An intervention to promote self-efficacy and physical activity in individuals with Type 2 diabetes

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Amber Fair Booker (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Diane Gill

Abstract: Type 2 diabetes (T2D) is characterized by inefficient glucose metabolism. Exercise or physical activity (PA) has an “insulin-like” effect, with benefits including controlling and managing blood sugar levels, reducing cardiovascular risk factors, and contributing to weight loss. However, many individuals with T2D are not meeting PA guidelines and gaining the benefits. One reason is the absence of accessible and effective PA interventions. The purpose was to evaluate a 12-week PA intervention that incorporates cognitive behavioral strategies to promote PA in individuals with T2D. Participants were recruited from the Community Health Nutrition and Diabetes Education Service Center for this multiple cohort intervention study. Twenty participants began the program, with 16 completing the program successfully. The exercise intervention addressed common barriers through pre-recorded, virtual workouts, using evidence-based behavioral strategies with exercise guidance (coaching) and social support. The program included instructional videos and guidance on ways to improve daily step count over 12 weeks. Participants engaged with one another and the fitness coach in a group setting through a virtual platform. PA was measured via step count. Self-efficacy, intrinsic motivation, basic psychological needs and intention for physical activity were assessed via survey pre, mid and post. The findings included an increase in step counts, consistently high motivation and self-efficacy, and an increase in all need satisfaction scores (autonomy, competence and relatedness) over the 12-week program. Participants’ feedback and post-program evaluations were overwhelmingly positive. In summary, this evidence-based PA intervention, delivered virtually, promoted PA for those with T2D and may serve as a framework for improving PA and health outcomes for individuals with other chronic conditions.

Additional Information

Language: English
Date: 2022
Health Promotion, Physical Activity, Prediabetes, Self-Efficacy, Type 2 Diabetes
Type 2 diabetes $x Exercise therapy
Health promotion

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