Joris J Linmans1, J André Knottnerus2, Mark Spigt2. 1. CAPHRI School for Public Health and Primary Care, Department of General Practice, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands. Electronic address: joris.linmans@maastrichtuniversity.nl. 2. CAPHRI School for Public Health and Primary Care, Department of General Practice, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
Abstract
AIM: It is unknown to what extend patients with type 2 diabetes mellitus (T2DM) in primary care are motivated to change their lifestyle. We assessed the level of motivation to change lifestyle and the agreement for that level between patients and healthcare professionals. METHODS: Patients with T2DM (150) filled in a questionnaire to assess the level of motivation to change their lifestyle, using a single question with three answer options. We investigated the agreement for this level between these patients and their healthcare professionals (12 professionals). In addition, we investigated and compared the level of physical activity as indicated by the patients and the healthcare professionals. RESULTS: A large part of the patients reported to have a deficient physical activity level (35% according to patients, 47% according to healthcare professionals, kappa 0.32) and were not motivated to change their lifestyle level (29% according to patients, 43% according to healthcare professionals, kappa 0.13). Patients tended to overestimate their physical activity and their motivation to change in comparison with their healthcare professionals. CONCLUSIONS: Patients with T2DM in primary care should increase their physical activity level. Healthcare professionals often do not know whether patients are motivated to change their lifestyle, and should therefore assess motivation regularly to optimize lifestyle management.
AIM: It is unknown to what extend patients with type 2 diabetes mellitus (T2DM) in primary care are motivated to change their lifestyle. We assessed the level of motivation to change lifestyle and the agreement for that level between patients and healthcare professionals. METHODS:Patients with T2DM (150) filled in a questionnaire to assess the level of motivation to change their lifestyle, using a single question with three answer options. We investigated the agreement for this level between these patients and their healthcare professionals (12 professionals). In addition, we investigated and compared the level of physical activity as indicated by the patients and the healthcare professionals. RESULTS: A large part of the patients reported to have a deficient physical activity level (35% according to patients, 47% according to healthcare professionals, kappa 0.32) and were not motivated to change their lifestyle level (29% according to patients, 43% according to healthcare professionals, kappa 0.13). Patients tended to overestimate their physical activity and their motivation to change in comparison with their healthcare professionals. CONCLUSIONS:Patients with T2DM in primary care should increase their physical activity level. Healthcare professionals often do not know whether patients are motivated to change their lifestyle, and should therefore assess motivation regularly to optimize lifestyle management.
Authors: Tomasz Klupa; Michał Możdżan; Janina Kokoszka-Paszkot; Magdalena Kubik; Małgorzata Masierek; Margerita Czerwińska; Maciej T Małecki Journal: Int J Endocrinol Date: 2016-09-14 Impact factor: 3.257
Authors: Pernille Ravn Jakobsen; Jeanette Reffstrup Christensen; Jesper Bo Nielsen; Jens Søndergaard; Dorte Ejg Jarbøl; Michael Hecht Olsen; Jens Steen Nielsen; Jette Kolding Kristensen; Carl J Brandt Journal: Int J Environ Res Public Health Date: 2021-04-08 Impact factor: 3.390
Authors: Simon J Sebire; Zoi Toumpakari; Katrina M Turner; Ashley R Cooper; Angie S Page; Alice Malpass; Robert C Andrews Journal: BMC Public Health Date: 2018-01-31 Impact factor: 3.295