Effectiveness and acceptability of a pragmatic exercise intervention for patients with type 2 diabetes in specialized care

Nielsen, Susanne Grøn; Danielsen, Julie Hagstrøm; Jacobsen, Sandra Schade; Kristensen, Peter; Storgaard, Heidi; Mølsted, Stig; Vilsbøll, Tina

doi:10.1016/j.diabres.2021.109176

Cited by 2 publications

(4 citation statements)

References 33 publications

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“…The number of the participants in the interviews was also affected by the rate of attendance in the exercise class on the day of the interview. Throughout the intervention period the attendance rate was 71% [11].…”

Section: Resultsmentioning

confidence: 99%

“…This qualitative study was embedded in a three-year supplementary treatment initiative with physical exercise in specialized diabetes care at Steno Diabetes Center Copenhagen, Herlev-Gentofte Hospital and North Zealand Hospital in Denmark. The treatment initiative aimed to develop patient-centered exercise interventions that targeted individuals with complications of T2D [11]. In keeping with a constructivist research paradigm, a qualitative hermeneutic approach using semi-structured focus group interviews was applied [12,13].…”

Section: Study Design and Ethicsmentioning

confidence: 99%

“…Inspired by the concept of motivational interviewing; motivation and barriers to physical activity were explored [15]. Physiological and patient reported outcomes were assessed and results are described elsewhere [11]. Twenty-four supervised group-based exercise sessions with combined aerobic and strength training were offered.…”

Section: Interventionmentioning

confidence: 99%

“…Seven different classes were evaluated with focus group interviews, in an ongoing process from February 2018 to September 2019 (Table 1). Characteristics of participants in the exercise intervention are described elsewhere [11]. The first two explorative interviews were conducted in February 2018 with participants in two already existing exercise classes at Herlev-Gentofte and North Zealand Hospitals.…”

Section: Focus Group Interviews-data Collectionmentioning

confidence: 99%

See 3 more Smart Citations

Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes

Nielsen

Danielsen

Grønbæk

et al. 2022

IJERPH

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Exercise is a cornerstone in diabetes care; however, adherence is low and sustaining physical activity remains a challenge. Patient-centered diabetes self-management education and support are recommended; however, sparse literature exists on how to design exercise interventions that improve self-management in individuals with complications of type 2 diabetes mellitus (T2D). We aimed to gain insights into needs, barriers, and motivation based on experiences with exercise participation among individuals with T2D and complications to adjust and develop new types of tailored, supervised exercise classes in specialized care at three hospitals in Denmark. In keeping with a constructivist research paradigm, a qualitative hermeneutic approach using focus group interviews was applied to explore perspectives among different participants in terms of disease severity. Seven interviews with 30 participants (aged 49–88) representing seven different exercise classes, were conducted over three years. Reflective thematic analysis was used. Four themes were generated: People like us, Getting started with exercise, Game changers, and Moving forward. An overarching theme ‘The transformation of motivation when exercising in a safe and kind environment’ links the themes together, resembling the participants’ development of physical literacy encompassing motivation, confidence, physical competence as well as an ability to value physical activity. Supportive patient-centered exercise classes promoted a transformation of motivation grounded in the development of physical literacy among participants in specialized diabetes care. However, participants were concerned with continuing to exercise on their own after the intervention, as they experienced a lack of continuous, supervised exercise opportunities in local communities.

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Section: Resultsmentioning

confidence: 99%