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Motivation and Barriers to Maintaining Lifestyle Changes in Patients with Type 2 Diabetes after an Intensive Lifestyle Intervention (The U-TURN Trial): A Longitudinal Qualitative Study

Author

Listed:
  • Sabrina K. Schmidt

    (Department of Sport, Physical Education and Outdoor Studies, Faculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, 3800 Bø in Telemark, Norway)

  • Liv Hemmestad

    (Department of Sport, Physical Education and Outdoor Studies, Faculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, 3800 Bø in Telemark, Norway)

  • Christopher S. MacDonald

    (The Centre of Inflammation and Metabolism and the Centre for Physical Activity Research, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark
    Department of Infectious Diseases, Rigshospitalet, Section of Social Medicine, CopenRehab, Faculty of Health, University of Copenhagen, 1017 Copenhagen K, Denmark)

  • Henning Langberg

    (Department of Infectious Diseases, Rigshospitalet, Section of Social Medicine, CopenRehab, Faculty of Health, University of Copenhagen, 1017 Copenhagen K, Denmark)

  • Laura S. Valentiner

    (Department of Infectious Diseases, Rigshospitalet, Section of Social Medicine, CopenRehab, Faculty of Health, University of Copenhagen, 1017 Copenhagen K, Denmark
    Department of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, Faculty of Health, University College Copenhagen, 2200 Copenhagen N, Denmark)

Abstract

The purpose of this study was to explore and identify factors that influence motivation for and barriers to adopting and maintaining lifestyle changes in patients with type 2 diabetes, following participation in an intensive multiple-lifestyle intervention. Participants were recruited from the U-TURN trial, a one-year, intensive lifestyle intervention for type 2 diabetes patients. This study was conducted over time; informants were interviewed twice after the trial ended with a six-month interval between interviews. The qualitative data from these individual interviews were analysed using systematic text condensation with an inductive approach. Five themes emerged: Social support and relatedness, Achievement of results, Support from healthcare professionals, Identification with and acceptance of the new lifestyle and Coping with ongoing challenges. These are all important for maintaining lifestyle changes and diabetes self-management. Changing one’s lifestyle can be a constant, difficult struggle. For sustainable progress after an intensive intervention, the changes must be adopted and endorsed by patients and co-opted into their social setting. Belonging to an exercise group, confidence in managing the lifestyle adjustments and handling of challenges through continual support and professional diabetes treatment are crucial in maintaining and adhering to the new lifestyle.

Suggested Citation

  • Sabrina K. Schmidt & Liv Hemmestad & Christopher S. MacDonald & Henning Langberg & Laura S. Valentiner, 2020. "Motivation and Barriers to Maintaining Lifestyle Changes in Patients with Type 2 Diabetes after an Intensive Lifestyle Intervention (The U-TURN Trial): A Longitudinal Qualitative Study," IJERPH, MDPI, vol. 17(20), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7454-:d:427351
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    Citations

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    Cited by:

    1. Mireia Vilafranca Cartagena & Glòria Tort-Nasarre & Esther Rubinat Arnaldo, 2021. "Barriers and Facilitators for Physical Activity in Adults with Type 2 Diabetes Mellitus: A Scoping Review," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    2. Susanne Grøn Nielsen & Julie Hagstrøm Danielsen & Helle Nergaard Grønbæk & Stig Molsted & Sandra Schade Jacobsen & Tina Vilsbøll & Annemarie Reinhardt Varming, 2022. "Transforming Motivation for Exercise in a Safe and Kind Environment—A Qualitative Study of Experiences among Individuals with Type 2 Diabetes," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    3. Sofie Rath Mortensen & Mathilde Espe Pedersen & Søren T. Skou & Mathias Ried-Larsen, 2023. "Online Physical Exercise and Group Sessions to Increase and Maintain Physical Activity in Individuals with Type 2 Diabetes: A Single-Arm Feasibility Study," IJERPH, MDPI, vol. 20(4), pages 1-17, February.
    4. Mireia Vilafranca Cartagena & Antonia Arreciado Marañón & Eva Artigues-Barbera & Glòria Tort-Nasarre, 2022. "Successful Practices in Performing and Maintaining Physical Activity in Adults with Type 2 Diabetes Mellitus: A Qualitative Study," IJERPH, MDPI, vol. 19(21), pages 1-17, October.

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