Abstract
BackgroundAdequate physical activity (PA) is considered essential in diabetes management. However, evidence on the best method of promoting PA within diabetes care is inconclusive. The current work identifies perceptions on the acceptability of Intervention Group Participants (IGP) and Project Officers (POs) about the “MOVEdiabetes” intervention programme aimed at increasing PA in adults with type 2 diabetes in Oman (a retrospectively registered trial).MethodsThe “MOVEdiabetes” programme (PA consultations, pedometers and WhatsApp messages) was delivered by the POs (primary health care practitioners) in four primary care centres within a one-year cluster randomised control trial. Recruitment and retention were measured from trial attendance records. Programme satisfaction, appropriateness, and content suitability were assessed using exit surveys for both the IGP (interview based) and POs (self-administered). Open text questions on perceptions to the study programme were also included.ResultsParticipants were randomised to an intervention group (IG, n = 122) or comparison group (CG, n = 110). The overall retention rate at three and 12 months was 92.7% [110(90.2%) IG vs 105(95.5%) CG] and 75% [82(67.2%) IG vs 92(83.6%) CG] respectively. Most (n = 14, 87.5%) POs and more than half (n = 49, 59.8%) IGP perceived the programme as very appropriate and many reported that they were “quite/ very satisfied” with the programme (n = 16, 100% PO’s and n = 71, 86.6% IGP). Two thirds (n = 55, 66.0%) of IGP were very/quite likely to recommend the programme to others. PA consultations, use of pedometers and Whatsapp messages were well perceived by all. Participants recommended the inclusion of dietary advice and PA promotion for the general public. Exploring PA facilities within the community was suggested by POs.ConclusionsThe “MOVEdiabetes” programme achieved a high retention rate and was perceived as satisfactory and appropriate. Results from this study suggest that it is worthwhile exploring the use of the “MOVEdiabetes” programme in clinical practice and further community links.Trial registrationInternational Standard Randomised Controlled Trials No: ISRCTN14425284. Registered retrospectively on 12th April 2016.
Highlights
Adequate physical activity (PA) is considered essential in diabetes management
This paper describes the perceptions of the participants in the intervention group (IG) and all the project officers (POs), of the
Participants were asked to set individual goals and complete daily step counts which were to be submitted to the Project Officers (POs) in their respective health centres at 3 and 12 months follow up shared through the WhatsApp phone application
Summary
Adequate physical activity (PA) is considered essential in diabetes management. evidence on the best method of promoting PA within diabetes care is inconclusive. Despite the reported barriers to promoting PA in clinical settings such as a lack of time, training and assessment tools [4], some methods to facilitate and support behavioural changes regarding PA in primary care have proven to be effective in several studies in Western cultures [5,6,7]. Current research in this area includes understanding components of PA interventions, barriers and motivators and effective methods of intervention delivery. Evaluating these aspects is important for further programme development and improvement, ensuring accountability to stakeholders and helping others set up similar services
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