scholarly journals The The Barriers and Facilitators of Physical Activity Participation Among People Living with Type 2 Diabetes

2020 ◽  
Vol 3 ◽  
pp. 1-16
Author(s):  
Ozge Olbeci ◽  
Aycan Celik ◽  
Russell Jone
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Science Studies ◽  
Meta Analysis ◽  
Barriers And Facilitators ◽  
Primary Data ◽  
Future Research ◽  
Quantitative Studies ◽  
Facilitators And Barriers

Background: Type 2 diabetes mellitus (T2DM) is among the leading causes of serious mortality and health burden globally. Exercise is one of the commonly suggested preventions/ interventions for T2DM. However, many adults with T2DM are not achieving the recommended levels of physical activity. The objective of this systematic review is to investigate the barriers and facilitators to physical activity among people living with type 2 diabetes. Methods/Design: This review will be undertaken using the Preferred Reporting Items and Meta-analysis (PRISMA). The database search will be performed in MEDLINE, CINAHL, PubMed, and Web of Science. Studies included will report primary data (qualitative and quantitative) on people with T2DM (18 and over years of age). The review will be limited in English published between 2009 and 2020. A study design describing reasons for barriers, facilitators or both of physical activity among people with T2DM will be included. The risk of bias will be evaluated with Mixed-Methods Appraisal Tool (MMAT). Data synthesis will be conducted with narrative synthesis for quantitative studies, and thematic synthesis for qualitative studies followed by a mix-method synthesis to combine the previous synthesis. Discussion: This review will provide evidence for better understanding the facilitators and barriers to physical activity among people with T2DM. This information will also guide future research and support the development of the intervention to expand and increase facilitator factors determined by people with T2DM.    

scholarly journals Depression and Adherence to Lifestyle Changes in Type 2 Diabetes

2014 ◽  
Vol 40 (6) ◽  
pp. 731-744 ◽  
Author(s):  
Lisa L. Sumlin ◽  
Theresa J. Garcia ◽  
Sharon A. Brown ◽  
Mary A. Winter ◽  
Alexandra A. García ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Intervention Studies ◽  
Meta Analysis ◽  
Lifestyle Changes ◽  
Future Research ◽  
Physical Activity Recommendations ◽  
Physical Activity Adherence ◽  
Lower Adherence

Purpose Depression affects millions of people worldwide and is prevalent among those with diabetes. The purpose of this review was to synthesize recent research on depression and adherence to dietary and physical activity recommendations in persons with type 2 diabetes (T2DM). Methods This systematic review is a subanalysis of an NIH-funded model-testing meta-analysis. Thirteen electronic databases were searched using terms: depression, adherence, T2DM, diabetes. Selected studies: were reported in English between 2000 and 2012, focused on adults with T2DM, and measured depression and dietary and/or physical activity adherence. Results Twenty-seven studies involving 7266 participants were selected; participants were 54% female and 62 years of age, on average. When reported, depression prevalence in study samples ranged from 4.5% to 74%. Six intervention studies targeted diabetes treatment, with or without depression treatment; no studies focused solely on treating depression. Twenty-one descriptive studies examined relationships between depression and diet/physical activity adherence, finding a negative association. Only 2 of the 6 intervention studies examined this relationship; findings were inconsistent. Conclusion Depression was associated with lower adherence to diabetes self-care, as evidenced primarily by descriptive studies; results of intervention studies were conflicting. Future research should focus on the effects of treating depression on diabetes health outcomes.

