Original Article: Education and Psychological Aspects
Understanding physical activity facilitators and barriers during and following a supervised exercise programme in Type 2 diabetes: a qualitative study
Article first published online: 16 OCT 2009
© 2010 The Authors. Journal compilation © 2010 Diabetes UK
Volume 27, Issue 1, pages 79–84, January 2010
How to Cite
Casey, D., De Civita, M. and Dasgupta, K. (2010), Understanding physical activity facilitators and barriers during and following a supervised exercise programme in Type 2 diabetes: a qualitative study. Diabetic Medicine, 27: 79–84. doi: 10.1111/j.1464-5491.2009.02873.x
- Issue published online: 8 JAN 2010
- Article first published online: 16 OCT 2009
- Accepted 1 October 2009
Diabet. Med. 27, 79–84 (2010)
Aims To assess barriers and facilitators of participation in a supervised exercise programme, and adherence to exercise after programme completion.
Methods Focus group discussions addressed factors which could facilitate attendance, current engagement in exercise, reasons for continuing or discontinuing regular exercise and ways to integrate exercise into daily life. Three focus groups, with a total of 16 participants, were led by a trained moderator; audiotapes were transcribed verbatim; transcripts were coded and themes were identified. Themes that recurred across all three focus groups were considered to have achieved saturation.
Results Motivation was the most critical factor in exercising both during and following the programme. Participants appreciated the monitoring, encouragement and accountability provided by programme staff. They voiced a need for better transition to post-programme realities of less support and supervision. Co-morbid conditions were apt to derail them from a regular exercise routine. They viewed the optimal programme as having even greater scheduling flexibility and being closer to them geographically. Post-programme, walking emerged as the most frequent form of physical activity.
Conclusions Adults with Type 2 diabetes require long-term monitoring and support for physical activity and exercise.