Exercise engagement in people with prediabetes - a qualitative study

Kuo, Yu-Lun; Wu, Shu-Chen; Hayter, Mark; Hsu, Wen-Lin; Chang, Mei; Huang, Sen-Fang; Chang, Shu-Chuan

Abstract

Aims and objectivesTo explore the experiences of people with prediabetes who engage in exercise, from the initiation of exercise to the discontinuation or continuation of exercise.BackgroundPeople with prediabetes are the high-risk group for developing type 2 diabetes. Engaging in exercise is an important health behaviour to prevent or delay this. However, many people with prediabetes fail to develop and maintain a regular exercise regime.DesignA grounded theory study.MethodsData were collected from August 2011-November 2012. Twenty participants with impaired fasting glucose from a medical centre in Taiwan were enrolled in this study for in-depth interview. The data were entered into NVivo 8·0 qualitative data management software after transcription and were analysed by constant comparative method.ResultsA theory of the process by which people with prediabetes approach the development of exercise behaviour was developed, comprising four stages: developing awareness, creating the health blueprint, action cycle of internal struggle and developing spontaneous regular exercise. Developing awareness was the starting point for the process of implementing exercise. The core category was action cycle of struggle that all participants experienced this stage, and the spontaneous regular exercise was the highest level of exercise process.ConclusionIt is not easy for people with prediabetes to develop a regular exercise regime. Exercise behaviour will be either continued or discontinued secondary to driving and resistive forces.Relevance to clinical practiceThis study provides useful information to help practitioners design exercise intervention strategies and provide psychological support to people with prediabetes.

Citation

Kuo, Y.-L., Wu, S.-C., Hayter, M., Hsu, W.-L., Chang, M., Huang, S.-F., & Chang, S.-C. (2014). Exercise engagement in people with prediabetes - a qualitative study. Journal of clinical nursing, 23(13-14), 1916-1926. https://doi.org/10.1111/jocn.12424

• Journal Article Type: Article
• Acceptance Date: May 30, 2013
• Online Publication Date: Dec 12, 2013
• Publication Date: 2014-07
• Journal: Journal of Clinical Nursing
• Print ISSN: 0962-1067
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 23
• Issue: 13-14
• Pages: 1916-1926
• DOI: https://doi.org/10.1111/jocn.12424
• Keywords: General Nursing; General Medicine
• Public URL: https://hull-repository.worktribe.com/output/432676