Introduction: Health outcomes for people with Type 2 diabetes could be improved if people engaged in appropriate levels of physical activity. Aim To explore Type 2 diabetic patients’ compliance with lifestyle recommendations and to inform the development of an intervention to increase walking. Method A systematic review was conducted to identify evidence for interventions to improve compliance with lifestyle recommendations. Semi-structured interviews using the Theory Domain Framework (TDF) were undertaken with Type 2 diabetic patients and their household member. Participants were identified from the Scottish Diabetes Research Network (SDRN), a Diabetes Clinic, and the community. The household members were identified by each Type 2 diabetic patient. A questionnaire, derived from the results of the systematic review, interviews, and TDF, was mailed to 1000 Type 2 diabetic patients (and their household member), registered with the SDRN. Results: The systematic review identified no single effective intervention. The interviews identified that “environmental context” and knowledge were the domains most frequently perceived as barriers to increasing walking. The Health Action Process Approach (HAPA) was identified as the most appropriate model to inform the questionnaire. The questionnaire response rate was 44.1% (426/965). Only patient-data were analysed. A minority of respondents (40%) were compliant with physical activity. Those who were more likely to be compliant had fewer co-morbidities, higher action control and a lower coping plan. Illness perception was associated with compliance with physical activity recommendations. Patients with a higher duration of walking had fewer co-morbidities, fewer negative beliefs about consequences, and higher self-efficacy and action control. Conclusion The HAPA model explains and predicts compliance with physical activity. This model should be used to inform the development of an intervention to improve physical activity in Type 2 diabetic patients.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:569634 |
| Date | January 2012 |
| Creators | Namadian, Masoumeh |
| Publisher | University of Aberdeen |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=192363 |
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