The feasibility of delivering a physical activity intervention for adults within routine diabetes care

Summary

Physical activity consultation has been shown to be effective in promoting physical activity levels for adults with diabetes within controlled research settings – but few interventions have been implemented into routine care. NHS Grampian delivered a 12-month intervention for adults with diabetes within the region over 30 months. Significant improvements were observed in physical activity levels, BMI and several aspects of psychological wellbeing at 12-month follow up. The low-cost intervention was feasible with high protocol fidelity, adoption by staff, positive participant feedback. It proved to be a useful method of supporting people with diabetes and multiple co-morbidities to increase their levels of physical activity and improve psychological wellbeing. This is an encouraging finding in relation to the translation of research findings into everyday practice.

Challenge

Regular physical activity (150 minutes per week) provides substantial health benefits to people with type 2 diabetes, including better control of their condition, an improved cardiovascular risk profile, weight loss and an improved quality of life. Promoting the benefits of physical activity (PA) requires no expensive resources as it merely uses the dissemination of knowledge and experiences - but over 60% of patients with diabetes do not meet the recommended levels of PA. The majority of published physical activity interventions have been performed in a controlled research setting, with short duration and lack of long-term follow-up. It is important to develop and evaluate interventions that are feasible and affordable within routine care.

Objectives

To explore the feasibility of delivering a physical activity intervention for adults within routine diabetes care. To conduct a process evaluation to assess its impact, areas for improvement and consideration for wider spread.

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QiC Diabetes Commended 2016
Empowering People with Diabetes – Adults
The feasibility of delivering a physical activity intervention for adults within routine diabetes care
by NHS Grampian

Contacts

Mary McCallum

Job title:
Health Psychologist/Public Health Specialist
Place of work:
NHS Grampian, JJR Macleod Centre for Diabetes, Endocrinology & Metabolism
Telephone:
07761466100
Email:
mary.mccallum@nhs.net


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