A cognitive-behavioural pedometer-based group intervention on physical activity and sedentary behaviour in individuals with type 2 diabetes

Abstract

The purpose of this study was to investigate the benefits of a pedometer and a cognitive-behavioural group intervention for promoting physical activity (PA) in type 2 diabetes patients. We recruited 41 participants and randomized them into an intervention group (IG) (n = 20) and a control group (CG) (n = 21). The intervention consisted of five sessions within 12 weeks, a booster session after 22 weeks and a pedometer. Primary outcome was PA assessed by accelerometer (minutes per day) and pedometer (steps per day). Secondary outcomes were weight, body mass index, blood pressure, haemoglobin A1c and total cholesterol. After 12 weeks, the IG increased with more than 2000 steps day−1 compared with the CG, whereas sedentary behaviour decreased more than 1 hour day−1 in the IG and showed no change in the CG. There was no intervention effect on the accelerometer-based PA nor on health measurements. After 1 year, the increase in steps per day remained significant in the IG, but sedentary activity increased again to baseline levels. This pilot study showed that the combination of a 12-week cognitive-behavioura intervention and a pedometer has a significant short-term impact on daily steps and sedentary behaviour but that the effects on total PA and long-term effects were limited.

Increasing Physical Activity in Belgian Type 2 Diabetes Patients: a Three-Arm Randomized Controlled Trial

“…Earlier studies [21][22][23][24][25][26][27][28][29] found similar results concerning the behavioral effects of group counseling. Furthermore, some authors did not find effects on health outcomes after group counseling [22,25,29].…”

“…Furthermore, some authors did not find effects on health outcomes after group counseling [22,25,29]. Those three interventions had a similar duration as ours and focused on PA.…”

“…Program delivery modes have included telephone counseling [17,18], internet-based programming [19,20], group-based delivery [21][22][23][24][25][26][27][28][29], or individual consultations, either with a behavioral expert [30][31][32][33] or with the patient's general practitioner (GP) [34][35][36][37][38][39]. Despite the appeal of telephone and internet-based programming, face-to-face delivery by means of group or individual sessions appears to be most effective [21][22][23][24][25][26][27][28][29][30][31][32][33]. Unfortunately, delivery via group sessions has some disadvantages: they require additional organization beyond existing infrastructures, a behavioral expert needs to be appointed and paid, and patients have to be brought together and tracked.…”

Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

“…Most lifestyle intervention studies have focused on education programs (24), including advice on PA (25), diet (26), and both (19). An Italian study reported that behavioral changes are needed to achieve the goals of exercise training: in this study, lack of time and negative attitudes were the most common obstacles reported by patients (27).…”

Cardiometabolic Risk Factor Response to a Lifestyle Intervention: A Randomized Trial

“…18 Furthermore, in a previous intervention in the LMD, SBP ( -4.3 mmHg) and HDL-C (7.9 mg/dL) levels improved after a 6-month uncontrolled community-based walking intervention. 19 Conversely, a 6-month church-based weight loss intervention in the LMD found no clinically significant change in risk factors, although participants achieved weight loss.…”