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'This is why I'm doing a lot of exercise': A qualitative study of participant's experiences of the Sophia Step Study
Sophiahemmet University.ORCID iD: 0000-0003-4920-252X
Sophiahemmet University.ORCID iD: 0000-0002-7018-2706
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2018 (English)In: International Diabetes Nursing, ISSN 2057-3316, E-ISSN 2057-3324Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction: Support for physical activity (PA) is central in diabetes care. The Sophia Step Study is a three-armed randomised controlled trial aiming to evaluate different levels of support for increased PA in prediabetes and Type 2 diabetes. With the purpose to reveal the programme components and the mediating factors from the participants’ perspective this paper aims to report a qualitative exploration of adhering participants’ experiences after two years’ study participation.

Methods: Semi-structured interviews were conducted with 18 participants (men, n = 11, women, n = 7, prediabetes, n = 5, Type 2 diabetes, n = 13, median age 68.5 years) who completed a two-year multi-component (n = 7), singlecomponent (n = 6) intervention or served as controls (n = 5) at a primary care center in Stockholm, Sweden. The interviews were analysed using content analysis with an inductive approach. Sophia Step Study is registered at ClinicalTrials.gov with Identifier: NCT02374788.

Results: The participants recalled the frequent study assessments as providing feedback of health outcomes; positive reinforcement; a sense of sentinel and a personalised approach. Group meetings, pedometers and health check-ups were valued as resources for increased awareness and motivation of PA; establishment of new routines and control over the own health. The long program duration allowed for maintenance of awareness and routines for PA

Conclusion: Adhering participants in theory-based interventions, but also in the control group, identified key mediators to support for PA. Feedback of results, personalised encouragement, emotional support and selfmonitoring should be regarded in self-management of PA to optimise patient motivation and outcomes.

Place, publisher, year, edition, pages
2018.
Keywords [en]
Experience, Physical activity, Prediabetes, Sophia Step Study, Type 2 diabetes, Qualitative method, Self-management
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:shh:diva-2905OAI: oai:DiVA.org:shh-2905DiVA, id: diva2:1184857
Available from: 2018-02-22 Created: 2018-02-22 Last updated: 2018-02-22Bibliographically approved

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Rossen, JennyLööf, HelenaJohansson, Unn-Britt
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CiteExportLink to record
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Citation style
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