A behavioural intervention for the adoption & maintenance of physical activity in type 2 diabetes

收养行为干预

• 批准号: nhmrc : 431203
• 负责人: Prof David Crawford
• 金额: $ 22.33万
• 依托单位: Baker IDI Heart and Diabetes Institute
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2007
• 资助国家: 澳大利亚
• 起止时间: 2007-01-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/behavioural-intervention-adoption-2-diabetes/82323
• 关键词: behavioural; intervention; adoption; maintenance; physical

For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on our earlier research which demonstrated significantly improved blood glucose levels from a strength training program for older adults with T2DM. The strength training program is to be administered nationally in a research to practice trial (Lift for Life); however, the original research found that those who did not complete the program as it was intended (ie, poor adherence) did not show significant improvements in blood glucose levels. Furthermore, maintenance of strength training exercises after completion of the program was poor and resulted in return of blood glucose levels back to pre-starting levels. In people without diabetes, we have collected pilot data that shows that the use of behavioural strategies based on behavioural theories whereby each person's motivations and barriers are taken into consideration is more effective than the traditional one-treatment-fits-all approach. This study will evaluate the effectiveness of using behavioural strategies for improving adherence and maintenance to the Lift for Life strength training program (Enhanced L4L) for older adults with T2DM compared with the Standard L4L program. It will also follow-up participants 6 months later to determine the extent to which the changes in behaviour can be maintained. The study will provide information that will assist in the design, delivery and uptake of programs to improve treatment strategies in older adults with T2DM through the maintenance of healthier behaviours and lifestyles.

对于2型糖尿病（T2 DM）患者来说，血糖水平得到良好管理以降低发生并发症的风险至关重要。身体活动对于维持葡萄糖水平至关重要，因为它有助于使肌肉更有效地利用葡萄糖。特别是，通过力量训练活跃不仅可以改善血糖水平，而且可以非常有效地保持良好的身体功能，这是已知的T2 DM降低。这项研究建立在我们早期的研究基础上，该研究证明了老年T2 DM患者的力量训练计划显著改善了血糖水平。力量训练计划将在全国范围内进行研究实践试验（生命提升）;然而，最初的研究发现，那些没有按照预期完成计划的人（即，坚持性差）没有显示出血糖水平的显着改善。此外，完成该计划后，力量训练练习的维持效果不佳，导致血糖水平恢复到开始前的水平。在没有糖尿病的人群中，我们收集的试点数据表明，使用基于行为理论的行为策略，其中考虑到每个人的动机和障碍，比传统的一刀切方法更有效。本研究将评估与标准L4 L计划相比，使用行为策略改善T2 DM老年人对Lift for Life力量训练计划（增强型L4 L）的依从性和维持的有效性。它还将在6个月后对参与者进行随访，以确定行为变化可以保持的程度。该研究将提供信息，有助于设计、提供和采用方案，通过维持更健康的行为和生活方式来改善老年T2 DM患者的治疗策略。