, healthy eating with a dietician, and
increased activity with an exercise trainer. Propensity score
matching was performed to reduce the effects of confounding
factors. Data were collected from annual health checkups and
medical costs.
Results:
Of 9,996 community dwelling people, 429 subjects
(male: 38.9%, mean age: 60 ± 10 years, mean BMI: 25.9 ± 2.3 kg/
m
2
) participated in the program and reported weight changes.
A total of 429 subjects in the intervention group were
compared with a propensity score matched-control group of
429 subjects. After 1-year intervention, body weight and serum
triglyceride levels in the intervention group were significantly
decreased compared with the control group (
−
1.75 kg vs.
−
0.76 kg, respectively; P < 0.001). In females, HDL-cholesterol
and HbA1c levels were improved compared with the control
group. After 8-year intervention, rates of diabetes and
prediabetes in Kato City were gradually decreased. Medical
costs per person in Kato City was lower than in surrounding
areas.
Conclusions:
The findings suggest that this program had
beneficial effects on weight changes, serum lipids, rates of
diabetes and prediabetes, and medical costs.
PF-07
A follow-up study of treatment beliefs to insulin of patients
with failure to oral hypoglycemic agents
Wan-Ching SHEN
1
, Huey-Fen WANG
2
, Lee-Ming CHUANG
3
,
Mei CHANG
4
*.
1
Chou Chien Wen Clinic, Tainan,
2
Department of
Nursing, Yuanpei Universityof Medical Technology, Hsinchu,
3
Department of Internal Medicine, National Taiwan University
Hospital, Taipei,
4
School of Nursing, College of Medicine, National
Taiwan University, Taipei, Taiwan
Aim:
To learn about the difference in treatment beliefs of type
2 diabetes individuals before and after initiation of insulin
treatment.
Methods:
The follow-up survey was conducted on 101 out-
patients in a medical center, who were recruited in a previous
study for the Illness Perceptions, Treatment Beliefs to Insulin,
and Intention to Insulin Therapy of Patients with Failure
to Oral Drugs in 2013. About two years after the former study,
70 cases can be recalled in the outpatient department of the
same hospital and agreed to participate this follow-up study
by using a same questionnaire survey for measuring Insulin
Treatment Appraisal Scale (ITAS) that had been collected in
2013. We compared the changes of treatment beliefs to insulin
in patients who initiated insulin during this period vs. those
who hesitated to start insulinization.
Results:
Of the recalled 70 subjects, 27 subjects successively
initiated insulin treatment (acceptance group), while 43
subjects had not initiate insulin treatment (resistance group).
We found that when compared with the resistance group, the
acceptance group showed significantly lower negative beliefs.
In the resistance group, there were no significant changes of
negative beliefs. The positive beliefs were significantly larger
than the negative beliefs in acceptance group after they
initiated insulin treatment. Cross-group comparison of the
difference in positive and negative beliefs found that with the
positive and negative beliefs offset mutually, the rest of
positive beliefs in the acceptance group were significantly
larger than those in the resistance group.
Conclusion:
We found that for type 2 diabetes patients who
failed on oral hypoglycemic agents, the acceptance group with
insulin initiation had lower negative beliefs to insulin treat-
ment, and higher positive beliefs. Higher positive beliefs of
insulin treatment will help patients to initiate the insulin
treatment.
PF-08
The correlation between health behavior and self-efficacy of
obese diabetic patients
Hsiang-Hsun CHUANG
1,2
*, Chieh-Hsiang LU
1,2,3
.
1
Ditmanson
Medical Foundation Chia-Yi Christian Hospital,
2
Department of
Business Administration, College of Management, National Chung
Cheng University,
3
Department of Nursing, DAYEH University,
Taiwan
Purpose:
Due to the ever increasing global obesity population,
the prevalence of obesity related diabetes is also gradually
increasing. Obese diabetes patients are faced with higher risks
of cardiovascular and other chronic comorbidities. Therefore,
other than blood glucose management, weight related health
management is also an indispensable treatment for these
patients. Although health self-management is an important
topic for diabetes patients, the lack of weight control is a
difficulty that is faced by many obese patients. This research is
to investigate the weight management behavior, self- efficacy,
and social support for obese diabetes patients who have
failed in managing their weights.
Methods:
The primary data collection method utilized in
this study was of questionnaire surveys. A total of 152
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65
–
S211
S153