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To explore the barriers and facilitators to physical activity engagement among people with young-onset type 2 diabetes.
A qualitative research design using individual semi-structured interviews.
A purposive sampling technique was used to recruit individuals with young-onset type 2 diabetes through social media, based on: age, gender, diabetes duration, diabetes complication and physical activity level. Interviews were audio recorded, transcribed verbatim and analysed using Framework analysis integrating the Capability, Opportunity, Motivation and Behaviour model.
Twenty-three individuals with type 2 diabetes (median age 29 years; 13 women; median diabetes duration 1 year) were interviewed. Nineteen subthemes were identified across all domains of the Capability, Opportunity, Motivation and Behaviour model. The most common domains and the related subthemes were psychological capability (physical activity knowledge, self-monitoring); social opportunity (stigma, family commitments, guidance from professionals, interactive physical activity, emotional support); and reflective motivation (perceived physical impact of physical activity, perceived mental impact of physical activity, social role & responsibility, perceived self-efficacy). Interactions were also observed between the different domains of the Capability, Opportunity, Motivation and Behaviour model.
This study revealed in-depth and novel information on the barriers and facilitators to physical activity in people with young-onset type 2 diabetes. Future interventions would require multimodal approaches to enhance physical activity motivation in this population by addressing these underpinning psychological and social barriers.
This study highlighted the need for a multimodal strategy that addresses psychological capability, social opportunity and reflective motivation for increasing physical activity in people with young-onset type 2 diabetes.
This study was reported using the Consolidated Criteria for Reporting Qualitative Research checklist.
An advisory group including six individuals with young-onset type 2 diabetes contributed to the design of the interview topic guide.
by Christina Lange Ferreira, Sara Donetto, Hellena Habte-Asres, Jyothish Govindan, Angus Forbes, Kirsty Winkley
AimsTo present a study protocol for the development of an intervention to enhance safe insulin use for older or frail adults undergoing a surgical admission to hospital.
DesignFollowing the United Kingdom’s Medical Research Council and National Institute for Health and Care Research Frameworks for development and evaluation of complex interventions; this qualitative study will use a co-design approach using design thinking, to develop a theoretical model for the intervention.
MethodsNon-participatory observations, interviews and co-design workshops will be conducted with older or frail individuals with diabetes, their caregivers and healthcare staff responsible for their care during surgical admissions at a single National Health Service hospital in England. We will utilise their experiences and perspectives to establish priorities and generate ideas for the development of a conceptual model aimed at supporting the insulin safety review process in hospitals. Data will be analysed using framework analysis. People with diabetes were involved in the design of this study. The protocol was approved by the East-Midlands-Derby Research Ethics Committee (24/EM/0022). Study registered on Open Science Framework: https://osf.io/4wvu5.
ResultsResults of this study will be shared with study participants and disseminated through presentations at conferences/meetings and peer-reviewed publications.
ConclusionThis article outlines the methodology for the planned study which will employ a novel methodology to tackle the problem of hospital insulin safety. Its findings will contribute to a better understanding of the multiple interacting components implicated in hospital insulin use (patient, staff, context) and support further work around system-based strategies to enhance insulin safety resilience in hospital.
The aims of the study were to explore the experiences of women with gestational diabetes mellitus (GDM) and their partners and examine the factors influencing partner involvement in GDM management, seeking to inform a targeted couple-based intervention.
A descriptive qualitative study.
We conducted semi-structured interviews with 14 women with GDM and their partners. Participants were recruited through convenience sampling from a tertiary hospital in Xi'an, China. Data were analysed using thematic analysis.
Three themes and 12 subthemes were identified. Theme I: Women's expectations of their partner's involvement in GDM management—practical support and emotional support. Theme II: Partner involvement in GDM management—constructive involvement, unhelpful involvement with good intentions and insufficient involvement. Theme III: Factors that influence partner involvement in GDM—knowledge of GDM, GDM risk perception, health consciousness, attitudes towards the treatment plan, couple communication regarding GDM management, family roles and appraisal of GDM management responsibility.
Women desired practical and emotional support from partners. The types of partner involvement in GDM management varied. Some partners provided constructive support, while some partners' involvement was limited, non-existent or actively unhelpful. By combining these results with the factors influencing partner involvement, our findings may help healthcare professionals develop strategies to involve partners in GDM care and enhance women's ability to manage GDM.
Partner involvement in GDM care may help them understand and better attend to women's needs, thus improving their experience and potential outcomes. This study highlights novel factors that need to be considered in developing couple-based interventions for this population.
The reporting follows the COREQ checklist.
Some patients were involved in data interpretation. There is no public contribution.
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