scholarly journals Acceptability of the “MOVEdiabetes” physical activity intervention in diabetes primary care settings in Oman: findings from participants and practitioners

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Thamra S. Alghafri ◽  
Saud M. Al Harthi ◽  
Fatma Al-Ajmi ◽  
Yahya Al-Farsi ◽  
Angela M. Craigie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Diabetes Management ◽  
Physical Activity Intervention ◽  
Retention Rate ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Dietary Advice ◽  
Intervention Programme ◽  
Randomised Controlled

Abstract Background Adequate physical activity (PA) is considered essential in diabetes management. However, evidence on the best method of promoting PA within diabetes care is inconclusive. The current work identifies perceptions on the acceptability of Intervention Group Participants (IGP) and Project Officers (POs) about the “MOVEdiabetes” intervention programme aimed at increasing PA in adults with type 2 diabetes in Oman (a retrospectively registered trial). Methods The “MOVEdiabetes” programme (PA consultations, pedometers and WhatsApp messages) was delivered by the POs (primary health care practitioners) in four primary care centres within a one-year cluster randomised control trial. Recruitment and retention were measured from trial attendance records. Programme satisfaction, appropriateness, and content suitability were assessed using exit surveys for both the IGP (interview based) and POs (self-administered). Open text questions on perceptions to the study programme were also included. Results Participants were randomised to an intervention group (IG, n = 122) or comparison group (CG, n = 110). The overall retention rate at three and 12 months was 92.7% [110(90.2%) IG vs 105(95.5%) CG] and 75% [82(67.2%) IG vs 92(83.6%) CG] respectively. Most (n = 14, 87.5%) POs and more than half (n = 49, 59.8%) IGP perceived the programme as very appropriate and many reported that they were “quite/ very satisfied” with the programme (n = 16, 100% PO’s and n = 71, 86.6% IGP). Two thirds (n = 55, 66.0%) of IGP were very/quite likely to recommend the programme to others. PA consultations, use of pedometers and Whatsapp messages were well perceived by all. Participants recommended the inclusion of dietary advice and PA promotion for the general public. Exploring PA facilities within the community was suggested by POs. Conclusions The “MOVEdiabetes” programme achieved a high retention rate and was perceived as satisfactory and appropriate. Results from this study suggest that it is worthwhile exploring the use of the “MOVEdiabetes” programme in clinical practice and further community links. Trial registration International Standard Randomised Controlled Trials No: ISRCTN14425284. Registered retrospectively on 12th April 2016.

scholarly journals Acceptability of the “MOVEdiabetes” physical activity intervention in diabetes primary care settings in Oman: findings from participants and practitioners

2020 ◽  
Author(s):  
Thamra S Alghafri ◽  
Saud Al Harthi ◽  
Yahya Al Farsi ◽  
Fatma Al-Ajmi ◽  
Angela M. Craigie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Diabetes Management ◽  
Physical Activity Intervention ◽  
Retention Rate ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Dietary Advice ◽  
Intervention Programme ◽  
One Year

Abstract Background Adequate physical activity (PA) is considered essential in diabetes management. However, evidence on the best method of promoting PA within diabetes care is inconclusive. The current work identifies perceptions on the acceptability of Intervention Group Participants (IGP) and Project Officers (POs) about the “MOVEdiabetes” intervention programme aimed at increasing PA in adults with type 2 diabetes in Oman. Methods The “MOVEdiabetes” programme (PA consultations, pedometers and WhatsApp messages) was delivered by the POs (primary health care practitioners) in four primary care centres within a one-year cluster randomised control trial. Recruitment and retention were measured from trial attendance records. Programme satisfaction, appropriateness, and content suitability were assessed using exit surveys for both the IGP (interview based) and POs (self-administered). Open text questions on perceptions to the study programme were also included. Results Participants were randomised to an intervention group (IG, n= 122) or comparison group (CG, n=110). The overall retention rate at three and 12 months was 92.7% [110(90.2%) IG vs 105(95.5%) CG] and 75% [82(67.2%) IG vs 92(83.6%) CG] respectively. Most (87.5%) POs and more than half (59.8%) IGP perceived the programme as acceptable and many reported that they were “very satisfied/satisfied” with the programme (100% PO’s and 86.6% IGP). Two thirds (67.1%) of IGP would recommend the programme to others. PA consultations, use of pedometers and Whatsapp messages were well perceived by all. Participants recommended the inclusion of dietary advice and PA promotion for the general public. Exploring PA facilities within the community was suggested by POs. Conclusions The “MOVEdiabetes” programme achieved a high retention rate and was perceived as satisfactory and appropriate. Results from this study suggest that it is worthwhile exploring the use of the “MOVEdiabetes” programme in clinical practice and further community links.

