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Positive reinforcement by general practitioners is associated with greater physical activity in adults with type 2 diabetes

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journal contribution
posted on 2024-06-20, 02:39 authored by Ralph GeerlingRalph Geerling, JL Browne, Elizabeth Holmes-TruscottElizabeth Holmes-Truscott, J Furler, Jane SpeightJane Speight, K Mosely
ObjectiveIn a sample of adults with type 2 diabetes mellitus (T2DM), the aim of this study was to examine whether self-reported physical activity level is associated with recall of specific physical activity-related interactions used by general practitioners (GP).Research design and methodsAdults with T2DM completed an online survey reporting physical activity behaviors and recall of 14 GP–patient interactions about physical activity, mapped onto discrete behavior change techniques (BCT). Stepped logistical regression examined associations between recommended physical activity (≥600 MET-min/week) and GP–patient interactions, controlling for body mass index, diabetes-related comorbidities, depressive symptoms and self-efficacy.ResultsIn total, 381 respondents (55% men, mean±SD age: 62±10 years and T2DM duration 8±8 years) provided complete data. Most (73%) reported receiving ‘general advice’, while interactions related to goal setting, monitoring, and relapse prevention were least commonly reported (all <20%). Self-reported achievement of the recommended physical activity level was significantly associated with recall of GP interactions involving praise for ‘efforts to be active’ (OR 2.1; 95% CI 1.24 to 3.53), ‘lost weight’ (OR 1.81; 95% CI 1.05 to 3.12) or lowering ‘glucose levels as a result of being active’ (OR 1.75; 95% CI 1.03 to 2.96).ConclusionsFindings suggest GPs can be somewhat effective in promoting physical activity with simple, positive, reinforcing messages/interactions. Future research to develop and evaluate very brief primary care BCT-based physical activity interventions is needed.

History

Journal

BMJ Open Diabetes Research and Care

Volume

7

Article number

ARTN e000701

Pagination

1 - 10

Location

England

Open access

  • Yes

ISSN

2052-4897

eISSN

2052-4897

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2019, Author(s)

Issue

1

Publisher

BMJ PUBLISHING GROUP