scholarly journals Correlates, facilitators and barriers of physical activity among primary care patients with prediabetes in Singapore – a mixed methods approach

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Raymond Boon Tar Lim ◽  
Wei Keong Wee ◽  
Wei Chek For ◽  
Jayalakshmy Aarthi Ananthanarayanan ◽  
Ying Hua Soh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Mixed Methods ◽  
Peer Influence ◽  
Vigorous Physical Activity ◽  
Family Members ◽  
Well Being ◽  
Primary Care Patients ◽  
Facilitators And Barriers ◽  
Barriers To Physical Activity

Abstract Background Primary care patients with prediabetes is a priority group in the clinical, organisational and policy contexts. Engaging in regular physical activity is crucial to prevent diabetes for this group. The objectives of the study were to assess factors associated with meeting the recommendation of at least 150 min of moderate/vigorous physical activity weekly, and to explore facilitators and barriers related to the behaviour among primary care patients with prediabetes in Singapore. Methods This was a mixed methods study, consisting of a cross-sectional survey involving 433 participants from 8 polyclinics, and in-depth interviews with 48 of them. Adjusted prevalence ratios (aPR) were obtained by mixed effects Poisson regression model. The socio-ecological model (SEM) was applied, and thematic analysis performed. Results The prevalence of meeting the recommendation was 65.8%. This was positively associated with being male (aPR 1.21, 95%CI 1.09–1.34), living in 4–5 room public housing (aPR 1.19, 95%CI 1.07–1.31), living in executive flat/private housing (aPR 1.26, 95%CI 1.06–1.50), having family members/friends to exercise with (aPR 1.57, 95%CI 1.38–1.78); and negatively associated with a personal history of osteoarthritis (aPR 0.75, 95%CI 0.59–0.96), as well as time spent sitting or reclining daily (aPR 0.96, 95%CI 0.94–0.98). The recurrent themes for not meeting the recommendation included lacking companionship from family members/friends, medical conditions hindering physical activity (particularly osteoarthritis), lacking knowledge/skills to exercise properly, “no time” to exercise and barriers pertaining to exercise facilities in the neighbourhood. The recurrent themes for meeting the recommendation included family/peer influence, health/well-being concerns and education by healthcare professionals. Conclusions Much more remains to be done to promote physical activity among primary care patients with prediabetes in Singapore. Participants reported facilitators and barriers to physical activity at different levels of the SEM. Apart from the individual and interpersonal levels, practitioners and policy makers need to work together to address the organisational, community and policy barriers to physical activity.

scholarly journals Correlates, Facilitators and Barriers of Healthy Eating Among Primary Care Patients with Prediabetes in Singapore—A Mixed Methods Approach

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1014 ◽  
Author(s):  
Raymond Boon Tar Lim ◽  
Wei Keong Wee ◽  
Wei Chek For ◽  
Jayalakshmy Aarthi Ananthanarayanan ◽  
Ying Hua Soh ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Healthy Eating ◽  
Healthy Food ◽  
Family Influence ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Care Patients ◽  
Eating Out ◽  
Facilitators And Barriers

Healthy diet remains the primary means to prevent chronic diseases among those with prediabetes. We conducted a mixed methods study, consisting of a cross-sectional survey and in-depth interviews to assess factors associated with fulfilling the healthy plate recommendation, and to explore reasons for the behaviour among primary care patients with prediabetes in Singapore. The prevalence of meeting the recommendation was 57.3%. This was positively associated with being married and negatively associated with being Malay, frequency of eating out weekly and frequency of deep-fried food consumption weekly. The recurrent themes for not meeting the recommendation included family influence, perception of healthy food being not tasty, lack of skills to prepare or choose healthy food, difficulty in finding healthier options when eating out, and healthy food being costly. The recurrent themes for meeting the recommendation included family influence, self-discipline, fear of disease complications, education by healthcare professionals, mass media influence and health promotion campaigns. Much more remains to be done to promote healthy eating among these patients. There were different levels of facilitators and barriers to healthy eating. Apart from the individual and interpersonal levels, practitioners and policy makers need to work together to address the organisational, community and policy barriers to healthy eating.

A telehealth intervention to promote weight loss and physical activity in overweight primary care patients

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 100509
Author(s):  
Ian Hurst ◽  
Paul J. Bixenstine ◽  
Carlos Casillas ◽  
Anna Rasmussen ◽  
Sondra Grossman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Weight Loss ◽  
Promote Weight Loss ◽  
Telehealth Intervention ◽  
Primary Care Patients