scholarly journals Acceptability of the “MOVEdiabetes” physical activity intervention in diabetes primary care settings in Oman: findings from participants and practitioners

2020 ◽  
Author(s):  
Thamra S Alghafri ◽  
Saud Al Harthi ◽  
Fatma Al-Ajmi ◽  
Yahya Al Farsi ◽  
Angela M. Craigie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Diabetes Management ◽  
Physical Activity Intervention ◽  
Retention Rate ◽  
Intervention Group ◽  
Randomised Control Trial ◽  
Dietary Advice ◽  
Intervention Programme ◽  
One Year

Abstract Background Adequate physical activity (PA) is considered essential in diabetes management. However, evidence on the best method of promoting PA within diabetes care is inconclusive. The current work identifies perceptions on the acceptability of Intervention Group Participants (IGP) and Project Officers (POs) about the “MOVEdiabetes” intervention programme aimed at increasing PA in adults with type 2 diabetes in Oman. Methods The “MOVEdiabetes” programme (PA consultations, pedometers and WhatsApp messages) was delivered by the POs (primary health care practitioners) in four primary care centres within a one-year cluster randomised control trial. Recruitment and retention were measured from trial attendance records. Programme satisfaction, appropriateness, and content suitability were assessed using exit surveys for both the IGP (interview based) and POs (self-administered). Open text questions on perceptions to the study programme were also included. Results Participants were randomised to an intervention group (IG, n= 122) or comparison group (CG, n=110). The overall retention rate at three and 12 months was 92.7% [110(90.2%) IG vs 105(95.5%) CG] and 75% [82(67.2%) IG vs 92(83.6%) CG] respectively. Most (87.5%) POs and more than half (59.8%) IGP perceived the programme as very appropriate and many reported that they were “quite/ very satisfied” with the programme (100% PO’s and 86.6% IGP). Two thirds (66.0%) of IGP were very/quite likely to recommend the programme to others. PA consultations, use of pedometers and Whatsapp messages were well perceived by all. Participants recommended the inclusion of dietary advice and PA promotion for the general public. Exploring PA facilities within the community was suggested by POs. Conclusions The “MOVEdiabetes” programme achieved a high retention rate and was perceived as satisfactory and appropriate. Results from this study suggest that it is worthwhile exploring the use of the “MOVEdiabetes” programme in clinical practice and further community links.

scholarly journals The Effects of a School-Based Physical Activity Teacher Intervention on the Physical Activity Attitudes and Practices of Adolescent Students in Lagos, Nigeria

2021 ◽  
Vol 10 (1) ◽  
pp. 307-324
Author(s):  
Olalekan Remigious Osifeko ◽  
Rowena Naidoo ◽  
Verusia Chetty
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Teaching Methodology ◽  
Research Approach ◽  
Intervention Programme ◽  
Post Intervention ◽  
Intact Group ◽  
Attitudes And Practices ◽  
School Based

Background: Nigerian adolescents are faced with challenges around physical inactivity. Poor attitudes to, and practices in, physical activity during school physical education (PE) classes are also a challenge. Our study integrated an innovative PE teaching methodology (autonomous support style) into a professional development training (PDT) programme for teachers to promote PA among adolescents. The study aimed at determining the effects of this school-based physical activity intervention for teachers on the physical activity attitudes and practices of adolescents.  This study employed a descriptive quantitative research approach to determine the attitudes and practices of adolescents. One thousand two hundred students were recruited from twenty-four junior secondary schoolsthrough an intact group design process.  A PE teacher from each school was included in the PDT intervention programme. The main components of the intervention included training PE teachers to influence their students’ attitudes and practices through the use of an autonomous support style of teaching.PE teachers allocated to the intervention group implemented the autonomous support style of teaching at the schools in the intervention group for four months. There was a pre-intervention baseline assessment of the students’ physical activity attitudes and practices, with a second assessment following the intervention. Results showed that there were significant (p<0.05) changes, post-intervention, in the adolescents’ attitudes to, and practices in, physical activity participation during PE classes, and at lunch or break-time during the school day.

