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Summary: This intervention was part of a research project comparing an exercise consultation with a standard leaflet on the promotion of physical activity in people with Type 2 diabetes. The intervention was a one-to-one discussion, based on the Transtheoretical model of behaviour change. The study aims to evaluate the effect of exercise consultation on promotion of physical activity in people with Type 2 diabetes.
Exercise consultation tailored to an individual's readiness to change has demonstrated greater changes than traditional educational approaches to physical activity promotion.
This approach involves minimal resources and could be implemented in the community.
This project involves supervised exercise classes run by an experienced, qualified fitness instructor, and supported by a medically trained individual.
By using an EXTEND health questionnaire before beginning the programme, and the information from participants' G.Ps, the exercise therapist is able to tailor sessions to participants needs.
Classes also incorporate healthy eating discussions and sessions on healthy food choices and weight management, led by a dietician. The programme also provides education opportunities regarding the complications of diabetes supported by a podiatrist and Diabetes Specialist Nurse (DSN). Ways to increase activity in everyday living are incorporated into the sessions.
The sessions are evaluated by pre and post course measurement of HbA1c, total cholesterol, waist circumference, body mass index (BMI) and the administering of a well-being questionnaire.
Summary: GPs and Practice Nurses refer appropriate candidates to an exercise practitioner, who then discusses the details of the scheme with these people.
The scheme focuses on activities which people see as relevant to themselves.
By using a client centred approach the practitioner assesses a person?s readiness to become more active rather than assuming readiness. Twenty minute, one to one consultations are conducted and then follow-up appointments are arranged. The project is highly transferable as it is based on a practitioner as a resource rather than a facility.