PMID- 38402875 OWN - NLM STAT- MEDLINE DCOM- 20240430 LR - 20240430 IS - 1543-5474 (Electronic) IS - 1543-3080 (Linking) VI - 21 IP - 5 DP - 2024 May 1 TI - Barriers and Enablers for Physical Activity Engagement Among Individuals From India With Type 2 Diabetes Mellitus: A Mixed-Method Study. PG - 519-527 LID - 10.1123/jpah.2023-0574 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a complex, chronic condition that can cause multiple complications due to poor glycemic control. Self-management plays a crucial role in the management of T2DM. Lifestyle modifications, including physical activity (PA), are fundamental for self-management. This study explored the knowledge, perception, practice, enablers, and barriers of PA among individuals with T2DM. METHODS: A mixed-method study was conducted among individuals with T2DM in Udupi taluk, India. A cross-sectional survey (n = 467) followed by an in-depth interview (n = 35) was performed. The data were analyzed using descriptive statistics and thematic analysis, respectively. RESULTS: About half (48.8%) of the participants engaged in PA of which 28.3% had an adequate score in the practice of PA. Walking was the most preferred mode. Self-realization, Comprehension, perception, and source of information, PA training, Current PA practices, enablers and barriers for PA were 6 themes derived under knowledge, perception, and practice of PA. CONCLUSION: Despite knowing the importance of PA, compliance with PA was poor. The personal/internal, societal, and external factors constituted the trinity of barriers and enablers in compliance with PA. Behavioral changes, societal changes, policy initiatives, and PA training in health care settings may enhance PA practice among individuals with T2DM. FAU - Matpady, Prabhath AU - Matpady P AUID- ORCID: 0000-0002-1262-9573 AD - WASH and CCES Policy, Advocacy and Networking Expert, CIC, UNICEF, Hyderabad, India. FAU - Maiya, Arun G AU - Maiya AG AUID- ORCID: 0000-0002-3811-1350 AD - Department of Physiotherapy, College of Health Professions, Manipal Academy of Higher Education, Manipal, India. FAU - Saraswat, Pallavi P AU - Saraswat PP AUID- ORCID: 0000-0002-4374-9543 AD - Department of Medicine, Dr TMA Pai Hospital (Udupi) and Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, India. FAU - Rao, Chythra R AU - Rao CR AUID- ORCID: 0000-0002-4016-2683 AD - Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. FAU - Pai, Mamatha Shivananda AU - Pai MS AUID- ORCID: 0000-0001-9038-3014 AD - Department of Child Health Nursing and Department of Obstetrical and Gynaecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India. FAU - Anupama, Shekarappa D AU - Anupama SD AUID- ORCID: 0000-0001-8988-4364 AD - Department of Global Health Goveranance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India. FAU - Shetty, Jeevan K AU - Shetty JK AUID- ORCID: 0000-0001-9311-6675 AD - Department of Biochemistry, Royal College of Surgeons in Ireland-Bahrain, Adliya, Bahrain. FAU - Umakanth, Shashikiran AU - Umakanth S AUID- ORCID: 0000-0001-5210-7457 AD - Department of Medicine, Dr TMA Pai Hospital (Udupi) and Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, India. LA - eng PT - Journal Article DEP - 20240224 PL - United States TA - J Phys Act Health JT - Journal of physical activity & health JID - 101189457 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/therapy/psychology MH - India MH - Male MH - Female MH - Cross-Sectional Studies MH - *Exercise MH - Middle Aged MH - *Health Knowledge, Attitudes, Practice MH - Adult MH - Aged MH - Self-Management MH - Interviews as Topic MH - Qualitative Research OTO - NOTNLM OT - behavioral & policy changes OT - glycemic control OT - poor-compliance OT - self-management EDAT- 2024/02/26 00:42 MHDA- 2024/04/30 06:46 CRDT- 2024/02/25 18:34 PHST- 2023/10/04 00:00 [received] PHST- 2024/01/07 00:00 [revised] PHST- 2024/01/09 00:00 [accepted] PHST- 2024/04/30 06:46 [medline] PHST- 2024/02/26 00:42 [pubmed] PHST- 2024/02/25 18:34 [entrez] AID - 10.1123/jpah.2023-0574 [doi] PST - epublish SO - J Phys Act Health. 2024 Feb 24;21(5):519-527. doi: 10.1123/jpah.2023-0574. Print 2024 May 1.