Strategies to enhance compliance to physical activity for patients with insulin resistance

2007 ◽  
Vol 32 (3) ◽  
pp. 549-556 ◽  
Author(s):  
Alison Kirk ◽  
Pierpaolo De Feo
Keyword(s):  
Physical Activity ◽  
Insulin Resistance ◽  
Type 2 Diabetes ◽  
Wearable Sensors ◽  
Physical Activity Promotion ◽  
Physical Activity Behaviour ◽  
Future Research ◽  
Evidence Based ◽  
Activity Promotion

The evidence that physical activity is an effective therapeutic tool in the management of insulin resistance and type 2 diabetes is well documented. Limited research has addressed how best to promote and maintain physical activity in these individuals. This paper explores strategies to enhance compliance to physical activity for patients with insulin resistance. Several evidence-based guidelines and reviews recommend that physical activity interventions are based on a valid theoretical framework. However, there is no evidence-based consensus on the best theory or the combination of theories to use. Motivational tools such as pedometers, wearable sensors measuring energy expenditure, and point of choice prompts appear to be effective at stimulating short-term substantial increases in physical activity, but further strategies to maintain physical activity behaviour change are required. Physical activity consultation has demonstrated effective physical activity promotion over periods of up to 2 years in people with type 2 diabetes. Future research should identify the longer term effects of this intervention and the effectiveness of different methods of delivery. Overall, there needs to be a lot more focus on this area of research. Without this, the abundance of research investigating the effects of physical activity on people with insulin resistance and type 2 diabetes is essentially redundant.

scholarly journals Physical Activity Facilitators and Barriers in Type 2 Diabetes

2013 ◽  
Vol 37 ◽  
pp. S52
Author(s):  
Alexandre Castonguay ◽  
Paule Miquelon ◽  
Marianne Michaud
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Facilitators And Barriers

Look into the crystal ball: Can vivid images of the future enhance physical health?

2016 ◽  
Vol 23 (13) ◽  
pp. 1689-1698 ◽  
Author(s):  
Simon A Moss ◽  
Timothy C Skinner ◽  
Nektarios Alexi ◽  
Samuel G Wilson
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Positive Emotions ◽  
Future Research ◽  
Crystal Ball ◽  
The Future ◽  
Lifestyle Diseases ◽  
Images Of The Future

Many impulsive behaviors, unpleasant emotions, and misguided cognitions increase the incidence of type 2 diabetes and other conditions. This study tests the premise that such risk factors are inversely related to future clarity—the extent to which the future seems vivid and certain. Specifically, 211 participants completed the measures of future clarity and various determinants of health. Future clarity was positively associated with the inclination of participants to consume healthy food, abstain from cigarettes, participate in physical activity, and experience positive emotions. Future research should examine whether interventions designed to help individuals clarify and pursue their aspirations could stem lifestyle diseases.

scholarly journals Positive reinforcement by general practitioners is associated with greater physical activity in adults with type 2 diabetes

2019 ◽  
Vol 7 (1) ◽  
pp. e000701
Author(s):  
Ralph Geerling ◽  
Jessica L Browne ◽  
Elizabeth Holmes-Truscott ◽  
John Furler ◽  
Jane Speight ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
General Practitioners ◽  
Physical Activity Level ◽  
Online Survey ◽  
Activity Level ◽  
Future Research ◽  
Patient Interactions ◽  
Recommended Physical Activity

ObjectiveIn a sample of adults with type 2 diabetes mellitus (T2DM), the aim of this study was to examine whether self-reported physical activity level is associated with recall of specific physical activity-related interactions used by general practitioners (GP).Research design and methodsAdults with T2DM completed an online survey reporting physical activity behaviors and recall of 14 GP–patient interactions about physical activity, mapped onto discrete behavior change techniques (BCT). Stepped logistical regression examined associations between recommended physical activity (≥600 MET-min/week) and GP–patient interactions, controlling for body mass index, diabetes-related comorbidities, depressive symptoms and self-efficacy.ResultsIn total, 381 respondents (55% men, mean±SD age: 62±10 years and T2DM duration 8±8 years) provided complete data. Most (73%) reported receiving ‘general advice’, while interactions related to goal setting, monitoring, and relapse prevention were least commonly reported (all <20%). Self-reported achievement of the recommended physical activity level was significantly associated with recall of GP interactions involving praise for ‘efforts to be active’ (OR 2.1; 95% CI 1.24 to 3.53), ‘lost weight’ (OR 1.81; 95% CI 1.05 to 3.12) or lowering ‘glucose levels as a result of being active’ (OR 1.75; 95% CI 1.03 to 2.96).ConclusionsFindings suggest GPs can be somewhat effective in promoting physical activity with simple, positive, reinforcing messages/interactions. Future research to develop and evaluate very brief primary care BCT-based physical activity interventions is needed.

