Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes : The SENWI Project
Jabardo-Camprubí, Guillem (Universitat de Vic. Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central)
Puig-Ribera, Anna (Universitat de Vic. Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central)
Donat-Roca, Rafel (University of Vic-Central University of Catalonia. Faculty of Health Science at Manresa)
Farrés-Godayol, Pau (University of Vic-Central University of Catalonia. Faculty of Health Sciences and Welfare)
Nazar-Gonzalez, Sebastian (Ramon Llull University. Department of Physical Therapy)
Sitjà-Rabert, Mercè (Ramon Llull University. Faculty of Health Science Blanquerna)
Espelt, Albert 1981- (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Bort-Roig, Judit (Universitat de Vic. Institut de Recerca i Innovació en Ciències de la Vida i de la Salut a la Catalunya Central)

Data:	2023
Resum:	Maintaining an active lifestyle is a key health behavior in people with type 2 diabetes (T2D). This study assessed the feasibility and acceptability of a socio-ecological Nordic walking intervention (SENWI) to enhance healthy behaviors in primary healthcare settings. Participants included individuals with T2D (n = 33; age 70 (95% CI 69-74)) and healthcare professionals (HCPs, n = 3). T2D participants were randomly assigned to a SENWI, active comparator, or control group for twelve weeks. Feasibility and acceptability were evaluated based on a mixed methodology. Quantitative data reported adherence information, differences between follow-up and dropout participants and pre- and post-intervention on physical activity, sedentary behavior, and health outcomes. Qualitative data acquisition was performed using focus groups and semi-structured interviews and analyzed using thematic analysis. Thirty-three T2D invited participants were recruited, and twenty-two (66. 7%) provided post-intervention data. The SENWI was deemed acceptable and feasible, but participants highlighted the need to improve options, group schedules, gender inequities, and the intervention's expiration date. Healthcare professionals expressed a lack of institutional support and resources. Nevertheless, no significant difference between the SENWI follow-up and dropout participants or pre- and post- intervention was found (only between the active comparator and control group in the physical quality of life domain). Implementing the SENWI in primary healthcare settings is feasible and acceptable in real-world conditions. However, a larger sample is needed to assess the program's effectiveness in improving healthy behaviors and its impact on health-related outcomes in the long term.
Nota:	Ajuts: This research was funded by Col·legi de Fisioterapeutes de Catalunya (CFC), grant number R05/21.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Physical activity ; Sedentary behavior ; Type 2 diabetes mellitus ; Healthy behavior ; Healthcare professionals ; Primary healthcare settings
Publicat a:	Healthcare, Vol. 11 (june 2023) , article number 1815, ISSN 2227-9032

DOI: 10.3390/healthcare11131815
PMID: 37444649

17 p, 601.3 KB

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