How patients with diabetes experience physical activity promotion during nursing consultations in the Spanish context

Jabardo-Camprubí, Guillem; Bort-Roig, Judit; Donat-Roca, Rafel; Martín-Horcajo, Montserrat; Puig‐Ribera, Anna; McKenna, Jim

doi:10.1016/j.enfcle.2022.04.007

Cited by 2 publications

(8 citation statements)

References 19 publications

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“…Patients had an involvement active role in the development of the protocol through a qualitative study carried out previously by the research team [34].…”

Section: Patient Public Involvementmentioning

confidence: 99%

“…Moreover, a previous qualitative study identified that not only social inequity [32,33] but also having non-negotiable kinship needs (e.g. family care) may effect treatment adherence [34].…”

Section: Introductionmentioning

confidence: 99%

“…adherence) may be due to the complexity of patients' daily social life (e.g. structural barriers) where HCPs do not have any influence [9,34,35]. Structural barriers (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Structural barriers (e.g. political decision-making) may have more influence on PA routinization than patients' motivation and knowledge [34,36]. Yet, ineffective primary care-based PA recommendations may enhance socioeconomic barriers and health inequity in T2DM patients [32,33].…”

Section: Introductionmentioning

confidence: 99%

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A socio-ecological approach to reduce the physical activity drop-out ratio in primary care-based patients with type 2 diabetes: the SENWI study protocol for a randomized control trial

Jabardo-Camprubí

Bort-Roig

Donat-Roca

et al. 2022

Trials

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Background Physical activity (PA) is a key behaviour for patients with type 2 diabetes (T2DM). However, healthcare professionals’ (HCP) recommendations (walking advice), which are short-term and individually focused, did not reduce the PA drop-out ratio in the long run. Using a socio-ecological model approach may contribute to reducing patient dropout and improving adherence to PA. The aim of this study is threefold: first, to evaluate the effectiveness of a theory-driven Nordic walking intervention using a socio-ecological approach with T2DM patients in Spain; second, to explore the feasibility on the PA adherence process in T2DM patients while participating in the SENWI programme; and third, to understand the HCPs’ opinion regarding its applicability within the Spanish healthcare system. Methods A three-arm randomized control trial (n = 48 each group) will assess the efficacy of two primary care-based PA interventions (Nordic walking vs. Nordic walking plus socio-ecological approach; two sessions per week for twelve weeks) compared to a control group (usual HCPs’ walking advice on PA). Inclusion criteria will include physically inactive patients with T2DM, older than 40 years and without health contraindications to do PA. PA levels and drop-out ratio, quality of life and metabolic and health outcomes will be assessed at baseline, post-intervention and at 9- and 21-month follow-ups. The effect of the different interventions will be assessed by a two-factor analysis of variance: treatment group vs time. Also, a two-factor ANOVA test will be performed with linear mixed models for repeated measures. A qualitative analysis using focus groups will explore the reasons for the (in)effectiveness of the new PA interventions. Qualitative outcomes will be assessed at post-intervention using thematic analysis. Discussion Compared with the general PA walking advice and Nordic walking prescriptions, integrating a socio-ecological approach into Spanish primary care visits could be an effective way to reduce the PA drop-out ratio and increase PA levels in patients with T2DM. Such interventions are necessary to understand the role that multiple socio-complex process in day-to-day PA behaviour has in patients with T2DM in the Spanish context. Trial registration ClinicalTrials.gov NCT05159089. Physical Activity Drop-out Ratio in Patients’ Living with Type 2 Diabetes. Prospectively registered on 15 December 2021.

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“…Patients had an involvement active role in the development of the protocol through a qualitative study carried out previously by the research team [34].…”

Section: Patient Public Involvementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…adherence) may be due to the complexity of patients' daily social life (e.g. structural barriers) where HCPs do not have any influence [9,34,35]. Structural barriers (e.g.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A socio-ecological approach to reduce the physical activity drop-out ratio in primary care-based patients with type 2 diabetes: the SENWI study protocol for a randomized control trial

Jabardo-Camprubí

Bort-Roig

Donat-Roca

et al. 2022

Trials

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“…Primary healthcare is crucial for tackling the complexities of adhering to healthy behaviors and the diverse factors that influence individuals with T2D [ 28 ]. However, primary healthcare attention mainly focuses on providing general advice on healthy behaviors and PA guidelines without considering the other factors that may influence adherence [ 29 ]. Nevertheless, healthcare professionals (HCPs) often feel that they have limited time and resources, a lack of knowledge, and a lack of options to support patients’ adherence to PA [ 28 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

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,

Puig-Ribera,

Donat-Roca

et al. 2023

Healthcare

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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.

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How patients with diabetes experience physical activity promotion during nursing consultations in the Spanish context

Cited by 2 publications

References 19 publications

A socio-ecological approach to reduce the physical activity drop-out ratio in primary care-based patients with type 2 diabetes: the SENWI study protocol for a randomized control trial

A socio-ecological approach to reduce the physical activity drop-out ratio in primary care-based patients with type 2 diabetes: the SENWI study protocol for a randomized control trial

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

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