
Short- and long-term effects of a need-supportive physical activity intervention among patients with type 2 diabetes mellitus: A randomized controlled pilot trial
Author(s) -
Jari Vanroy,
Jan Seghers,
An Bogaerts,
Karlien Devloo,
Stijn De Cock,
Filip Boen
Publication year - 2017
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0174805
Subject(s) - medicine , physical therapy , competence (human resources) , randomized controlled trial , type 2 diabetes , intervention (counseling) , diabetes mellitus , psychology , nursing , endocrinology , social psychology
Objective This pilot trial evaluated the short- and long-term effects of a six-week need-supportive physical activity (PA) intervention among patients with type 2 diabetes mellitus, on health-related (HbA1c and physical fitness) and behavioral (objectively-measured and self-reported PA) outcomes. Methods To support the basic psychological needs for autonomy, relatedness and competence, the intervention included one in- and outtake session with a PA coach, an individualized PA program and a weekly PA group session. The intervention was set up in collaboration with a health insurance fund and with general practitioners. A total of forty-eight patients participated in the study and were randomly assigned to an intervention ( n = 27) or a waiting-list control condition ( n = 21). Results Linear mixed models did not reveal any significant interaction effects between time and condition ( p s > .05). However, significant time effects across conditions were found: a decrease in HbA1c at short term and increases in self-reported PA at both short and long term and in physical fitness at long term ( p s < .05). Conclusion Although the intervention as a whole did not produce the expected impact, there seems a potential for brief but regular expert visit and measurement.