‘This is why I’m doing a lot of exercise’ — a qualitative study of participant’s experiences of the Sophia Step Study

Authors

  • Jenny Rossen
  • Helena Lööf
  • Agneta Yngve
  • Maria Hagströmer
  • Kerstin Brismar
  • Unn-Britt Johansson

DOI:

https://doi.org/10.1080/20573316.2018.1437940

Keywords:

Experience, Physical activity, Prediabetes, Sophia Step Study, Type 2 diabetes, Qualitative method, Self-management

Abstract

Introduction: Support for physical activity (PA) is central in diabetes care. The Sophia Step Study is a three-armed randomised controlled trial aiming to evaluate different levels of support for increased PA in prediabetes and Type 2 diabetes. With the purpose to reveal the programme components and the mediating factors from the participants’ perspective this paper aims to report a qualitative exploration of adhering participants’ experiences after two years’ study participation.

Methods: Semi-structured interviews were conducted with 18 participants (men, n = 11, women, n = 7, prediabetes, n = 5, Type 2 diabetes, n = 13, median age 68.5 years) who completed a two-year multi-component (n = 7), single-component (n = 6) intervention or served as controls (n = 5) at a primary care center in Stockholm, Sweden. The interviews were analysed using content analysis with an inductive approach. Sophia Step Study is registered at ClinicalTrials.gov with Identifier: NCT02374788.

Results: The participants recalled the frequent study assessments as providing feedback of health outcomes; positive reinforcement; a sense of sentinel and a personalised approach. Group meetings, pedometers and health check-ups were valued as resources for increased awareness and motivation of PA; establishment of new routines and control over the own health. The long program duration allowed for maintenance of awareness and routines for PA

Conclusion: Adhering participants in theory-based interventions, but also in the control group, identified key mediators to support for PA. Feedback of results, personalised encouragement, emotional support and self-monitoring should be regarded in self-management of PA to optimise patient motivation and outcomes.

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Published

2017-09-02

How to Cite

Rossen, J., Lööf, H., Yngve, A., Hagströmer, M., Brismar, K., & Johansson, U.-B. (2017). ‘This is why I’m doing a lot of exercise’ — a qualitative study of participant’s experiences of the Sophia Step Study. International Diabetes Nursing, 14(2), 99–104. https://doi.org/10.1080/20573316.2018.1437940

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Original Articles