Increasing Diabetes Educators' Confidence in Physical Activity and Exercise Counselling: The Effectiveness of the 鈥淧hysical Activity and Exercise Toolkit鈥?Training Intervention

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• 作者：Christopher A. Shields ; Jonathon R. Fowles ; Peggy Dunbar ; Brittany Barron ; Stephanie McQuaid ; Carrie J. Dillman
• 关键词：counselling ; diabetes ; education ; efficacy ; exercise ; patients ; physical activity
• 刊名：Canadian Journal of Diabetes
• 出版年：December, 2013
• 年：2013
• 卷：37
• 期：6
• 页码：381-387
• 全文大小：262 K

文摘

Objective

The objective of this action research was to examine the effectiveness of a comprehensive intervention (the toolkit) in improving diabetes educators' (DEs') perceptions of their abilities and their patients' abilities related to physical activity as part of regular diabetes self-management.

Methods

Two separate studies were conducted. Participants completed measures assessing confidence, attitudes and perceived difficulty. In study 1, a quasi-experimental design was used to examine the impact of the training intervention at 6 months. Cross-sectional sampling at baseline and 12 months then was used to assess the longer-term impact of the intervention. In study 2, a pre-post design was used to test the impact of the intervention at 12-months in a separate sample.

Results

The primary finding was a consistent increase in DEs' confidence in their ability to provide physical activity and exercise counselling with increases of up to 20% after the training intervention. Furthermore, DEs reported greater knowledge about physical activity (p<0.03) yet perceived physical activity counselling to be more difficult after receiving the training (p<0.05). In study 2, the DEs reported increases in perceived patient knowledge and confidence in their patients (p<0.03) after the intervention. Secondary analyses showed that frequently referring to the toolkit was associated with higher counselling efficacy and lower perceived difficulty (p<0.03).

Conclusions

These findings suggest that the toolkit is an effective resource to improve DEs' confidence in the area of physical activity counselling. As a result of this work, the toolkit has been adopted as standard diabetes care across Nova Scotia and as a foundational resource for DEs across Canada.