Barriers to and motivators for physical activity among people with Type 2 diabetes: patients' perspectives

Lidegaard, Lærke P.; Schwennesen, Nete; Willaing, Ingrid; Færch, Kristine

doi:10.1111/dme.13167

Cited by 72 publications

(64 citation statements)

References 42 publications

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“…The inverse relationship between physical activity and T2D is well established. For example, Lidegaard et al () conducted focus groups with participants living in Denmark and their findings on barriers to physical activity were similar to our findings; barriers included functional limitations, lack of time and support, and competing priorities. In addition, Foulds et al () revealed in their systematic review that on average 47.9% ( n = 135,515) of AI adults and 37.2% of children and youth ( n = 711) reported not meeting the recommended physical activity levels.…”

Section: Discussionsupporting

confidence: 87%

Developing a culturally tailored multigenerational intervention to prevent and manage type 2 diabetes in American Indian families living in rural settings: Findings from a focus group study

Scarton

Velazquez

O'Neal

et al. 2019

Research in Nursing & Health

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The study purpose was to understand the characteristics of interventions that would be most relevant and beneficial to address the diabetes‐related needs and challenges of rural American Indians/Alaska Natives (AIAN) with type 2 diabetes (T2D) and their families. In an exploratory study design, we held a total of seven focus groups in Florida and rural Oklahoma. Groups included 3–13 individuals (62 total, 77% were female, mean age 55.3 [11.4] years and mean duration of diabetes 10.4 [SD 9.1] years) who were referred by staff from HealthStreet, Consent2Share mechanism, and by tribal educators. All groups were moderated by the same American Indian research team member using a discussion guide with open‐ended questions, followed by probes. Findings revealed themes centered on optimal intervention components, barriers to type 2 diabetes—prevention and management (T2D‐PM), personal experiences with T2D, and impact of family behaviors on T2D‐PM. Findings indicate that the participants desire diabetes programs that include family members and a hands‐on, culturally meaningful approach. Creating an intervention based on the AIAN community's insights that include the entire family may improve T2D‐PM outcomes for this population.

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Section: Discussionsupporting

confidence: 87%

Developing a culturally tailored multigenerational intervention to prevent and manage type 2 diabetes in American Indian families living in rural settings: Findings from a focus group study

Scarton

Velazquez

O'Neal

et al. 2019

Research in Nursing & Health

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“…It is, however, unclear whether 10‐20‐30 training can affect glycaemic control, body composition and V˙O 2 max in patients with T2D, and if this training modality is superior to traditional MICT. Addressing this question is of importance, as lack of time and low adherence to regular exercise training are common barriers among patients with T2D …”

Section: Introductionmentioning

confidence: 99%

Efficacy of 10‐20‐30 training versus moderate‐intensity continuous training on HbA1c, body composition and maximum oxygen uptake in male patients with type 2 diabetes: A randomized controlled trial

Baasch-Skytte

Lemgart

Oehlenschläger

et al. 2020

Diabetes Obesity Metabolism

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Aim: To compare the efficacy of 10-20-30 training versus moderate-intensity continuous training (MICT) on HbA1c, body composition and maximum oxygen uptake (V O 2 max) in male patients with type 2 diabetes (T2D). Materials and Methods: Fifty-one male participants with T2D were randomly assigned (1:1) to a 10-20-30 (N = 26) and a MICT (N = 25) training group. Interventions consisted of supervised cycling three times weekly for 10 weeks, lasting 29 minutes (10-20-30) and 50 minutes (MICT) in a local non-clinical setting. The primary outcome was change in HbA1c from baseline to 10-week follow-up. Results: Of 51 participants enrolled, 44 (mean age 61.0 ± 6.8 [mean ± SD] years, diagnosed 7.5 ± 5.8 years, baseline HbA1c 7.4% ± 1.3%) were included in the analysis. Training compliance was 84% and 86% in 10-20-30 and MICT, respectively. No adverse events occurred during the intervention. HbA1c decreased (P <0.001) by 0.5 (95% CI −0.72 to −0.21) percentage points with training in 10-20-30, with no change in MICT. The change in 10-20-30 was greater (P <0.05) than in MICT. Visceral fat mass decreased (P <0.05) only with 10-20-30 training, whereas total fat mass decreased (P <0.01) and V O 2 max increased (P <0.01) with training in both groups. Conclusions: Ten weeks of 10-20-30 training was superior to MICT in lowering HbA1c, and only 10-20-30 training decreased visceral fat mass in patients with T2D. Furthermore, 10-20-30 training was as effective as MICT in reducing total fat mass and increasing V O 2 max, despite a 42% lower training time commitment. K E Y W O R D S glycaemic control, high-intensity interval training, oral glucose tolerance test, skeletal muscle protein adaptations, sprint-interval training.

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“…However these women were specifically selected because they were “successful in coping with their lives.” Focus group studies are widely used in common diseases and public health issues, such as cancers, autoimmune diseases, and diabetes, to understand patients’ perspectives. 19–21 . These have resulted in targeted outreach programs, improved marketing of screening programs, and more patient-friendly counseling methods.…”

Section: Introductionmentioning

confidence: 99%

Experiences and concerns of patients with recurrent attacks of acute hepatic porphyria: A qualitative study

Naik

Stoecker

Sanderson

et al. 2016

Molecular Genetics and Metabolism

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Background The acute hepatic porphyrias (AHPs) are rare inborn errors of heme biosynthesis, characterized clinically by life-threatening acute neurovisceral attacks. Patients with recurrent attacks have a decreased quality of life (QoL); however, no interactive assessment of these patients’ views has been reported. We conducted guided discussions regarding specific topics, to explore patients’ disease experience and its impact on their lives. Methods Sixteen AHP patients experiencing acute attacks were recruited to moderator-led online focus groups. Five groups (3–4 patients each) were conducted and thematic analyses to identify, examine, and categorize patterns in the data was performed. Results All patients identified prodromal symptoms that began days prior to acute severe pain; the most common included confusion (“brain fog”), irritability, and fatigue. Patients avoided hospitalization due to prior poor experiences with physician knowledge of AHPs or their treatment. All patients used complementary and alternative medicine treatments to avoid hospitalization or manage chronic pain and 81% reported varying degrees of effectiveness. All patients indicated their disease impacted personal relationships due to feelings of isolation and difficulty adjusting to the disease’s limitations. Conclusion Patients with recurrent attacks recognize prodromal warning symptoms, attempt to avoid hospitalization, turn to alternative treatments, and have markedly impaired QoL. Counseling and individualized support is crucial for AHP patients with recurrent attacks.

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Barriers to and motivators for physical activity among people with Type 2 diabetes: patients' perspectives

Cited by 72 publications

References 42 publications

Developing a culturally tailored multigenerational intervention to prevent and manage type 2 diabetes in American Indian families living in rural settings: Findings from a focus group study

Developing a culturally tailored multigenerational intervention to prevent and manage type 2 diabetes in American Indian families living in rural settings: Findings from a focus group study

Efficacy of 10‐20‐30 training versus moderate‐intensity continuous training on HbA1c, body composition and maximum oxygen uptake in male patients with type 2 diabetes: A randomized controlled trial

Experiences and concerns of patients with recurrent attacks of acute hepatic porphyria: A qualitative study

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