Ethnic Differences in Exercise among Adults with Diabetes

Wood, Felecia G.

doi:10.1177/019394502400446388

Cited by 30 publications

(24 citation statements)

References 11 publications

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“…Previous US studies have shown that 34 -69% of people with diabetes reported exercising regularly [20,[27][28][29][30][31][32][33][34]] and 9 -31% met physical activity recommendations [30,32,33,35]. However, these studies were conducted in people with different population-based survey) and time periods; they also used different questionnaires to assess physical activity.…”

Section: Discussionmentioning

confidence: 99%

Compliance with physical activity recommendations in US adults with diabetes

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Compliance with physical activity recommendations in US adults with diabetes

et al. 2008

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“…Based on previously published literature on barriers and facilitators to participate in a lifestyle program among DM2 patients [27]–[37], interviews with experts (n = 3) and four focus group interviews with DM2 patients (total n = 24), five attributes with each three levels were selected for the current DCE. These included: menu schedule, physical activity (PA) schedule, consultation structure, expected outcome, and out-of-pocket costs.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Including an Opt-Out Option in Discrete Choice Experiments

et al. 2014

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Objectiveto determine to what extent the inclusion of an opt-out option in a DCE may have an effect on choice behaviour and therefore might influence the attribute level estimates, the relative importance of the attributes and calculated trade-offs.Methods781 Dutch Type 2 Diabetes Mellitus patients completed a questionnaire containing nine choice tasks with an opt-out option and nice forced choice tasks. Mixed-logit models were used to estimate the relative importance of the five lifestyle program related attributes that were included. Willingness to pay (WTP) values were calculated and it was tested whether results differed between respondents who answered the choice tasks with an opt-out option in the first or second part of the questionnaire.Results21.4% of the respondents always opted out. Respondents who were given the opt-out option in the first part of the questionnaire as well as lower educated respondents significantly more often opted out. For both the forced and unforced choice model, different attributes showed significant estimates, the relative importance of the attributes was equal. However, due to differences in relative importance weights, the WTP values for the PA schedule differed significantly between both datasets.ConclusionsResults show differences in opting out based on the location of the opt-out option and respondents' educational level; this resulted in small differences between the forced and unforced choice model. Since respondents seem to learn from answering forced choice tasks, a dual response design might result in higher data quality compared to offering a direct opt-out option. Future research should empirically explore how choice sets should be presented to make them as easy and less complex as possible in order to reduce the proportion of respondents that opts-out due to choice task complexity. Moreover, future research should debrief respondents to examine the reasons for choosing the opt-out alternative.

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“…To determine the attributes and levels in this study, a stepwise manner was used. First, a literature study was done to compose a list of barriers and facilitators of DM2 patients for participating in a lifestyle intervention [17–27]. Then, the obtained list of barriers and facilitators was discussed using expert interviews (n = 3).…”

Section: Methodsmentioning

confidence: 99%

The effect of out-of-pocket costs and financial rewards in a discrete choice experiment: an application to lifestyle programs

et al. 2014

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BackgroundBoth out-of-pocket costs and financial rewards can be used to influence health related behavior. However, it is unclear which of these two has a larger effect on health related behavior. The aim of this study was to explore the possible difference in effect size between out-of-pocket costs and financial rewards on the willingness of diabetes mellitus type 2 (DM2) patients to participate in a lifestyle program.MethodsA discrete choice experiment (DCE) questionnaire was sent to 767 DM2 patients in a geographically defined area (De Leidsche Rijn, Utrecht) in The Netherlands and completed by 206 of them. The questionnaire comprised of 18 choice tasks of which 9 contained a financial reward for lifestyle program completion, while the other 9 included out-of-pocket costs for program participation. In a second version of the questionnaire, the order of out-of-pocket cost and financial reward choice tasks was counterbalanced to reduce bias with respect to the position (first or second) of the two types of choice tasks. Panel-mixed-multinomial-logit models were used for data analysis.ResultsIncreasing out-of-pocket costs were associated with a decreasing willingness to participate in a lifestyle program and, contrary to our expectations, increasing financial rewards were also associated with a decreasing willingness to participate in a lifestyle program. In addition, this willingness to participate changed to the same extent for both increasing out-of-pocket costs and increasing financial rewards.ConclusionsAs expected, increasing out-of-pocket costs may prevent people from deciding to participate in a lifestyle program. However, offering a financial reward to persuade people to participate in a lifestyle program, may result in decreasing willingness to participate in a lifestyle program as well.

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Ethnic Differences in Exercise among Adults with Diabetes

Cited by 30 publications

References 11 publications

Compliance with physical activity recommendations in US adults with diabetes

Compliance with physical activity recommendations in US adults with diabetes

The Effect of Including an Opt-Out Option in Discrete Choice Experiments

The effect of out-of-pocket costs and financial rewards in a discrete choice experiment: an application to lifestyle programs

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