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Short- and long-term effects of a need-supportive physical activity intervention among patients with type 2 diabetes mellitus: a randomized controlled pilot trial |
Vanroy J, Seghers J, Bogaerts A, Devloo K, de Cock S, Boen F |
PLoS ONE 2017 Apr;12(4):e0174805 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: This pilot trial evaluated the short- and long-term effects of a six-week need-supportive physical activity (PA) intervention among patients with type 2 diabetes mellitus, on health-related (HbA1c and physical fitness) and behavioral (objectively-measured and selfreported PA) outcomes. METHODS: To support the basic psychological needs for autonomy, relatedness and competence, the intervention included one in- and out-take session with a PA coach, an individualized PA program and a weekly PA group session. The intervention was set up in collaboration with a health insurance fund and with general practitioners. A total of forty-eight patients participated in the study and were randomly assigned to an intervention (n = 27) or a waiting-list control condition (n = 21). RESULTS: Linear mixed models did not reveal any significant interaction effects between time and condition (ps > 0.05). However, significant time effects across conditions were found: a decrease in HbA1c at short term and increases in self-reported PA at both short and long term and in physical fitness at long term (ps < 0.05). CONCLUSION: Although the intervention as a whole did not produce the expected impact, there seems a potential for brief but regular expert visit and measurement.
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