Volume 13, Issue 1 (volume 13, number 1 2021)                   IJDO 2021, 13(1): 26-32 | Back to browse issues page

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Abdolkarimi M, Morowatisharifabad M, Asadpour M. The Effect of Implementation Intention on Improving Physical Activity Level and Cardiovascular Fitness in Patients with Type 2 Diabetes: A Randomized Control Study. IJDO 2021; 13 (1) :26-32
URL: http://ijdo.ssu.ac.ir/article-1-608-en.html
Assistant Professor, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Abstract:   (1121 Views)
Objective: Regular physical activity (PA) is one of the most effective recommendations to prevent diabetic complications. However, the reported level of PA is low in this group. This study evaluates intervention based on the implementation intention (II) theory, to improve the level of PA and the health of patients with diabetes.
Materials and Methods: This randomized control study was conducted on 124 patients with type 2 diabetic. The participants were randomly assigned in to two groups. PA level was measured by using International Physical Activity Questionnaire (IPAQ). The Rockport test was used in order to measure Maximal oxygen consumption volume (vo2max). In the intervention group, Individuals were asked to identify details of the behavior of PA and their own strategies for removing the barriers of exercise. Post-tests took place 3 month later. Normal distributed data were analyzed using two independent and paired sample T-test. Wilcoxon, Mann-Whitney tests were used to compare PA level.
Results: The results showed that although the median level of PA after the intervention (396) had increased. This difference was not statistically significant (P-value= 0.12). Also, after three months vo2max score (19.91) was not significantly different from before (P-value= 0.30).
Conclusion: Intervention based on II had no significant effect on level of PA in patients with type 2 diabetes. Using multiple methods, as well as incorporating it with motivating interventions should be investigated to increase the level of PA in this group.
Full-Text [PDF 167 kb]   (375 Downloads)    
Type of Study: Research | Subject: Special
Received: 2021/03/13 | Accepted: 2021/03/20 | Published: 2021/03/20

