At a glance
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The Effectiveness of 'A BCC Model' in Promoting Physical Activity Among Females With Type 2 Diabetes Mellitus:A Randomised Controlled Trial
In Brief
A clinical study evaluating Behavioral change communication model(BCC) to promote physical activity and pamphlet-The printed pamphlet,'Physical activity:To control blood sugar/ Diabetes Mellitus' for Physical Inactivity and Type2 Diabetes Mellitus. Completed, enrolled 86 participants across 1 site.
Detailed Summary
The marked discrepancy between predicted and actual prevalence of Type2 diabetes Mellitus (DM) with the actual cases rising earlier than expected, underscore the continuing relevance of tailored awareness and management strategies including physical activity(PA) to combat growing diabetes pandemic. Research is needed to develop effective programs that promote PA among female patients.Design\& Method randomized controlled trial . 86 females 30 -65 years with type 2 DM attended Diabetic Clinic out patient at government tertiary care hospital,Kerala, south India from May to October 2006 including one week pilot study, participant selection, random allocation and intervention. Block randomized to intervention(43) and control(43) groups. Intervention-'Behavioral change communication model, including 30 mints 'PA promotion video',pamphlet and last week recall and report of PA using an interview schedule for 4 consecutive visits. measures- Total PA/day calculated in calorie from METs(metabolic equivalent score) , HbA1C, Total knowledge score, stage of change of behavior, the baseline PA under four domains in Metabolic Equivalent Task Score by interview using IPAQ(International Physiclal Activity Questionnaire) long form, body weight, occupation and source of water. Physical activity recommendations according to Centres for Disease Control and Prevention Atlanta guide lines- • Moderate intensity PA-30 mins./day(4-6.5 MET) for 5 days/week (brisk walk).Subjective assessment of moderate exercise - 1. talk test-One who is on a moderate intensity level should be able to carry on a conversation comfortable while engagement in the activity. 2. Vigorous intensity PA \>6.5METs-Person will not be able to carry out conversation. running, aerobics for 20 mins
Study Details
Timeline
Interventions
Behavioral change communication is to promote physical activity among females with type2 diabetes mellitus of age 30 to 65 attending Diabetic clinic of a government hospital in south India.'Behavioral change communication model, including 30 mints 'PA promotion video', printed pamphlet-physical activity to control Diabetes Mellitus were given.Followed up by last week recall and report of PA using IPAQ-international questionnaire for 4 visits in 4 consecutive months.video show repeated each visit.
Control group participants were given only the printed pamphlets as placebo and followed up by last week recall and report of PA using (IPAQ-international questionnaire) for 4 visits in 4 consecutive months. content of pamphlet- Physical activity has got equal importance as drugs and diet management in the treatment of diabetes mellitus. Diabetic patients should be aware of ABC HbA1C below7, B- BP control and C-Cholesterol control as recommended by ADA (American Diabetes Association). Physical Activity help to achieve these three. Physical activity decreases insulin resistance and increases the effectiveness of anti-diabetic drugs. Small tips to improve physical activity .Walk at least 15 minutes by getting down in the prevision bus stop. Use staircase instead of lift. Walk briskly swinging both hands) with a speed at which you sweat and heart rate raised to a level at which you can still talk comfortably.Do household works and gardening manually.