"It's a Life Thing, Not a Few Months Thing": Profiling Patterns of the Physical Activity Change Process and Associated Strategies of Women With Prediabetes Over 1 Year
"It's a Life Thing, Not a Few Months Thing": Profiling Patterns of the Physical Activity Change Process and Associated Strategies of Women With Prediabetes Over 1 Year
复制标题
DOI：
10.1016/j.jcjd.2020.09.001
复制
发表时间：
2020-12-01
影响因子：
2.5
通讯作者：
Jung, Mary E.
中科院分区：
文献类型：
--
作者：
Bean, Corliss;Dineen, Tineke;Jung, Mary E.
目的：定期参加体育活动（PA）是有患2型糖尿病风险的个体的基础预防策略。针对PA的干预措施往往不能导致长期的行为改变。“小步骤的大变化”是一个为期3周的糖尿病预防计划，促进个人的PA行为变化与糖尿病前期通过动机访谈知情consulting.Methods：在这项研究中，我们的目的是：a）轮廓模式的妇女的感知PA旅程超过1年和B）了解用于从事和维持PA的策略。14名妇女（平均年龄60岁）从事4个半结构化的采访（程序前，程序后和3和12个月postprogram）超过1年（56总采访）。采用了一种轨迹方法，并辅之以演绎-归纳专题分析。结果呈序和按时间顺序超过1 year.Results：为了解决第一个研究目标，出现了4种模式：a）一贯不活跃：最小的变化; B）增加和维护PA水平; c）峰值和维护PA水平和d）一贯活跃：最小的增加，但维护。一般来说，妇女报告更高的PA水平后，完成小步骤大变化方案与方案前的水平相比。关于第二个目标，确定了一系列促进因素和障碍，以及用于促进参与和维持一年以上的PA的战略。参与者报告更多的策略，从事PA更有可能从事PA。常用的策略包括自我同情和自我监管的实践技术（如目标设定，规划，自我monitoring）。结论：糖尿病预防计划，协助参与者利用相关的PA策略在干预过程中可能会见证长期维护PA行为。(c)2020年加拿大糖尿病协会
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. (c) 2020 Canadian Diabetes Association.