Adherence
Incorporating specific behavior change techniques—specifically prompt focus on past success, barrier identification/problem-solving, use of follow-up prompts, and providing information on where/when to perform activity—significantly increases physical activity levels in adults with Type 2 diabetes.
To increase physical activity, do not just tell patients to exercise. Instead, use four specific strategies: 1) Remind them of past successes to build confidence. 2) Identify and solve specific barriers they face (e.g., joint pain, time). 3) Use follow-up prompts like reminders. 4) Give explicit information on where and when to exercise (specific locations and times).
Four behaviour change techniques (prompt focus on past success, barrier identification/problem-solving, use of follow-up prompts and provide information on where and when to perform physical activity) had statistically significant associations with increased levels of physical activity.
Why this rating
Based on moderator analyses of a large dataset (N=1975) from a systematic review, showing statistically significant associations.
Source
Successful behavioural strategies to increase physical activity and improve glucose control in adults with Type 2 diabetes
Leah Avery et al. · Diabetic Medicine · 2015
DOI 10.1111/dme.12738
More from this paper
- Using pedometers is associated with decreased levels of physical activity in adults with Type 2 diabetes, particularly older adults.Good
- Using behavior change techniques of 'prompt review of behavioural goals' and 'provide information on where and when to perform physical activity' is associated with improved HbA1c levels in adults with Type 2 diabetes.Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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