1. Buse JB, Ginsberg HN, Bakris GL, Clark NG, Costa F, Eckel R, et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2007;115(1):114-26. [DOI:10.1161/CIRCULATIONAHA.106.179294]
2. Rohani H, Eslami A, Raei M, Tavakoli H, Bidkhori M, Ghaderi A. Evaluation theory of planned behavior and complications of diabetes perceived risk in predicting dietary behavior among type 2 diabetics. Iranian Journal of Diabetes and Metabolism. 2015;15(1):44-37. (in Persian)
3. Plotnikoff RC, Lippke S, Trinh L, Courneya KS, Birkett N, Sigal RJ. Protection motivation theory and the prediction of physical activity among adults with type 1 or type 2 diabetes in a large population sample. British journal of health psychology. 2010;15(3):643-61. [DOI:10.1348/135910709X478826]
4. Gaede P, Lund-Andersen H, Parving HH, Pedersen O. Effect of a multifactorial intervention on mortality in type 2 diabetes. New England Journal of Medicine. 2008;358(6):580-91. [DOI:10.1056/NEJMoa0706245]
5. White KM, Terry DJ, Troup C, Rempel LA, Norman P, Mummery K, et al. An extended theory of planned behavior intervention for older adults with type 2 diabetes and cardiovascular disease. Journal of aging and physical activity. 2012;20(3):281-99. [DOI:10.1123/japa.20.3.281]
6. Marwick TH, Hordern MD, Miller T, Chyun DA, Bertoni AG, Blumenthal RS, et al. Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American Heart Association. Circulation. 2009;119(25):3244-62. [DOI:10.1161/CIRCULATIONAHA.109.192521]
7. Rydén L, Standl E, Bartnik M, Berghe GV, Betteridge J, de Boer MJ, et al. † Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: full text‡: The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD). European heart journal supplements. 2007;9(suppl_C):C3-74.
8. Boulé NG, Weisnagel SJ, Lakka TA, Tremblay A, Bergman RN, Rankinen T, et al. Effects of exercise training on glucose homeostasis: the Heritage Family Study. Diabetes care. 2005;28(1):108-14. [DOI:10.2337/diacare.28.1.108]
9. Thomas N, Alder E, Leese GP. Barriers to physical activity in patients with diabetes. Postgraduate medical journal. 2004;80(943):287-91. [DOI:10.1136/pgmj.2003.010553]
10. Ferreira G, Pereira MG. Physical activity: the importance of the extended theory of planned behavior, in type 2 diabetes patients. Journal of health psychology. 2017;22(10):1312-21. [DOI:10.1177/1359105315626787]
11. Morrato EH, Hill JO, Wyatt HR, Ghushchyan V, Sullivan PW. Physical activity in US adults with diabetes and at risk for developing diabetes, 2003. Diabetes care. 2007;30(2):203-9. [DOI:10.2337/dc06-1128]
12. Plotnikoff RC, Lubans DR, Penfold CM, Courneya KS. Testing the utility of three social‐cognitive models for predicting objective and self‐report physical activity in adults with type 2 diabetes. British journal of health psychology. 2014;19(2):329-46. [DOI:10.1111/bjhp.12085]
13. Gollwitzer PM. Implementation intentions: strong effects of simple plans. American psychologist. 1999;54(7):493. [DOI:10.1037/0003-066X.54.7.493]
14. Gollwitzer PM, Sheeran P. Implementation intentions and goal achievement: A meta‐analysis of effects and processes. Advances in experimental social psychology. 2006;38:69-119. [DOI:10.1016/S0065-2601(06)38002-1]
15. Vohs KD, Baumeister RF, editors. Handbook of self-regulation: Research, theory, and applications. Guilford Publications; 2016.
16. Rutter DR, Steadman L, Quine L. An implementation intentions intervention to increase uptake of mammography. Annals of Behavioral Medicine. 2006;32(2):127-34. [DOI:10.1207/s15324796abm3202_10]
17. Prestwich A, Lawton R, Conner M. The use of implementation intentions and the decision balance sheet in promoting exercise behaviour. Psychology and Health. 2003;18(6):707-21. [DOI:10.1080/08870440310001594493]
18. Wendel-Vos GW, Schuit AJ, Saris WH, Kromhout D. Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. Journal of clinical epidemiology. 2003;56(12):1163-9. [DOI:10.1016/S0895-4356(03)00220-8]
19. Emami RS, Ardebili HE, Golestan B. Effect of a Health Education Intervention on Physical Activity Knowledge, Attitude and Behavior in Health Volunteers. Hayat. 2010;16. (in Persian)
20. Dolgener FA, Hensley LD, Marsh JJ, Fjelstul JK. Validation of the Rockport Fitness Walking Test in college males and females. Research quarterly for exercise and sport. 1994;65(2):152-8. [DOI:10.1080/02701367.1994.10607610]
21. Mac Ananey O, Malone J, Warmington S, O'Shea D, Green S, Egana M. Cardiac output is not related to the slowed O2 uptake kinetics in type 2 diabetes. Medicine and science in sports and exercise. 2011;43(6):935-42. [DOI:10.1249/MSS.0b013e3182061cdb]
22. Ziegelmann JP, Luszczynska A, Lippke S, Schwarzer R. Are goal intentions or implementation intentions better predictors of health behavior? A longitudinal study in orthopedic rehabilitation. Rehabilitation Psychology. 2007;52(1):97. [DOI:10.1037/0090-5550.52.1.97]
23. Sheeran P, Webb TL, Gollwitzer PM. The interplay between goal intentions and implementation intentions. Personality and Social Psychology Bulletin. 2005;31(1):87-98. [DOI:10.1177/0146167204271308]
24. Morowatisharifabad MA, Abdolkarimi M, Asadpour M, Fathollahi MS, Balaee P. The predictive effects of protection motivation theory on intention and behaviour of physical activity in patients with type 2 diabetes. Open access Macedonian journal of medical sciences. 2018;6(4):709. [DOI:10.3889/oamjms.2018.119]
25. De Vet E, Oenema A, Sheeran P, Brug J. Should implementation intentions interventions be implemented in obesity prevention: the impact of if-then plans on daily physical activity in Dutch adults. International journal of behavioral nutrition and physical activity. 2009;6(1):1-9. [DOI:10.1186/1479-5868-6-11]
26. Hagger MS, Chatzisarantis NL. The sweet taste of success: The presence of glucose in the oral cavity moderates the depletion of self-control resources. Personality and Social Psychology Bulletin. 2013;39(1):28-42. [DOI:10.1177/0146167212459912]
27. Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, Maryniuk MD, Siminerio L, Vivian E. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator. 2017;43(1):40-53. [DOI:10.1177/0145721716689694]
28. Roy T, Lloyd CE. Epidemiology of depression and diabetes: a systematic review. Journal of affective disorders. 2012;142:S8-21. [DOI:10.1016/S0165-0327(12)70004-6]
29. Katon WJ, Russo JE, Heckbert SR, Lin EH, Ciechanowski P, Ludman E, et al. The relationship between changes in depression symptoms and changes in health risk behaviors in patients with diabetes. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences. 2010;25(5):466-75. [DOI:10.1002/gps.2363]

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