‘Physical activity, that’s a tricky subject.’ Experiences of health care professionals with physical activity in type 2 diabetes care

Purpose This study utilized social-ecology to describe sources of social-environmental support for physical activity perceived by people with type 2 diabetes, and examined the relationship between support and physical activity. Methods Multidimensional support and physical activity were measured in 58 people with diabetes. Descriptive and correlational statistics were used. Results Support from the media scored highest, followed by the health care team, personal support, workplace, family and friends, and lowest for the community. Physical activity was related to personal, media, and community support. Conclusions Using a social-ecological approach, health care professionals must focus on enhancing support from media sources, strengthening community context, and bolstering personal self-management. Professionals must also critically examine patient-provider interactions to motivate lifestyle change.

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Black Women’s Recommendations for Developing Effective Type 2 Diabetes Programming

Global Qualitative Nursing Research ◽

10.1177/2333393617715335 ◽

2017 ◽

Vol 4 ◽

pp. 233339361771533 ◽

Cited By ~ 2

Author(s):

Tera R. Hurt ◽

Asani H. Seawell ◽

Carolyn Cutrona ◽

Margaret C. O’Connor ◽

Randie D. Camp ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Health Care ◽

Black Women ◽

Focus Groups ◽

Health Care Professionals ◽

Diabetes Management ◽

Diabetes Knowledge ◽

Des Moines

The purpose of this study was to learn from 29 Black women how to develop effective Type 2 diabetes programming. Three focus groups were held in Des Moines, Iowa, during fall 2012. Results highlighted themes related to diabetes knowledge, diabetes management and prevention, physical activity, diet, and diabetes management programming. Opinions were shared as to whether family members should be included in programs for supporting those diagnosed with diabetes. These results provided guidance and ideas to scholars and health care professionals aiming to improve effectiveness of diabetes programs for Black women and families.

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Black female patients with type 2 diabetes mellitus: knowledge, attitudes and physical activity

South African Journal of Physiotherapy ◽

10.4102/sajp.v57i3.509 ◽

2001 ◽

Vol 57 (3) ◽

pp. 20-27

Author(s):

A. J. Van Rooijen ◽

P. Rheeder ◽

C. J. Eales ◽

P. Becker

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Health Care ◽

Type 2 Diabetes Mellitus ◽

Health Care Professionals ◽

Psychosocial Impact ◽

Diabetic Patients ◽

Control Of Diabetes

The aim of this study was to obtain baseline data from female Type 2 Diabetes Mellitus (Type 2 DM) patients on their general health status, demographics, their knowledge of and attitudes towards diabetes and exercise, as well as their present physical activity levels.The sample of convenience consisted of 93 patients between the ages of 36 and 70 years, who were attending the Mamelodi Hospital Diabetic Outpatient Clinic.Demographic, clinical, diabetes knowledge, diabetes attitude and physical activity data were captured. Data were summarized with descriptive statistics. Pearson product-moment correlation was employed to assess relationships and Cronbach’s alpha measured reliability.It was found that the sample had a low educational level. (84% schooling up to St 7) Several risk factors for the control of diabetes were identified in the sample. (Class I obesity, HbAI c-levels acceptable to compromised, 75% on treatment for hypertension) They had low scores on knowledge of diabetes ( mean,SD =4.72,2.05 out of 15) and low levels of physical activity. (mean, SD—2.85,2.09) Patients agreed with the attitude in the scale that the health care professionals require skills to educate and counsel diabetic patients, as well as bring about behavioral changes in the patients.( r=0.62) They also agreed that diabetes has a substantial psychosocial impact on their lives. (r=0.41) The highest correlation between to sub-scales was between the need for special training of health care professionals who care for diabetic patients and the psychosocial impact of the disease. (r=0.41) Patients should be educated about the basic physiology of diabetes, insulin action and causes of hypoglycaemia. They should also be motivated to increase physical activity on a continuous basis.Culturally sensitive research is needed to identify health beliefs, motivation for the control of diabetes and environmental and personal barriers to exercise and physical activity in this population.

