The feasibility of delivering a physical activity intervention for adults within routine diabetes care

Abstract

Aim: To explore the feasibility of delivering a physical activity intervention for adults within routine diabetes care. Methods: A 12-month intervention was delivered for adults with Type 1 or Type 2 diabetes within one area of the National Health Service (UK). Participants (n=89) received a 30-minute face-to-face physical activity consultation, monthly follow-up consultations for 6-months (e-mail or telephone), and further face-to-face consultations at 6 and 12-months. Consultations were delivered by an Exercise Health Psychologist, guided by behaviour change strategies, and tailored to stage of change. Outcome measures at baseline, 6 and 12-months included: physical activity (IPAQ), HbA1C, BMI, and psychological wellbeing (PANAS and HADS). Findings: 15% (n=13 of 89) met current physical activity guidelines prior to intervention which increased to 69% and 78% at 6 and 12 month follow up (p=0.004). An increase was observed from baseline in positive affect (PANAS) at 6 and 12-months (30.5 vs 32.1 vs 34.6, p=0.018). At 12-months an improvement from baseline was observed in BMI (33.1 vs 32.kg/m2, p<0.005) and perceived depression (HADS) (5.1 vs 2.7, p=0.006). No further significant changes were recorded. Discussion: The 12-month intervention cost GBP152 per participant. Process evaluation observed high protocol fidelity and adoption by health professionals. The role of champions was identified as a key factor. Several minor amendments were made to increase support for participants with complex support needs. Conclusions: Physical activity consultation can be a feasible method of supporting people with diabetes to increase their levels of physical activity, lose weight and improve psychological wellbeing.