The Effect of the Transtheoretical Model Based Walking Exercise Training and Follow-Up on Improving Exercise Behavior and Metabolic Control in Patients with Type 2 Diabetes

Kaplan Serin E., ÇITLIK SARITAŞ S.

CLINICAL NURSING RESEARCH, vol.30, no.3, pp.273-284, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 3
  • Publication Date: 2021
  • Doi Number: 10.1177/1054773820920487
  • Journal Name: CLINICAL NURSING RESEARCH
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, Abstracts in Social Gerontology, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Page Numbers: pp.273-284
  • Keywords: type 2 diabetes mellitus, metabolic control, walking exercise, transtheoretical model, nurse, PHYSICAL-ACTIVITY, GLYCEMIC CONTROL, CARDIOVASCULAR RISK, SELF-EFFICACY, PEOPLE, INTERVENTION, MAINTENANCE, ADOPTION, STRATEGY, IMPACT
  • Inonu University Affiliated: Yes

Abstract

This study aims to determine the effects of transtheoretical model-based walking exercise training and follow-up on improving exercise behavior and metabolic control in patients with type 2 diabetes. This randomized controlled trial was conducted as a pre-test and post-test experimental model with 76 intervention and 76 control individuals. The intervention group received the transtheoretical model-based exercise training. Data were collected using patient identification form, transtheoretical model scales, pedometer and metabolic outcomes. Data were analyzed by Chi square, two-way ANOVA, Mauchly's, Greenhouse-Geisser, Friedman, and McNamer test. The overall score means for the exercise change processes, decision-making balance and self-efficacy scales increased compared to the pre-test (p < .001). The mean HDL increased from 41.39 +/- 10.35 to 49.18 +/- 11.58, and average number of steps per day increased from 3264.31 +/- 1933.03 to 5639.37 +/- 2317.01. Consequently, this difference between the groups was significant (p < .05).