Corliss Bean1, Tineke Dineen2, Mary E Jung3. 1. Faculty of Health and Social Development, University of British Columbia, Kelowna, British Columbia, Canada; Faculty of Applied Health Sciences at Brock University, St Catherines, Ontario, Canada. 2. Faculty of Health and Social Development, University of British Columbia, Kelowna, British Columbia, Canada. 3. Faculty of Health and Social Development, University of British Columbia, Kelowna, British Columbia, Canada. Electronic address: mary.jung@ubc.ca.
Abstract
OBJECTIVES: Engagement in regular physical activity (PA) is a cornerstone prevention strategy for individuals at risk of developing type 2 diabetes. Interventions targeting PA often fail to result in long-term behaviour changes. "Small Steps for Big Changes" is a 3-week diabetes prevention program that promotes PA behaviour changes in individuals with prediabetes through motivational interviewing-informed counselling. METHODS: In this study, we aimed to: a) profile patterns of women's perceived PA journey over 1 year and b) understand strategies used to engage in and maintain PA. Fourteen women (mean age, 60 years) engaged in 4 semistructured interviews (preprogram, postprogram and 3 and 12 months postprogram) over 1 year (56 total interviews). A trajectory approach was used, coupled with a deductive‒inductive thematic analysis. Findings are presented descriptively and chronologically over 1 year. RESULTS: To address the first study aim, 4 patterns emerged: a) consistently inactive: minimal change; b) increase and maintenance of PA levels; c) peak in and maintenance of PA levels and d) consistently active: minimal increase, yet maintenance. Generally, women reported higher PA levels after completing the Small Steps for Big Changes program compared with preprogram levels. Related to the second aim, a range of facilitators and barriers were identified, as well as strategies used to facilitate engagement in and maintenance of PA over 1 year. Participants reporting more strategies to engage in PA were more likely to engage in PA. Commonly used strategies include being self-compassionate and practicing self-regulatory techniques (e.g. goal-setting, planning, self-monitoring). CONCLUSIONS: Diabetes prevention programs that assist participants in utilizing relevant PA strategies during an intervention may witness long-term maintenance of PA behaviour.
OBJECTIVES: Engagement in regular physical activity (PA) is a cornerstone prevention strategy for individuals at risk of developing type 2 diabetes. Interventions targeting PA often fail to result in long-term behaviour changes. "Small Steps for Big Changes" is a 3-week diabetes prevention program that promotes PA behaviour changes in individuals with prediabetes through motivational interviewing-informed counselling. METHODS: In this study, we aimed to: a) profile patterns of women's perceived PA journey over 1 year and b) understand strategies used to engage in and maintain PA. Fourteen women (mean age, 60 years) engaged in 4 semistructured interviews (preprogram, postprogram and 3 and 12 months postprogram) over 1 year (56 total interviews). A trajectory approach was used, coupled with a deductive‒inductive thematic analysis. Findings are presented descriptively and chronologically over 1 year. RESULTS: To address the first study aim, 4 patterns emerged: a) consistently inactive: minimal change; b) increase and maintenance of PA levels; c) peak in and maintenance of PA levels and d) consistently active: minimal increase, yet maintenance. Generally, women reported higher PA levels after completing the Small Steps for Big Changes program compared with preprogram levels. Related to the second aim, a range of facilitators and barriers were identified, as well as strategies used to facilitate engagement in and maintenance of PA over 1 year. Participants reporting more strategies to engage in PA were more likely to engage in PA. Commonly used strategies include being self-compassionate and practicing self-regulatory techniques (e.g. goal-setting, planning, self-monitoring). CONCLUSIONS:Diabetes prevention programs that assist participants in utilizing relevant PA strategies during an intervention may witness long-term maintenance of PA behaviour.
Authors: Megan M MacPherson; Kaela D Cranston; Sean R Locke; Jessica E Bourne; Mary E Jung Journal: Transl Behav Med Date: 2021-08-13 Impact factor: 3.046
Authors: Jenny Rossen; Maria Hagströmer; Kristina Larsson; Unn-Britt Johansson; Philip von Rosen Journal: Int J Environ Res Public Health Date: 2022-03-19 Impact factor: 3.390