IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i10p6091-d817486.html
   My bibliography  Save this article

Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes

Author

Listed:
  • Susanne Grøn Nielsen

    (Steno Diabetes Center Copenhagen, Copenhagen University Hospital, 2730 Herlev, Denmark)

  • Julie Hagstrøm Danielsen

    (Steno Diabetes Center Copenhagen, Copenhagen University Hospital, 2730 Herlev, Denmark)

  • Helle Nergaard Grønbæk

    (Steno Diabetes Center Copenhagen, Copenhagen University Hospital, 2730 Herlev, Denmark)

  • Stig Molsted

    (Department of Endocrinology, Nordsjællands Hospital, 3400 Hillerød, Denmark)

  • Sandra Schade Jacobsen

    (Steno Diabetes Center Copenhagen, Copenhagen University Hospital, 2730 Herlev, Denmark)

  • Tina Vilsbøll

    (Steno Diabetes Center Copenhagen, Copenhagen University Hospital, 2730 Herlev, Denmark
    Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 1165 Copenhagen, Denmark)

  • Annemarie Reinhardt Varming

    (Steno Diabetes Center Copenhagen, Copenhagen University Hospital, 2730 Herlev, Denmark)

Abstract

Exercise is a cornerstone in diabetes care; however, adherence is low and sustaining physical activity remains a challenge. Patient-centered diabetes self-management education and support are recommended; however, sparse literature exists on how to design exercise interventions that improve self-management in individuals with complications of type 2 diabetes mellitus (T2D). We aimed to gain insights into needs, barriers, and motivation based on experiences with exercise participation among individuals with T2D and complications to adjust and develop new types of tailored, supervised exercise classes in specialized care at three hospitals in Denmark. In keeping with a constructivist research paradigm, a qualitative hermeneutic approach using focus group interviews was applied to explore perspectives among different participants in terms of disease severity. Seven interviews with 30 participants (aged 49–88) representing seven different exercise classes, were conducted over three years. Reflective thematic analysis was used. Four themes were generated: People like us, Getting started with exercise, Game changers, and Moving forward. An overarching theme ‘The transformation of motivation when exercising in a safe and kind environment’ links the themes together, resembling the participants’ development of physical literacy encompassing motivation, confidence, physical competence as well as an ability to value physical activity. Supportive patient-centered exercise classes promoted a transformation of motivation grounded in the development of physical literacy among participants in specialized diabetes care. However, participants were concerned with continuing to exercise on their own after the intervention, as they experienced a lack of continuous, supervised exercise opportunities in local communities.

Suggested Citation

  • Susanne Grøn Nielsen & Julie Hagstrøm Danielsen & Helle Nergaard Grønbæk & Stig Molsted & Sandra Schade Jacobsen & Tina Vilsbøll & Annemarie Reinhardt Varming, 2022. "Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6091-:d:817486
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/10/6091/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/10/6091/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mireia Vilafranca Cartagena & Glòria Tort-Nasarre & Esther Rubinat Arnaldo, 2021. "Barriers and Facilitators for Physical Activity in Adults with Type 2 Diabetes Mellitus: A Scoping Review," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    2. Sabrina K. Schmidt & Liv Hemmestad & Christopher S. MacDonald & Henning Langberg & Laura S. Valentiner, 2020. "Motivation and Barriers to Maintaining Lifestyle Changes in Patients with Type 2 Diabetes after an Intensive Lifestyle Intervention (The U-TURN Trial): A Longitudinal Qualitative Study," IJERPH, MDPI, vol. 17(20), pages 1-16, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Faisal Asiri & Ravi Shankar Reddy & Bayapa Reddy Narapureddy & Abdullah Raizah, 2022. "Comparisons and Associations between Hip-Joint Position Sense and Glycosylated Hemoglobin in Elderly Subjects with Type 2 Diabetes Mellitus—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    2. Mireia Vilafranca Cartagena & Antonia Arreciado Marañón & Eva Artigues-Barbera & Glòria Tort-Nasarre, 2022. "Successful Practices in Performing and Maintaining Physical Activity in Adults with Type 2 Diabetes Mellitus: A Qualitative Study," IJERPH, MDPI, vol. 19(21), pages 1-17, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mireia Vilafranca Cartagena & Antonia Arreciado Marañón & Eva Artigues-Barbera & Glòria Tort-Nasarre, 2022. "Successful Practices in Performing and Maintaining Physical Activity in Adults with Type 2 Diabetes Mellitus: A Qualitative Study," IJERPH, MDPI, vol. 19(21), pages 1-17, October.
    2. Rakhmat Ari Wibowo & Riskah Nurámalia & Herlin Ajeng Nurrahma & Eva Oktariani & Jajar Setiawan & Ajeng Viska Icanervilia & Denny Agustiningsih, 2022. "The Effect of Yoga on Health-Related Fitness among Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(7), pages 1-13, April.
    3. Lena Nordgren & Petra von Heideken Wågert & Anne Söderlund & Maria Elvén, 2022. "The Mediating Role of Healthy Lifestyle Behaviours on the Association between Perceived Stress and Self-Rated Health in People with Non-Communicable Disease," IJERPH, MDPI, vol. 19(19), pages 1-16, September.
    4. Sofie Rath Mortensen & Mathilde Espe Pedersen & Søren T. Skou & Mathias Ried-Larsen, 2023. "Online Physical Exercise and Group Sessions to Increase and Maintain Physical Activity in Individuals with Type 2 Diabetes: A Single-Arm Feasibility Study," IJERPH, MDPI, vol. 20(4), pages 1-17, February.
    5. Mireia Vilafranca Cartagena & Glòria Tort-Nasarre & Esther Rubinat Arnaldo, 2021. "Barriers and Facilitators for Physical Activity in Adults with Type 2 Diabetes Mellitus: A Scoping Review," IJERPH, MDPI, vol. 18(10), pages 1-16, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6091-:d:817486. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.