scholarly journals Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children

2021 ◽  
Vol 18 (5) ◽  
pp. 2702
Author(s):  
Manuel Ávila-García ◽  
María Esojo-Rivas ◽  
Emilio Villa-González ◽  
Pablo Tercedor ◽  
Francisco Javier Huertas-Delgado
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Well Being ◽  
Self Esteem ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Higher sedentary time and lower physical activity (PA) are associated with a poor health-related quality of life (HRQoL) in children. The aims of this study were: (1) to analyze the sedentary time, objectively measured PA levels (light, moderate, vigorous, and moderate-to-vigorous physical activity (MVPA)), and HRQoL dimensions (physical well-being, emotional well-being, self-esteem, family, friends, school, and total score) in children; and (2) to examine the association between sedentary time, PA levels, and HRQoL in children separately by sex. A total of 459 children (8.4 ± 0.4 years old, 50.54% males) from 15 schools in Granada (Spain) participated in the study. A tri-axial accelerometer was used to measure PA levels in the children for 7 consecutive days. The Revidierter KINDer Lebensqualitätsfragebogen (KINDL-R) questionnaire was used to determine the children’s HRQoL dimensions. The results showed that males presented more minutes engaged in MVPA than females. Both sedentary time and PA levels were associated with self-esteem and total score (all p < 0.05). In males, moderate and vigorous PA levels were associated with higher HRQoL, whereas light PA was associated with higher HRQoL in females. Future studies should take into account the use of activities with difference intensities in order to increase HRQoL in males and females.

Facilitators and barriers for promoting healthy eating among primary care patients: results of a qualitative study among practice nurses

2021 ◽  
Author(s):  
Geertruida J Groenendijk-van Woudenbergh ◽  
Marlies C van Hell-Cromwijk ◽  
Ytje J J van der Veen ◽  
Hylkje F Algra ◽  
Willemieke Kroeze
Keyword(s):  
Primary Care ◽  
Communication Skills ◽  
Healthy Eating ◽  
Patient Encounter ◽  
Structured Interviews ◽  
Good Communication ◽  
Practice Nurses ◽  
Professional Characteristics ◽  
Primary Care Patients ◽  
Facilitators And Barriers

Abstract Background Practice nurses have an important role in promoting healthy eating to prevent or delay long-term complications from chronic lifestyle-related diseases. Objective To identify the facilitators and barriers encountered by practice nurses at a professional level when promoting healthy eating among patients. Methods Face-to-face semi-structured interviews were conducted with 21 Dutch practice nurses. Data were recorded, transcribed and analysed using inductive thematic analysis. Results Two main themes were determined: professional characteristics and professional–patient encounter. Professional characteristics included good communication skills and experience facilitated the successful promotion of healthy eating, while a lack of communication skills and lack of knowledge about diet were perceived as barriers. The most frequently identified facilitators for professional–patient encounter included ensuring a personal connection with patients, creating food awareness, focussing on small changes, adopting a tailored approach, motivating and arranging extra consultations. Barriers included lack of skills to raise the topic, lack of persistence, inability to find a common understanding, lack of competence in handling patients’ own choices and underuse of existing educational materials. Conclusions Further research using the identified facilitators and barriers for promoting healthy eating in primary care patients with chronic diseases could assist in the development of future training programmes for practice nurses.

Exploration on the Malaysian adolescents’ understanding towards concepts of physical activity, perceived facilitators and barriers in practising an active lifestyle

2020 ◽  
Vol 122 (10) ◽  
pp. 3151-3164
Author(s):  
Sharifah Intan Zainun Sharif Ishak ◽  
Yit Siew Chin ◽  
Mohd Nasir Mohd Taib ◽  
Zalilah Mohd Shariff
Keyword(s):  
Physical Activity ◽  
Peer Influence ◽  
The Body ◽  
Daily Routine ◽  
Security Issue ◽  
Active Lifestyle ◽  
Content Type ◽  
Positive Effects ◽  
Facilitators And Barriers ◽  
Malaysian Adolescents

PurposeThis study aimed to explore the understanding of Malaysian adolescents towards concept of physical activity (PA) and their perceived facilitators and barriers in practising an active lifestyle.Design/methodology/approachUsing a quota sampling method, a total of 12 focus group discussions (FGDs) were performed at two secondary schools, which were randomly selected in Selangor. This study involved 72 adolescents (males = 51.4%, females = 48.6%) aged 13–14 years. Based on ethnicity, there was an equal number of Malay, Chinese and Indian participants (n = 24, 33.3%). For analysing the outcome from the FGDs, thematic analysis was applied.FindingsThe adolescents perceived exercise and PA as structured games. They perceived that exercise could have positive effects on the body, appearance and health, and PA as a daily routine. Common differences between exercise and PA were based on frequency, intensity, energy and venue. Perceived facilitators in practising an active lifestyle include concern about body or health, have companions, familial or peer influence, availability of facilities in the neighbourhood and have scheduled time for exercise. Time constraint, no motivation, physically unwell or tired, no companion, security issue at playground or exercise facilities or venue, and weather were mentioned as barriers in practising an active lifestyle.Originality/valueThis study contributed to an improved understanding of the adolescents’ concept of PA, as well as their perceived facilitators and barriers in practising an active lifestyle. The study suggested that health intervention should embrace a way of promoting the immediate advantages of practicing an active lifestyle in order to reinforce the importance of an active lifestyle among adolescents. Furthermore, future intervention should emphasise on educating the adolescents on ways to cope with environmental barriers when practicing an active lifestyle.

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