Exercise Preferences and Barriers in Urban African Americans With Type 2 Diabetes

Wanko, Nancy S.; Brazier, Carol W.; Young-Rogers, Denine; Dunbar, Virginia G.; Boyd, Barbara; George, Christopher D.; Rhee, Mary K.; El‐Kebbi, Imad M.; Cook, Curtiss B.

doi:10.1177/014572170403000322

Cited by 60 publications

(45 citation statements)

References 24 publications

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“…These findings were consistent with studies performed in other parts of the world [18,[25][26][27]. In our study population, outdoor walking was the most commonly reported physical activity, and is consistent with previous reports [28,29]. The major factors in our population were the high level of illiteracy (51%) and the impact of the recent modern lifestyle changes.…”

Section: Discussionsupporting

confidence: 93%

Physical Activity and Reported Barriers to Activity Among Type 2 Diabetic Patients in the United Arab Emirates

Al-Kaabi

Al-Maskari

Saadi³

et al. 2009

Rev Diabet Stud

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■ AbstractOBJECTIVES: This study was designed to assess the physical activity practice among type 2 diabetic patients in the United Arab Emirates (UAE). METHODS: This is a crosssectional study of type 2 diabetic patients who participated in the outpatient clinics in Al-Ain District, during 2006. The patients completed an interviewer-administered questionnaire, and measurements of blood pressure, body mass index, body fat, abdominal circumference, glycemic control (HbA1c), and fasting lipid profile. RESULTS: Of the 390 patients recruited, only 25% reported an increase in their physical activity levels following the diagnosis of diabetes, and only 3% reported physical activity levels that meet the recommended guidelines. More than half of the study subjects had uncontrolled hypertension (53%) and unacceptable lipid profiles; 71% had a high low-density lipoprotein (LDL), 73% had low high-density lipoprotein (HDL), and 59% had hypertriglyceridemia. Forty-four percent were obese and a further 34% were overweight. Abdominal obesity was also common (59%). Only 32% had an acceptable glycemic control. CONCLUSIONS: The physical activity practice of type 2 diabetic patients in the UAE is largely inadequate to meet the recommended level necessary to prevent or ameliorate diabetic complications. Interventions aiming at overcoming the barriers to physical activity are urgently needed.

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Section: Discussionsupporting

confidence: 93%

Physical Activity and Reported Barriers to Activity Among Type 2 Diabetic Patients in the United Arab Emirates

Al-Kaabi

Al-Maskari

Saadi³

et al. 2009

Rev Diabet Stud

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“…Patients may have uncontrolled HTN due to numerous individual, health care system, and social influences, including health insurance status, cost of medications, family issues, or personal embarrassment, as consistent with previous research. [16][17] It is possible that the clinic nurse may have shown empathy for patients' perceived barriers at this clinic; this understanding may have improved the quality of patient-provider communication and increased patients' self-confidence to manage HTN. It is important for health care providers to acknowledge and understand these perceived barriers of HTN patients during a clinic visit.…”

Section: Theme 1: Barriers To Htn Selfmanagementmentioning

confidence: 99%

“…For example, designing HTN education messages for specific patient populations, such as older African Americans, could be beneficial at this clinic. 16 Clinic nurses may apply results to design sex-sensitive HTN messages for older African Americans. Clinic nurses could address gender differences from the qualitative interviews to construct different HTN education messages for men versus women.…”

Section: Practice Implicationsmentioning

confidence: 99%

Perceived Barriers to and Facilitators of Hypertension Management among Underserved African American Older Adults

Rimando

2015

Ethn Dis

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Objective: To understand the perceived barriers to and facilitators of hypertension self-management among underserved African American older adults in a southeastern clinic. Design: Qualitative descriptive.Setting: Urban cardiovascular health clinic in a southeastern state.Participants: 28 African Americans diagnosed with hypertension. Methods:Interview questions were focused on knowledge of hypertension management and barriers and facilitators to hypertension self-management. Thematic content analysis was applied. Results:Patients reported increased hypertension knowledge after attending the clinic. All patients reported knowledge of the severe consequences of uncontrolled hypertension. Perceived barriers to hypertension management included lack of money, lack of motivation to exercise, and fear of injury from exercising. Perceived facilitators of hypertension management included weight loss, unexpected diagnosis of hypertension, family members with hypertension and diabetes, and social support. Conclusions:Findings suggest that perceived barriers and facilitators influence a patient's decision to manage hypertension. Findings suggest the importance of health literacy and patient-provider communication at this particular clinic. Possible factors in the social environment may influence hypertension management. This study adds to the literature by understanding the perceived barriers to and facilitators of hypertension management of an underserved sample in a southeastern clinic. The results suggest a need for the redesign and transformation of future hypertension education strategies aimed at this clinic sample. Ethn Dis. 2015;25(3):329-336.

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“…(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53). In a study of primarily African American participants with diabetes, patients who reported a physical activity barrier also reported fewer days of exercise and physical activity for shorter durations (54). In another study of which 30% of the sample were Black women, self-efficacy for overcoming physical activity barriers was associated with future walking behavior (55) Self-efficacy's ability to promote activity in the face of barriers highlights its importance as a determinant of activity and argues for the inclusion of a barrier specific measure of self-efficacy in research studies.…”

Section: Introductionmentioning

confidence: 99%

Relationship of health behavior theories with self-efficacy among insufficiently active hypertensive African–American women

Martin

Person

Kratt

et al. 2008

Patient Education and Counseling

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Objective-While self-efficacy plays an important role in physical activity, relatively little research has examined this construct in minorities. This study identified theoretical correlates associated with self-efficacy amongst insufficiently active, hypertensive Black women.Methods-Correlates of self-efficacy to: (1) overcoming barriers to physical activity; (2) making time for activity; and (3) "sticking with" physical activity were studied.Results-Sixty-one women (M = 50.48 ± 4.2 years) participated. We accounted for 32% of the variance in confidence in overcoming barriers. Women confident in overcoming barriers reported less worry about physical activity. The TTM processes of change were also in the model: consciousness raising, environmental reevaluation, counter conditioning, and self liberation. We accounted for 16% of the variance in "making time" self-efficacy. An aversiveness barrier (e.g., physical activity is boring, physical activity is hard work) was the dominant variable in the model. Confidence to 'stick with' physical activity was associated with self-reevaluation (i.e., reflection on how personal values correspond to behavior). Social support and competing demands were not associated with self-efficacy.© 2008 Elsevier Ireland Ltd. All rights reserved. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-Consistent with Social Cognitive Theory, results suggest that self-efficacy is behavior specific and each measure likely provides unique information. Conflict of interest: None NIH Public AccessPractice Implications-Interventions should be tailored to address specific self-efficacy types.

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Exercise Preferences and Barriers in Urban African Americans With Type 2 Diabetes

Abstract: Recognition of patient exercise preferences and barriers should help in developing exercise strategies for improving glycemic control.

Cited by 60 publications

References 24 publications

Physical Activity and Reported Barriers to Activity Among Type 2 Diabetic Patients in the United Arab Emirates

Physical Activity and Reported Barriers to Activity Among Type 2 Diabetic Patients in the United Arab Emirates

Perceived Barriers to and Facilitators of Hypertension Management among Underserved African American Older Adults

Relationship of health behavior theories with self-efficacy among insufficiently active hypertensive African–American women

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