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Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project

Maintaining an active lifestyle is a key health behavior in people with type 2 diabetes (T2D). This study assessed the feasibility and acceptability of a socio-ecological Nordic walking intervention (SENWI) to enhance healthy behaviors in primary healthcare settings. Participants included individual...

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Autores principales: Jabardo-Camprubí, Guillem, Puig-Ribera, Anna, Donat-Roca, Rafel, Farrés-Godayol, Pau, Nazar-Gonzalez, Sebastian, Sitjà-Rabert, Mercè, Espelt, Albert, Bort-Roig, Judit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340135/
https://www.ncbi.nlm.nih.gov/pubmed/37444649
http://dx.doi.org/10.3390/healthcare11131815
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author Jabardo-Camprubí, Guillem
Puig-Ribera, Anna
Donat-Roca, Rafel
Farrés-Godayol, Pau
Nazar-Gonzalez, Sebastian
Sitjà-Rabert, Mercè
Espelt, Albert
Bort-Roig, Judit
author_facet Jabardo-Camprubí, Guillem
Puig-Ribera, Anna
Donat-Roca, Rafel
Farrés-Godayol, Pau
Nazar-Gonzalez, Sebastian
Sitjà-Rabert, Mercè
Espelt, Albert
Bort-Roig, Judit
author_sort Jabardo-Camprubí, Guillem
collection PubMed
description Maintaining an active lifestyle is a key health behavior in people with type 2 diabetes (T2D). This study assessed the feasibility and acceptability of a socio-ecological Nordic walking intervention (SENWI) to enhance healthy behaviors in primary healthcare settings. Participants included individuals with T2D (n = 33; age 70 (95% CI 69–74)) and healthcare professionals (HCPs, n = 3). T2D participants were randomly assigned to a SENWI, active comparator, or control group for twelve weeks. Feasibility and acceptability were evaluated based on a mixed methodology. Quantitative data reported adherence information, differences between follow-up and dropout participants and pre- and post-intervention on physical activity, sedentary behavior, and health outcomes. Qualitative data acquisition was performed using focus groups and semi-structured interviews and analyzed using thematic analysis. Thirty-three T2D invited participants were recruited, and twenty-two (66.7%) provided post-intervention data. The SENWI was deemed acceptable and feasible, but participants highlighted the need to improve options, group schedules, gender inequities, and the intervention’s expiration date. Healthcare professionals expressed a lack of institutional support and resources. Nevertheless, no significant difference between the SENWI follow-up and dropout participants or pre- and post- intervention was found (only between the active comparator and control group in the physical quality of life domain). Implementing the SENWI in primary healthcare settings is feasible and acceptable in real-world conditions. However, a larger sample is needed to assess the program’s effectiveness in improving healthy behaviors and its impact on health-related outcomes in the long term.
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spelling pubmed-103401352023-07-14 Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project Jabardo-Camprubí, Guillem Puig-Ribera, Anna Donat-Roca, Rafel Farrés-Godayol, Pau Nazar-Gonzalez, Sebastian Sitjà-Rabert, Mercè Espelt, Albert Bort-Roig, Judit Healthcare (Basel) Article Maintaining an active lifestyle is a key health behavior in people with type 2 diabetes (T2D). This study assessed the feasibility and acceptability of a socio-ecological Nordic walking intervention (SENWI) to enhance healthy behaviors in primary healthcare settings. Participants included individuals with T2D (n = 33; age 70 (95% CI 69–74)) and healthcare professionals (HCPs, n = 3). T2D participants were randomly assigned to a SENWI, active comparator, or control group for twelve weeks. Feasibility and acceptability were evaluated based on a mixed methodology. Quantitative data reported adherence information, differences between follow-up and dropout participants and pre- and post-intervention on physical activity, sedentary behavior, and health outcomes. Qualitative data acquisition was performed using focus groups and semi-structured interviews and analyzed using thematic analysis. Thirty-three T2D invited participants were recruited, and twenty-two (66.7%) provided post-intervention data. The SENWI was deemed acceptable and feasible, but participants highlighted the need to improve options, group schedules, gender inequities, and the intervention’s expiration date. Healthcare professionals expressed a lack of institutional support and resources. Nevertheless, no significant difference between the SENWI follow-up and dropout participants or pre- and post- intervention was found (only between the active comparator and control group in the physical quality of life domain). Implementing the SENWI in primary healthcare settings is feasible and acceptable in real-world conditions. However, a larger sample is needed to assess the program’s effectiveness in improving healthy behaviors and its impact on health-related outcomes in the long term. MDPI 2023-06-21 /pmc/articles/PMC10340135/ /pubmed/37444649 http://dx.doi.org/10.3390/healthcare11131815 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jabardo-Camprubí, Guillem
Puig-Ribera, Anna
Donat-Roca, Rafel
Farrés-Godayol, Pau
Nazar-Gonzalez, Sebastian
Sitjà-Rabert, Mercè
Espelt, Albert
Bort-Roig, Judit
Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project
title Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project
title_full Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project
title_fullStr Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project
title_full_unstemmed Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project
title_short Assessing the Feasibility and Acceptability of a Primary Care Socio-Ecological Approach to Improve Physical Activity Adherence among People with Type 2 Diabetes: The SENWI Project
title_sort assessing the feasibility and acceptability of a primary care socio-ecological approach to improve physical activity adherence among people with type 2 diabetes: the senwi project
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340135/
https://www.ncbi.nlm.nih.gov/pubmed/37444649
http://dx.doi.org/10.3390/healthcare11131815
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