Effect of implementation intention on walking in people with diabetes

Abstract

OBJECTIVE: To evaluate the effect of implementation intentions as an intervention strategy to promote walking in adults with type 2 diabetes mellitus (T2DM). METHODS: We conducted a controlled and randomized trial, with 12 months of follow-up, involving 65 people with T2DM recruited from primary health care units and allocated them in the control group (CG, n = 32) and intervention group (IG, n = 33). The IG received the implementation intention strategy to promote walking and the CG remained in follow-up for conventional treatment in primary health care. The researchers were blinded by anthropometric measurements and the filling of the instruments. RESULTS: After twelve months of follow up, the IG presented a statistically significant increase in the leisure time physical activity when compared with the CG (p = 0.0413) and showed a significant decrease in waist circumference (p = 0.0061). No significant difference was observed regarding body mass index and glycated hemoglobin among groups. CONCLUSIONS: Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM.

Making Specific Plan Improves Physical Activity and Healthy Eating for Community-Dwelling Patients With Chronic Conditions: A Systematic Review and Meta-Analysis

“…Reminder forms included the hospital visit (4%), phone call (13%), text message (4%), and email (4%). Notably, the form of the “hospital visit” refers that the participants received on-site reinforcement of their action plans during the face-to-face follow-up ( 56 , 66 ). Only 15% of the planning interventions were fully web based; the rest were all delivered by a healthcare provider.…”

Barreiras percebidas e estratégias de enfrentamento desenvolvidas por portadores do diabetes mellitus tipo II para adesão à caminhada

“…Apesar de haver alguns estudos que demonstram a efetividade da utilização da estratégia de ativação da intenção para auxiliar indivíduos a aumentarem sua prática de atividade física em diversos contextos e países (12,19,20,21) em nenhum deles, até a realização da presente pesquisa, os pesquisadores avaliaram as barreiras e formas de superá-las sentidas pelos indivíduos por meio da análise temática dos conteúdos. Tanto no contexto internacional como brasileiro, até o momento da redação do presente manuscrito, havia poucos estudos publicados sobre a estratégia de ativação da intenção nos quais seus dados foram tratados pelo método de análise de conteúdo temática (22,23), porém, com públicos-alvo distintos do presente estudo, ou seja, mulheres hipertensas e pacientes coronariopatas, respectivamente.…”