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Effects of Brain Breaks Video Intervention of Decisional Balance among Malaysians with Type 2 Diabetes Mellitus: A Randomised Controlled Trial

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  • Aizuddin Hidrus

    (Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
    Community and Family Medicine Department, Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Kota Kinabalu 88400, Sabah, Malaysia)

  • Yee Cheng Kueh

    (Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia)

  • Bachok Norsa’adah

    (Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia)

  • Yu-Kai Chang

    (Department of Physical Education and Sport Sciences, National Taiwan Normal University, Taipei 106, Taiwan
    Institute of Research Excellence in Learning Science, National Taiwan Normal University, Taipei 106, Taiwan)

  • Garry Kuan

    (Exercise and Sports Science, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
    Department of Life Sciences, Brunel University London, Uxbridge UB8 3PH, UK)

Abstract

Brain Breaks ® are structured physical activity (PA) web-based videos designed to promote an interest in learning and health promotion. The objective of this study was to examine its effects on decision balance (DB) which consists of the perceived benefits (Pros) and perceived barriers (Cons) of exercise in people with type 2 diabetes mellitus (T2DM). A randomised controlled trial was conducted among people with T2DM at Hospital Universiti Sains Malaysia. The intervention group received Brain Breaks videos for a period of four months. The intervention and control groups completed the validated Malay version of DB questionnaire for five times, at pre-intervention, the first month, the second month, the third month, and post-intervention. Multivariate Repeated Measures Analysis of Variance was performed for data analysis. A total of 70 participants were included (male = 39; female = 31) with a mean age of 57.6 years (SD = 8.5). The intervention group showed a significant change in the Pros and Cons factors of DB scores over time. The intervention group showed significantly higher scores for the Pros ( p -value < 0.001) and lower scores for the Cons ( p -value = 0.008) factors than the control group. In conclusion, the Brain Breaks video is an effective intervention to improve decisional balance in patients with T2DM to help them in deciding on behaviour change to be more physically active.

Suggested Citation

  • Aizuddin Hidrus & Yee Cheng Kueh & Bachok Norsa’adah & Yu-Kai Chang & Garry Kuan, 2021. "Effects of Brain Breaks Video Intervention of Decisional Balance among Malaysians with Type 2 Diabetes Mellitus: A Randomised Controlled Trial," IJERPH, MDPI, vol. 18(17), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8972-:d:622108
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    References listed on IDEAS

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    1. Garry Kuan & Abdulwali Sabo & Sukanlaya Sawang & Yee Cheng Kueh, 2020. "Factorial validity, measurement and structure invariance of the Malay language decisional balance scale in exercise across gender," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-14, March.
    2. Aizuddin Hidrus & Yee Cheng Kueh & Bachok Norsaádah & Yu-Kai Chang & Tsung-Min Hung & Nyi Nyi Naing & Garry Kuan, 2020. "Effects of Brain Breaks Videos on the Motives for the Physical Activity of Malaysians with Type-2 Diabetes Mellitus," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    3. Mawar Siti Hajar & Hussein Rizal & Yee Cheng Kueh & Ayu Suzailiana Muhamad & Garry Kuan, 2019. "The Effects of Brain Breaks on Motives of Participation in Physical Activity among Primary School Children in Malaysia," IJERPH, MDPI, vol. 16(13), pages 1-11, July.
    4. Ke Zhou & Sensen He & Yanli Zhou & Biljana Popeska & Garry Kuan & Li Chen & Ming-Kai Chin & Magdalena Mo Ching Mok & Christopher R. Edginton & Ian Culpan & J. Larry Durstine, 2021. "Implementation of Brain Breaks ® in the Classroom and Its Effects on Attitudes towards Physical Activity in a Chinese School Setting," IJERPH, MDPI, vol. 18(1), pages 1-14, January.
    5. Biljana Popeska & Snezana Jovanova-Mitkovska & Ming-Kai Chin & Christopher R. Edginton & Magdalena Mo Ching Mok & Serjoza Gontarev, 2018. "Implementation of Brain Breaks ® in the Classroom and Effects on Attitudes toward Physical Activity in a Macedonian School Setting," IJERPH, MDPI, vol. 15(6), pages 1-18, May.
    6. Hussein Rizal & Mawar Siti Hajar & Ayu Suzailiana Muhamad & Yee Cheng Kueh & Garry Kuan, 2019. "The Effect of Brain Breaks on Physical Activity Behaviour among Primary School Children: A Transtheoretical Perspective," IJERPH, MDPI, vol. 16(21), pages 1-13, November.
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