Feasibility of the Mothers and Daughters Moving Together Physical Activity Intervention

2021 ◽  
pp. 1-9
Author(s):  
Deirdre Dlugonski ◽  
Lacey Schwab ◽  
Katrina D. DuBose
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Retention Rate ◽  
Vigorous Physical Activity ◽  
Randomized Study ◽  
Intervention Group ◽  
Accelerometer Data ◽  
Intervention Effect ◽  
Mothers And Daughters ◽  
Preschool Aged Children

Purpose: Preschool-aged children, especially girls, have low levels of physical activity that may be influenced through parent role modeling. Evidence for mother–daughter interventions that include preschool-aged children is sparse. The primary purpose of this study was to examine the feasibility of recruitment procedures, protocol compliance, and participant retention for the Mothers and Daughters Moving Together intervention. The secondary aim was to provide initial estimates of the intervention effect on mother–daughter and family physical activity co-participation, moderate to vigorous physical activity, and maternal physical activity enjoyment and support. Method: This nonrandomized feasibility study included mother–daughter (2–5 y) dyads who self-selected into the intervention (n = 21 dyads) or comparison (n = 10 dyads) group. Results: The recruitment rate was 41.9% (31 enrolled/74 interested). Intervention group mother–daughter dyads attended 57% of intervention sessions. Among the whole sample, 70% to 80% of participants (mothers and daughters) had at least 4 valid days of accelerometer data at preintervention and postintervention. The retention rate was 90% (28/31 dyads completed the study). Initial estimates of intervention effect indicated small, positive changes for mother–daughter physical activity co-participation, and maternal physical activity support and enjoyment. Conclusions: This study provides valuable information that should be confirmed using an adequately powered and randomized study design.

scholarly journals Study protocol for the road to hierarchical diabetes management at primary care (ROADMAP) study in China: a cluster randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032734 ◽  
Author(s):  
Weiping Jia ◽  
Puhong Zhang ◽  
Nadila Duolikun ◽  
Dalong Zhu ◽  
Hong Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomised Controlled Trial ◽  
Diabetes Management ◽  
Controlled Trial ◽  
Intervention Group ◽  
Cluster Randomised Controlled Trial ◽  
Primary Care Providers ◽  
Care Providers ◽  
Cluster Randomised ◽  
Randomised Controlled

IntroductionDiabetes management in primary care remains suboptimal in China, despite its inclusion in the essential public health service (EPHS). We aimed to evaluate the effectiveness of a mobile health (mHealth) based and three-tiered diabetes management system in diverse Chinese contexts.Methods and analysisThis is a cluster randomised controlled trial, named road to hierarchical diabetes management at primary care (ROADMAP). 19 008 patients with type 2 diabetes (T2D) were recruited from primary care clinics in 864 communities across 144 counties/districts of 24 provinces. Eligible participants were adult patients diagnosed with T2D and registered for diabetes management in communities. Patients within the same communities (clusters) were randomly allocated into the intervention or control arm for 1 year in a 2:1 ratio. The control arm patients received usual care as EPHS packaged: at least four blood glucose (BG) and blood pressure (BP) tests, and lifestyle and medication instruction, yearly, from primary care providers. The intervention arm patients received at least two BG and one BP tests, monthly, and lifestyle and treatment instruction from a three-tiered contracted team. A mHealth platform,Graded ROADMAP,enabled test results uploading and sharing, and patient referral within the team. The intervention participants will be further divided into basic or intensive intervention group according to whether they were actively using theYour DoctorApp. The primary outcome is the BG control rate with glycated haemoglobin (HbA1c)<7.0%. Secondary outcomes include control rates and changes of ABC (HbA1c, BP and low-density lipoprotein cholesterol) and fasting BG, hypoglycaemia episodes and health-related quality of life (EuroQol (EQ-5D)).Ethics and disseminationThe trial has been approved by the Institutional Review Board at Shanghai Sixth People's Hospital. Findings on the intervention effectiveness will be disseminated through peer-reviewed journals, conference presentations and other relevant mechanisms.Trial registration numberChiCTR-IOC-17011325.

