PMID- 22559322
OWN - NLM
STAT- MEDLINE
DCOM- 20121011
LR  - 20211021
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 12
DP  - 2012 Jul 4
TI  - Testing the effectiveness of a self-efficacy based exercise intervention for 
      inactive people with type 2 diabetes mellitus: design of a controlled clinical 
      trial.
PG  - 331
LID - 10.1186/1471-2458-12-331 [doi]
AB  - BACKGROUND: Sufficient exercise is important for people with Type 2 Diabetes 
      Mellitus (T2DM), as it can prevent future health problems. Despite, it is 
      estimated that only 30-40% of people with T2DM are sufficiently active. One of 
      the psychosocial constructs that is believed to influence physical activity 
      behaviour, is exercise self-efficacy. The goal of this study is to evaluate a 
      patient-tailored exercise intervention for people with T2DM that takes exercise 
      self-efficacy into account. METHODS/DESIGN: This study is conducted as a 
      non-randomized controlled clinical trial. Patients are eligible when they are 
      diagnosed with T2DM, exercise less than advised in the ADA guideline of 150 
      min/week of moderate-intensity aerobic physical activity, have an BMI >25 and are 
      between 18 and 80 years old. Recruitment takes place at a Primary care 
      organization of general practitioners and practice nurses in the south of the 
      Netherlands.Participants are allocated to three groups: An advice intervention 
      -for participants with a high exercise self-efficacy score- in which participants 
      receive a patient-tailored exercise intervention, an intensive intervention -for 
      participants with a low exercise self-efficacy score- in which participants 
      receive a patient-tailored exercise intervention accomplished by a group based 
      intervention, and a control group in which participants receive regular Dutch 
      diabetes care. The primary outcome measure of this study is physical activity. 
      Secondary outcome measures are health status, (symptoms of) depression, exercise 
      self-efficacy, Body Mass Index (BMI), blood pressure and glycemic control. 
      DISCUSSION: We aimed to design an intervention that can be implemented in Primary 
      care, but also to design an easy accessible program. This study is innovative as 
      it is -to our best knowledge- the first study that takes level of exercise 
      self-efficacy of people with T2DM into account by means of giving extra support 
      to those with the lowest exercise self-efficacy. If the program succeeds in 
      increasing the amount of physical activity it can be implemented in regular 
      primary care. TRIAL REGISTRATION: Dutch Trial Register NTR2734.
FAU - van der Heijden, Marion M P
AU  - van der Heijden MM
AD  - Department of Medical Psychology and Neuropsychology, Center of Research on 
      Psychology in Somatic diseases (CoRPS), Tilburg University, Tilburg, the 
      Netherlands.
FAU - Pouwer, Francois
AU  - Pouwer F
FAU - Romeijnders, Arnold C
AU  - Romeijnders AC
FAU - Pop, Victor J M
AU  - Pop VJ
LA  - eng
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20120704
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Controlled Clinical Trials as Topic
MH  - *Diabetes Mellitus, Type 2
MH  - *Exercise
MH  - Health Promotion/*methods
MH  - Humans
MH  - Netherlands
MH  - *Sedentary Behavior
MH  - *Self Efficacy
MH  - Surveys and Questionnaires
PMC - PMC3390268
EDAT- 2012/05/09 06:00
MHDA- 2012/10/12 06:00
PMCR- 2012/07/04
CRDT- 2012/05/08 06:00
PHST- 2012/03/16 00:00 [received]
PHST- 2012/05/04 00:00 [accepted]
PHST- 2012/05/08 06:00 [entrez]
PHST- 2012/05/09 06:00 [pubmed]
PHST- 2012/10/12 06:00 [medline]
PHST- 2012/07/04 00:00 [pmc-release]
AID - 1471-2458-12-331 [pii]
AID - 10.1186/1471-2458-12-331 [doi]
PST - epublish
SO  - BMC Public Health. 2012 Jul 4;12:331. doi: 10.1186/1471-2458-12-331.