Motiva.DM2 project. A pilot behavioral intervention on diet and exercise for individuals with type 2 diabetes mellitus

Martín-Payo, Rubén; Cano, Cristina Papín; Fernández-Raigada, R.I.; Santos-Granda, M.I.; Izquierdo, Marcelino Cuesta; González-Méndez, Xana

doi:10.1016/j.diabres.2020.108579

Cited by 5 publications

(4 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In FGDs, nurses will be present to provide feedback regarding the things experienced by the patient and supporting the patients with solutions. In addition, health education with written guidelines and home visits can increase adherence to the recommended diet, physical activities and able to reduce HbA1c levels and body mass index (Martín-Payo et al ., 2021a). The written guidelines contain information on diet and exercise settings for the diabetic management.…”

Section: Discussionmentioning

confidence: 99%

Direct, Indirect and Mixed Methods of Health Education By Nurse and Its Impact on Type 2 Diabetes Patients: A Literature review

Akoit

Pandin

2021

Preprint

View full text Add to dashboard Cite

Background: Diabetes Mellitus (DM) is one of the chronic non-communicable diseases that has currently been very common, in particular Diabetes Mellitus type 2 that threatens public health. It has been included in the category of the six biggest causes of worldwide death, but self-control of treatment and obedience to self-care is still low. One of the influencing factors is related to the lack of knowledge. Providing ongoing health education is one of the solutions or efforts to strengthen knowledge in type 2 diabetes. The aim was to identify the various health education methods currently used by nurses and their impacts on type 2 DM. The method used is a literature review. The literature was searched on data based on Scopus, Web of Science, SAGE, CINAHL with the keywords methods or interventions, education, health, nursing, and type 2 Diabetes Mellitus. Fifteen (15) pieces of literature were considered to meet the criteria inclusion. Results: Three (3) types of health education methods used by nurses were identified: 1). Direct health education refers to providing education by nurses to patients through training, coaching, interviews, Focus Group Discussion (FGD), and home visits; 2). Indirect Health Education - using mobile phones; 3). The mix of direct health education and the use of mobile phone-based applications is carried out with the application of mobile health technology and nurse health coaching. The impact of providing health education by nurses to type 2 diabetic patients: increasing of knowledge, behavioral change on preventing diabetes complications, increasing self-efficacy, increasing self-care activities (diet management, physical activity, monitoring blood sugar levels, and foot care). Conclusion: various methods of health education carried out by nurses currently have a positive impact on improving and increasing self-care management and efforts to prevent complications in type 2 diabetes.

show abstract

Section: Discussionmentioning

confidence: 99%

Direct, Indirect and Mixed Methods of Health Education By Nurse and Its Impact on Type 2 Diabetes Patients: A Literature review

Akoit

Pandin

2021

Preprint

View full text Add to dashboard Cite

show abstract

“…In other words, it is useful to develop a personalized intervention, adapted to the specific behaviors and needs of the patient. Additionally, it could be used later to evaluate the effectiveness of these interventions, as it was assessed in the pilot of the first version of this questionnaire [18].…”

Section: Implications For Diabetes Care and Education Specialistsmentioning

confidence: 99%

“…While the Motiva.Diaf-DM2 questionnaire exhibited strong psychometric properties [14] and potential effectiveness in clinical practice [18], some behavioral recommendations required modification of this instrument. Therefore, the present study was designed with the aim of updating the questionnaire and assessing the psychometric properties of the updated version.…”

Section: Introductionmentioning

confidence: 99%

Updated Version of Motiva.Diaf-DM2 v2 Questionnaire for the Assessment of Diet and Physical Activity in Patients with Type 2 Diabetes Mellitus