scholarly journals Community-based weight loss programme targeting overweight Chinese adults with pre-diabetes: study protocol of a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e035196
Author(s):  
Mandy Ho ◽  
Pui Hing Chau ◽  
Esther Yee Tak Yu ◽  
Michael Tin-cheung Ying ◽  
Cindy Lo Kuen Lam
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Controlled Trial ◽  
Intervention Group ◽  
Text Messages ◽  
Control Group ◽  
Chinese Adults ◽  
Intervention Programme ◽  
Community Based ◽  
Randomised Controlled

IntroductionType 2 diabetes mellitus (T2DM) is one of the world’s fastest growing health problems. Asians have a strong ethnic predisposition for T2DM, developing T2DM at a lower degree of obesity and at younger ages than other ethnic groups. T2DM has a gradual onset, with most individuals progressing through a pre-diabetic state, providing an opportunity to prevent T2DM and its complications. This study aims to evaluate the effectiveness of a community-based lifestyle intervention programme on weight loss and improvements in insulin sensitivity and cardiometabolic profiles in Chinese adults with pre-diabetes.Methods and analysisThis study is a 12-month, assessor-blinded randomised controlled trial. Adults with pre-diabetes (aged 40–64 years, n=180) with pre-diabetes are randomised into either an intervention group (receiving group-based lifestyle interventions) or a control group (receiving text messages containing health information). The intervention programme targets a weight loss of 5% during the first 6 months by restricting caloric intake and increasing physical activity. Participants in the intervention group will attend six group sessions and two individual face-to-face diet counselling sessions during the first 6 months, followed by monthly telephone support during the 6-month maintenance phase. Participants in the control group will receive monthly text messages containing general health information only. The primary outcome is weight loss (%). Secondary outcomes include insulin sensitivity (assessed using fasting insulin level and homeostatic model assessment of insulin resistance), glycaemic control (assessed using glycated haemoglobin level), lipid profile, blood pressure, carotid artery thickness, dietary intake and level of physical activity. Intention-to-treat analysis will be conducted using a generalised linear mixed effects model with a logit link and linear mixed models.Ethics and disseminationThis study has been approved by the relevant research ethics committee. The results will be disseminated through peer-reviewed journals and scientific presentations.Trial registration numberNCT03609697.

scholarly journals The effects of a school-based physical activity intervention programme on children’s executive control: The Health Oriented Pedagogical Project (HOPP)

2018 ◽  
Vol 46 (21_suppl) ◽  
pp. 82-91 ◽  
Author(s):  
Carolien Konijnenberg ◽  
Per Morten Fredriksen
Keyword(s):  
Physical Activity ◽  
Executive Control ◽  
Primary Schools ◽  
Physical Activity Intervention ◽  
Flanker Task ◽  
Intervention Group ◽  
Sixth Grade ◽  
Control Group ◽  
Intervention Programme ◽  
School Based

Aims: To assess the effects of a large school-based physical activity intervention on children’s ability to resist distractions and maintain focus, known as executive control. Methods: A quasi-experimental design with seven intervention and two control primary schools. The Health Oriented Pedagogical Project (HOPP) intervention consisted of 45 min of physical activity a day during school time for 6–8 months in addition to the regular weekly physical education lessons. A total of 1173 children, spanning from second grade (age 7 years) to sixth grade (age 12 years) were included in the analysis. Main outcome measures were executive control was measured at baseline and 1 year after using a modified Eriksen flanker task for the younger children (second and third grades) and a computerised Stroop task for the older children (fourth, fifth, and sixth grades). Results: Both the intervention and control group showed improvements in executive control after 1 year. However, the children in the intervention group did not improve their performance more than those in the control group. Conclusions: No positive effect of the physical activity intervention programme on children’s task performance was found, suggesting that the intervention did not affect children’s executive control.

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