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Type 2 Diabetes Prevention Toolkit for Health-Care Professionals

Case Medical Research ◽

10.31525/ct1-nct04126291 ◽

2019 ◽

Author(s):

Keyword(s):

Type 2 Diabetes ◽

Health Care ◽

Health Care Professionals ◽

Diabetes Prevention ◽

Type 2 Diabetes Prevention

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Health Care Transformation Initiatives in Type 2 Diabetes Care: A Qualitative Study in the Cincinnati Beacon Community

Diabetes Spectrum ◽

10.2337/diaspect.28.2.132 ◽

2015 ◽

Vol 28 (2) ◽

pp. 132-140

Author(s):

Ronda Christopher ◽

Tara Trudnak ◽

Regina Hemenway ◽

Sara Bolton ◽

Barbara Tobias ◽

...

Keyword(s):

Type 2 Diabetes ◽

Health Care ◽

Qualitative Study ◽

Diabetes Care ◽

Health Care Transformation

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Making the Transition to Insulin Therapy: The Experiences of Samoan People with Type 2 Diabetes in New Zealand

10.26686/wgtn.16985230.v1 ◽

2021 ◽

Author(s):

◽

Sera Tapu-Ta'ala

Keyword(s):

Type 2 Diabetes ◽

Health Care ◽

New Zealand ◽

Insulin Therapy ◽

Health Care Professionals ◽

Pacific People ◽

Qualitative Descriptive

Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.

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Preferences for mHealth Technology and Text Messaging Communication in Patients With Type 2 Diabetes: Qualitative Interview Study (Preprint)

10.2196/preprints.25958 ◽

2020 ◽

Author(s):

Julie C Lauffenburger ◽

Renee A Barlev ◽

Ellen S Sears ◽

Punam A Keller ◽

Marie E McDonnell ◽

...

Keyword(s):

Type 2 Diabetes ◽

Health Care ◽

Mobile Technology ◽

Diabetes Care ◽

Technology Use ◽

Text Messages ◽

Self Management ◽

Care Providers ◽

Mhealth Technology

BACKGROUND Individuals with diabetes need regular support to help them manage their diabetes on their own, ideally delivered via mechanisms that they already use, such as their mobile phones. One reason for the modest effectiveness of prior technology-based interventions may be that the patient perspective has been insufficiently incorporated. OBJECTIVE This study aims to understand patients’ preferences for mobile health (mHealth) technology and how that technology can be integrated into patients’ routines, especially with regard to medication use. METHODS We conducted semistructured qualitative individual interviews with patients with type 2 diabetes from an urban health care system to elicit and explore their perspectives on diabetes medication–taking behaviors, daily patterns of using mobile technology, use of mHealth technology for diabetes care, acceptability of text messages to support medication adherence, and preferred framing of information within text messages to support diabetes care. The interviews were digitally recorded and transcribed. The data were analyzed using codes developed by the study team to generate themes, with representative quotations selected as illustrations. RESULTS We conducted interviews with 20 participants, of whom 12 (60%) were female and 9 (45%) were White; in addition, the participants’ mean glycated hemoglobin A1c control was 7.8 (SD 1.1). Overall, 5 key themes were identified: patients try to incorporate cues into their routines to help them with consistent medication taking; many patients leverage some form of technology as a cue to support adherence to medication taking and diabetes self-management behaviors; patients value simplicity and integration of technology solutions used for diabetes care, managing medications, and communicating with health care providers; some patients express reluctance to rely on mobile technology for these diabetes care behaviors; and patients believe they prefer positively framed communication, but communication preferences are highly individualized. CONCLUSIONS The participants expressed some hesitation about using mobile technology in supporting diabetes self-management but have largely incorporated it or are open to incorporating it as a cue to make medication taking more automatic and less burdensome. When using technology to support diabetes self-management, participants exhibited individualized preferences, but overall, they preferred simple and positively framed communication. mHealth interventions may be improved by focusing on integrating them easily into daily routines and increasing the customization of content.

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