Positive reinforcement by general practitioners is associated with greater physical activity in adults with type 2 diabetes

Geerling, R; Browne, JL; Holmes-Truscott, E; Furler, J; Speight, J; Mosely, K

Positive reinforcement by general practitioners is associated with greater physical activity in adults with type 2 diabetes

Geerling, R Browne, JL Holmes-Truscott, E Furler, J Speight, J Mosely, K

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ Open Diabetes Research and Care, 2019, 7, (1), pp. e000701-e000701
Issue Date:: 2019-11-01

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Field	Value	Language
dc.contributor.author	Geerling, R
dc.contributor.author	Browne, JL
dc.contributor.author	Holmes-Truscott, E
dc.contributor.author	Furler, J
dc.contributor.author	Speight, J
dc.contributor.author	Mosely, K
dc.date.accessioned	2020-06-04T06:05:30Z
dc.date.available	2020-06-04T06:05:30Z
dc.date.issued	2019-11-01
dc.identifier.citation	BMJ Open Diabetes Research and Care, 2019, 7, (1), pp. e000701-e000701
dc.identifier.issn	2052-4897
dc.identifier.uri	http://hdl.handle.net/10453/141095
dc.description.abstract	© Author(s) (or their employer(s)) 2019. Objective In a sample of adults with type 2 diabetes mellitus (T2DM), the aim of this study was to examine whether self-reported physical activity level is associated with recall of specific physical activity-related interactions used by general practitioners (GP). Research design and methods Adults with T2DM completed an online survey reporting physical activity behaviors and recall of 14 GP-patient interactions about physical activity, mapped onto discrete behavior change techniques (BCT). Stepped logistical regression examined associations between recommended physical activity (≥600 MET-min/week) and GP-patient interactions, controlling for body mass index, diabetes-related comorbidities, depressive symptoms and self-efficacy. Results In total, 381 respondents (55% men, mean±SD age: 62±10 years and T2DM duration 8±8 years) provided complete data. Most (73%) reported receiving 'general advice', while interactions related to goal setting, monitoring, and relapse prevention were least commonly reported (all <20%). Self-reported achievement of the recommended physical activity level was significantly associated with recall of GP interactions involving praise for 'efforts to be active' (OR 2.1; 95% CI 1.24 to 3.53), 'lost weight' (OR 1.81; 95% CI 1.05 to 3.12) or lowering 'glucose levels as a result of being active' (OR 1.75; 95% CI 1.03 to 2.96). Conclusions Findings suggest GPS can be somewhat effective in promoting physical activity with simple, positive, reinforcing messages/interactions. Future research to develop and evaluate very brief primary care BCT-based physical activity interventions is needed.
dc.language	en
dc.publisher	BMJ
dc.relation.ispartof	BMJ Open Diabetes Research and Care
dc.relation.isbasedon	10.1136/bmjdrc-2019-000701
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences
dc.title	Positive reinforcement by general practitioners is associated with greater physical activity in adults with type 2 diabetes
dc.type	Journal Article
utslib.citation.volume	7
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
dc.date.updated	2020-06-04T06:05:26Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	7
utslib.start-page	e000701
utslib.citation.issue	1

Abstract:

© Author(s) (or their employer(s)) 2019. Objective In a sample of adults with type 2 diabetes mellitus (T2DM), the aim of this study was to examine whether self-reported physical activity level is associated with recall of specific physical activity-related interactions used by general practitioners (GP). Research design and methods Adults with T2DM completed an online survey reporting physical activity behaviors and recall of 14 GP-patient interactions about physical activity, mapped onto discrete behavior change techniques (BCT). Stepped logistical regression examined associations between recommended physical activity (≥600 MET-min/week) and GP-patient interactions, controlling for body mass index, diabetes-related comorbidities, depressive symptoms and self-efficacy. Results In total, 381 respondents (55% men, mean±SD age: 62±10 years and T2DM duration 8±8 years) provided complete data. Most (73%) reported receiving 'general advice', while interactions related to goal setting, monitoring, and relapse prevention were least commonly reported (all <20%). Self-reported achievement of the recommended physical activity level was significantly associated with recall of GP interactions involving praise for 'efforts to be active' (OR 2.1; 95% CI 1.24 to 3.53), 'lost weight' (OR 1.81; 95% CI 1.05 to 3.12) or lowering 'glucose levels as a result of being active' (OR 1.75; 95% CI 1.03 to 2.96). Conclusions Findings suggest GPS can be somewhat effective in promoting physical activity with simple, positive, reinforcing messages/interactions. Future research to develop and evaluate very brief primary care BCT-based physical activity interventions is needed.

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