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Outcomes of a community-based lifestyle programme for adults with diabetes or pre-diabetes.
- Source :
- Journal of Primary Health Care; Jun2016, Vol. 8 Issue 2, p130-139, 10p
- Publication Year :
- 2016
-
Abstract
- Introduction: Diabetes, a long-term condition increasing in prevalence, requires ongoing healthcare management. Exercise alongside lifestyle education and support is effective for diabetes management. Aim: To investigate clinical outcomes and acceptability of a community-based lifestyle programme for adults with diabetes/prediabetes at programme completion and 3-month follow-up. Methods: The 12-week community programme included twice-weekly sessions of self-management education and exercise, supervised by a physiotherapist, physiotherapy students and a nurse. Clinical outcomes assessed were cardiorespiratory fitness, waist circumference, exercise behaviour and self-efficacy. A standardised evaluation form was used to assess programme acceptability. Results: Clinically significant improvements were found from baseline (n = 36) to programme completion (n = 25) and 3-months follow-up (n = 20) for the six minute walk test (87 m (95%CI 65-109; p ⩽ 0.01), 60 m (95%CI 21-100; p ⩽ 0.01)), waist circumference (-3 cm (95%CI -6 to -1), -3 cm (95%CI -6 to 1)), exercise behaviour (aerobic exercise 53 min/week (95%CI 26 to 81; p ⩽ 0.01), 71 min/week (95%CI 25 to 118; p ⩽ 0.01)) and self-efficacy (0.7 (95%CI -0.2 to 1.6), 0.8 (95%CI 0.04 to 1.5)). Good programme acceptability was demonstrated by themes suggesting a culturally supportive, motivating, friendly, informative atmosphere within the programme. The attrition rate was 30% but there were no adverse medical events related to the programme. Discussion: The programme was safe and culturally acceptable and outcomes demonstrated clinical benefit to participants. The attrition rate was largely due to medical reasons unrelated to the programme. This model of a community-based lifestyle programme has the potential to be reproduced in other regions and in adults with similar long-term conditions. [ABSTRACT FROM AUTHOR]
- Subjects :
- PEOPLE with diabetes
TYPE 2 diabetes treatment
PREDIABETIC state
BEHAVIOR modification
CONFIDENCE intervals
EXERCISE
GLYCOSYLATED hemoglobin
HEALTH behavior
LONGITUDINAL method
SCIENTIFIC observation
PROBABILITY theory
QUESTIONNAIRES
HEALTH self-care
SELF-efficacy
TEACHING aids
COMMUNITY-based social services
EFFECT sizes (Statistics)
THEMATIC analysis
DATA analysis software
DESCRIPTIVE statistics
THERAPEUTICS
EDUCATION
Subjects
Details
- Language :
- English
- ISSN :
- 11726164
- Volume :
- 8
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Primary Health Care
- Publication Type :
- Academic Journal
- Accession number :
- 116572238
- Full Text :
- https://doi.org/10.1071/HC15038