scholarly journals Identifying Barriers and Facilitators to Diet and Physical Activity Behaviour Change in Type 2 Diabetes Using a Design Probe Methodology

2021 ◽  
Vol 11 (2) ◽  
pp. 72
Author(s):  
Kevin A. Cradock ◽  
Leo R. Quinlan ◽  
Francis M. Finucane ◽  
Heather L. Gainforth ◽  
Kathleen A. Martin Ginis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Behaviour Change ◽  
Design Research ◽  
Extended Period ◽  
Barriers And Facilitators ◽  
Behavioural Intervention ◽  
Behaviour Change Techniques ◽  
Diet And Physical Activity

Treatment of Type 2 Diabetes (T2D) typically involves pharmacological methods and adjunct behavioural modifications, focused on changing diet and physical activity (PA) behaviours. Changing diet and physical activity behaviours is complex and any behavioural intervention in T2D, to be successful, must use an appropriate suite of behaviour change techniques (BCTs). In this study, we sought to understand the perceived barriers and facilitators to diet and PA behaviour change in persons with T2D, with a view to creating artefacts to facilitate the required behaviour changes. The Design Probe was chosen as the most appropriate design research instrument to capture the required data, as it enabled participants to reflect and self-document, over an extended period of time, on their daily lived experiences and, following this reflection, to identify their barriers and facilitators to diet and PA behaviour change. Design Probes were sent to 21 participants and 13 were fully completed. A reflective thematic analysis was carried out on the data, which identified themes of food environment, mental health, work schedule, planning, social support, cravings, economic circumstances and energy associated with diet behaviour. Similar themes were identified for PA as well as themes of physical health, weather, motivation and the physical environment.

scholarly journals Exploring the barriers and facilitators of dietary self-care for type 2 diabetes: a qualitative study in Ghana

2019 ◽  
Vol 9 (3) ◽  
pp. 223-232 ◽  
Author(s):  
Martin Hushie
Keyword(s):  
Type 2 Diabetes ◽  
Family Members ◽  
Self Care ◽  
Adult Patients ◽  
Barriers And Facilitators ◽  
Future Research ◽  
Health Providers ◽  
Diabetes Clinic ◽  
Management Interventions

Background: There is an increasing prevalence of type 2 diabetes (T2D) globally and countries in Sub Sahara Africa, such as Ghana are contending with the epidemic. The main objective of this study was to explore the barriers and facilitators of T2D self-care as perceived by patients and health providers (HPs) in Ghana. Methods: A maximum variation sample of 33 adult patients with a range of demographic features, diabetic conditions and self-care regimens and 3 providers were purposely selected from the specialist diabetes clinic of a private hospital in Accra, Ghana. Data were collected using indepth interviews, which were recorded and transcribed; and non-participant observational field notes-that were analyzed thematically through directed content analysis. Results: The findings reveal that T2D adult patients face many inter-related challenges to diabetes self-care, than enabling factors that fell into four major domains:1) the counselling process and context (patients missing follow-up appointments, unacceptance of diagnosis); 2) recommended food and diet regimens (changing habitual diets, dislike and confusion about recommended diets); 3) social aspects (social functions interfering with dietary regimens, family members diverting patient from dietary goals) and 4) fears (non-disclosure to family member/ pretense of being well). Conclusion: Integrated self-management interventions are needed to address these barriers, including tailoring dietary education to patients’ specific needs, guiding patients on how to manage diet during social occasions and among family members; and as well, providing mental health support. Future research should focus on T2D self-care behaviours and practices outside the clinic, including home, work and shopping environments.

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