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Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes

Exercise is a cornerstone in diabetes care; however, adherence is low and sustaining physical activity remains a challenge. Patient-centered diabetes self-management education and support are recommended; however, sparse literature exists on how to design exercise interventions that improve self-man...

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Autores principales: Nielsen, Susanne Grøn, Danielsen, Julie Hagstrøm, Grønbæk, Helle Nergaard, Molsted, Stig, Jacobsen, Sandra Schade, Vilsbøll, Tina, Varming, Annemarie Reinhardt
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141646/
https://www.ncbi.nlm.nih.gov/pubmed/35627628
http://dx.doi.org/10.3390/ijerph19106091
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author Nielsen, Susanne Grøn
Danielsen, Julie Hagstrøm
Grønbæk, Helle Nergaard
Molsted, Stig
Jacobsen, Sandra Schade
Vilsbøll, Tina
Varming, Annemarie Reinhardt
author_facet Nielsen, Susanne Grøn
Danielsen, Julie Hagstrøm
Grønbæk, Helle Nergaard
Molsted, Stig
Jacobsen, Sandra Schade
Vilsbøll, Tina
Varming, Annemarie Reinhardt
author_sort Nielsen, Susanne Grøn
collection PubMed
description Exercise is a cornerstone in diabetes care; however, adherence is low and sustaining physical activity remains a challenge. Patient-centered diabetes self-management education and support are recommended; however, sparse literature exists on how to design exercise interventions that improve self-management in individuals with complications of type 2 diabetes mellitus (T2D). We aimed to gain insights into needs, barriers, and motivation based on experiences with exercise participation among individuals with T2D and complications to adjust and develop new types of tailored, supervised exercise classes in specialized care at three hospitals in Denmark. In keeping with a constructivist research paradigm, a qualitative hermeneutic approach using focus group interviews was applied to explore perspectives among different participants in terms of disease severity. Seven interviews with 30 participants (aged 49–88) representing seven different exercise classes, were conducted over three years. Reflective thematic analysis was used. Four themes were generated: People like us, Getting started with exercise, Game changers, and Moving forward. An overarching theme ‘The transformation of motivation when exercising in a safe and kind environment’ links the themes together, resembling the participants’ development of physical literacy encompassing motivation, confidence, physical competence as well as an ability to value physical activity. Supportive patient-centered exercise classes promoted a transformation of motivation grounded in the development of physical literacy among participants in specialized diabetes care. However, participants were concerned with continuing to exercise on their own after the intervention, as they experienced a lack of continuous, supervised exercise opportunities in local communities.
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spelling pubmed-91416462022-05-28 Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes Nielsen, Susanne Grøn Danielsen, Julie Hagstrøm Grønbæk, Helle Nergaard Molsted, Stig Jacobsen, Sandra Schade Vilsbøll, Tina Varming, Annemarie Reinhardt Int J Environ Res Public Health Article Exercise is a cornerstone in diabetes care; however, adherence is low and sustaining physical activity remains a challenge. Patient-centered diabetes self-management education and support are recommended; however, sparse literature exists on how to design exercise interventions that improve self-management in individuals with complications of type 2 diabetes mellitus (T2D). We aimed to gain insights into needs, barriers, and motivation based on experiences with exercise participation among individuals with T2D and complications to adjust and develop new types of tailored, supervised exercise classes in specialized care at three hospitals in Denmark. In keeping with a constructivist research paradigm, a qualitative hermeneutic approach using focus group interviews was applied to explore perspectives among different participants in terms of disease severity. Seven interviews with 30 participants (aged 49–88) representing seven different exercise classes, were conducted over three years. Reflective thematic analysis was used. Four themes were generated: People like us, Getting started with exercise, Game changers, and Moving forward. An overarching theme ‘The transformation of motivation when exercising in a safe and kind environment’ links the themes together, resembling the participants’ development of physical literacy encompassing motivation, confidence, physical competence as well as an ability to value physical activity. Supportive patient-centered exercise classes promoted a transformation of motivation grounded in the development of physical literacy among participants in specialized diabetes care. However, participants were concerned with continuing to exercise on their own after the intervention, as they experienced a lack of continuous, supervised exercise opportunities in local communities. MDPI 2022-05-17 /pmc/articles/PMC9141646/ /pubmed/35627628 http://dx.doi.org/10.3390/ijerph19106091 Text en © 2022 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
Nielsen, Susanne Grøn
Danielsen, Julie Hagstrøm
Grønbæk, Helle Nergaard
Molsted, Stig
Jacobsen, Sandra Schade
Vilsbøll, Tina
Varming, Annemarie Reinhardt
Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes
title Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes
title_full Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes
title_fullStr Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes
title_full_unstemmed Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes
title_short Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes
title_sort transforming motivation for exercise in a safe and kind environment—a qualitative study of experiences among individuals with type 2 diabetes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141646/
https://www.ncbi.nlm.nih.gov/pubmed/35627628
http://dx.doi.org/10.3390/ijerph19106091
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