Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes
Abstract Background Type 2 diabetes (T2D) has become a major public health threat; physical inactivity and obesity are both independent risk factors. Increasing daily physical activity (PA) significantly benefits treatment. Individual PA counselling is helpful for people with T2D, especially those w...
Published in: | BMC Endocrine Disorders |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2023
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12902-023-01428-w https://doaj.org/article/bd7e9d19e143458bab61ad63b41a4971 |
id |
ftdoajarticles:oai:doaj.org/article:bd7e9d19e143458bab61ad63b41a4971 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:bd7e9d19e143458bab61ad63b41a4971 2023-09-05T13:20:47+02:00 Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes Tuula Martiskainen Marja-Leena Lamidi Mika Venojärvi Heikki Tikkanen Tiina Laatikainen 2023-08-01T00:00:00Z https://doi.org/10.1186/s12902-023-01428-w https://doaj.org/article/bd7e9d19e143458bab61ad63b41a4971 EN eng BMC https://doi.org/10.1186/s12902-023-01428-w https://doaj.org/toc/1472-6823 doi:10.1186/s12902-023-01428-w 1472-6823 https://doaj.org/article/bd7e9d19e143458bab61ad63b41a4971 BMC Endocrine Disorders, Vol 23, Iss 1, Pp 1-10 (2023) Type 2 diabetes Physical activity counselling Primary Health Care Glycated hemoglobin A LDL cholesterol Diseases of the endocrine glands. Clinical endocrinology RC648-665 article 2023 ftdoajarticles https://doi.org/10.1186/s12902-023-01428-w 2023-08-20T00:36:18Z Abstract Background Type 2 diabetes (T2D) has become a major public health threat; physical inactivity and obesity are both independent risk factors. Increasing daily physical activity (PA) significantly benefits treatment. Individual PA counselling is helpful for people with T2D, especially those with previous inactivity or with diabetes complications. This study evaluated factors contributing to effectiveness of PA counselling in primary health care (PHC) patients with T2D in a real-world setting and using data elicited from electronic health records (EHRs). Methods All patients with T2D were offered the opportunity to participate in a PA program organized as part of basic PHC services in the Siun sote region in North Karelia, Finland, from October 2016 to December 2018. The study population consists of patients aged 19 to 87 years (n = 546). During the intervention information on possible other factors in addition to age and sex influencing the intervention effect such as amount of counselling sessions, changes in PA and patients´ motivation was gathered. Changes in the participants’ PA activity was generated by following the predefined rules from patient records and by assessing the descriptive documentation of activity patterns. The patients’ motivation level was assessed using a Likert scale. Results Over 60% of participants who attended PA counselling more than three times increased their PA compared with 1% of participants with one counselling session. Of the whole intervention group, the participants experiencing the largest weight loss were those with an increased level of PA (-1.36 kg vs. -0.63 kg among those with no change in PA). Age, sex, and baseline motivation did not affect the change the PA nor the main intervention outcomes. Conclusions Patients’ compliance with the intervention was reflected in the number of PA counselling sessions attended which in turn was seen as increased levels of PA as well as better treatment outcomes. In the implementation of lifestyle counselling interventions ... Article in Journal/Newspaper karelia* Directory of Open Access Journals: DOAJ Articles BMC Endocrine Disorders 23 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Type 2 diabetes Physical activity counselling Primary Health Care Glycated hemoglobin A LDL cholesterol Diseases of the endocrine glands. Clinical endocrinology RC648-665 |
spellingShingle |
Type 2 diabetes Physical activity counselling Primary Health Care Glycated hemoglobin A LDL cholesterol Diseases of the endocrine glands. Clinical endocrinology RC648-665 Tuula Martiskainen Marja-Leena Lamidi Mika Venojärvi Heikki Tikkanen Tiina Laatikainen Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
topic_facet |
Type 2 diabetes Physical activity counselling Primary Health Care Glycated hemoglobin A LDL cholesterol Diseases of the endocrine glands. Clinical endocrinology RC648-665 |
description |
Abstract Background Type 2 diabetes (T2D) has become a major public health threat; physical inactivity and obesity are both independent risk factors. Increasing daily physical activity (PA) significantly benefits treatment. Individual PA counselling is helpful for people with T2D, especially those with previous inactivity or with diabetes complications. This study evaluated factors contributing to effectiveness of PA counselling in primary health care (PHC) patients with T2D in a real-world setting and using data elicited from electronic health records (EHRs). Methods All patients with T2D were offered the opportunity to participate in a PA program organized as part of basic PHC services in the Siun sote region in North Karelia, Finland, from October 2016 to December 2018. The study population consists of patients aged 19 to 87 years (n = 546). During the intervention information on possible other factors in addition to age and sex influencing the intervention effect such as amount of counselling sessions, changes in PA and patients´ motivation was gathered. Changes in the participants’ PA activity was generated by following the predefined rules from patient records and by assessing the descriptive documentation of activity patterns. The patients’ motivation level was assessed using a Likert scale. Results Over 60% of participants who attended PA counselling more than three times increased their PA compared with 1% of participants with one counselling session. Of the whole intervention group, the participants experiencing the largest weight loss were those with an increased level of PA (-1.36 kg vs. -0.63 kg among those with no change in PA). Age, sex, and baseline motivation did not affect the change the PA nor the main intervention outcomes. Conclusions Patients’ compliance with the intervention was reflected in the number of PA counselling sessions attended which in turn was seen as increased levels of PA as well as better treatment outcomes. In the implementation of lifestyle counselling interventions ... |
format |
Article in Journal/Newspaper |
author |
Tuula Martiskainen Marja-Leena Lamidi Mika Venojärvi Heikki Tikkanen Tiina Laatikainen |
author_facet |
Tuula Martiskainen Marja-Leena Lamidi Mika Venojärvi Heikki Tikkanen Tiina Laatikainen |
author_sort |
Tuula Martiskainen |
title |
Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
title_short |
Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
title_full |
Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
title_fullStr |
Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
title_full_unstemmed |
Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
title_sort |
factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12902-023-01428-w https://doaj.org/article/bd7e9d19e143458bab61ad63b41a4971 |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
BMC Endocrine Disorders, Vol 23, Iss 1, Pp 1-10 (2023) |
op_relation |
https://doi.org/10.1186/s12902-023-01428-w https://doaj.org/toc/1472-6823 doi:10.1186/s12902-023-01428-w 1472-6823 https://doaj.org/article/bd7e9d19e143458bab61ad63b41a4971 |
op_doi |
https://doi.org/10.1186/s12902-023-01428-w |
container_title |
BMC Endocrine Disorders |
container_volume |
23 |
container_issue |
1 |
_version_ |
1776201427356483584 |