Martín-Payo

Vázquez

Papin-Cano

et al. 2022

View full text Add to dashboard Cite

Objective: The purpose of this study was to test the psychometric properties of the Motiva.Diaf-DM2 v2 questionnaire that assesses motivation and adherence to healthy eating and physical activity recommendations in patients with type 2 diabetes. Materials and methods: A cross-sectional study was designed to assess the psychometric properties of the Motiva.Diaf-DM2 v2 study questionnaire. Participants were patients over 18 years old, diagnosed with type 2 diabetes. All participants completed the Motiva.Diaf--DM2 v2 questionnaire and an HbA1c test. Additionally, two weeks after the administration of the questionnaire, 50 patients completed the questionnaire for the retest of the instrument. Factor analysis and coefficients were performed for data analysis. Results: A total of 220 patients were recruited to the study from primary care, with a mean age of 63.32 years (SD = 9.70) and 38% of the patients were women. Systematic sampling (k = 5) was used to select a random subsample of 44 patients for the retest. The questionnaire consisted of two factors. Both factors showed good internal consistency, a = 0.781 and a = 0.687 for the first and second factor, respectively. Coefficients were 0.976 for the first factor and 0.999 for the second factor. The results showed that scores for adherence to healthy behaviors had good reliability in terms of internal consistency and temporal stability. Conclusions: The Motiva.Diaf-DM2 v2 shows good psychometric properties to be used with primary care patients diagnosed with type 2 diabetes mellitus.

show abstract

“…The BCW has been widely applied to design behavior change interventions that target some health-related behaviors, such as eating habits [ 31 ], sedentary behavior [ 32 ], weight management [ 33 ] and physical activity behavior [ 34 , 35 ]. Moreover, the intervention drawing on the BCW framework has showed benefits in improving the adherence to healthy eating, exercise, and body composition [ 36 ]. However, no known research has attempted to understand the physical activity behavior among individuals with metabolic syndrome using the BCW framework in China.…”

Section: Introductionmentioning

confidence: 99%

Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel

et al. 2022

View full text Add to dashboard Cite

Background Adherence to physical activity is inadequate in adults with metabolic syndrome. Adherence to physical activity recommendations is crucial and can result in improved health outcomes and reduced medical burdens. A comprehensive behavior change intervention, including identifying determinants of adherence to physical activity recommendations, intervention options, intervention content and implementation options, was imperative for enhancing physical activity adherence. The aim of the study is to develop an intervention to increase physical activity adherence among individuals with metabolic syndrome. Methods The study followed the eight steps of the Behavior Change Wheel guide, including defining the problem in behavioral terms (Step 1), selecting target behavior (Step 2), specifying target behavior (Step 3), identifying what needs to change (Step 4), identifying intervention functions (Step 5), identifying policy categories (Step 6), identifying behavior change techniques (Step 7), and determining model of delivery (Step 8). The semi-structured, in-depth interviews were employed to identify the determinants of adherence to physical activity among twenty-eight individuals with metabolic syndrome based on capability, opportunity, motivation and behavior model. Next, the intervention functions and policy categories were chosen to address these determinants. Finally, behavior change techniques were selected to assist in the delivery of the intervention functions and be translated into intervention content. Results Our study identified eighteen facilitators and fifteen barriers to physical activity adherence. It resulted in the selection of seven intervention functions and nineteen behavior change techniques for the intervention program. Then, the current study identified an app as the delivery mode. Finally, a behavioral change intervention was generated for individuals with metabolic syndrome to increase physical activity recommendation adherence. Conclusions The Behavior Change Wheel provided a systematic approach to designing a behavior change intervention, which helped improve the health outcomes and reduce medical burdens and economic burdens among individuals with metabolic syndrome. The findings suggested that potential intervention should pay special attention to increasing knowledge in metabolic syndrome, imparting skills of physical activity, offering a supportive environment, and providing suggestions on regular physical activity using the appropriate behavior change techniques. A feasibility study will be undertaken to assess the acceptability and effectiveness of the intervention program in the future.

show abstract

Motiva.DM2 project. A pilot behavioral intervention on diet and exercise for individuals with type 2 diabetes mellitus

Cited by 5 publications

References 37 publications

Direct, Indirect and Mixed Methods of Health Education By Nurse and Its Impact on Type 2 Diabetes Patients: A Literature review

Direct, Indirect and Mixed Methods of Health Education By Nurse and Its Impact on Type 2 Diabetes Patients: A Literature review

Updated Version of Motiva.Diaf-DM2 v2 Questionnaire for the Assessment of Diet and Physical Activity in Patients with Type 2 Diabetes Mellitus

Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel

Contact Info

Product

Resources

About