Adhering to lifestyle change recommendations via the transtheoretical model: a mixed methods study among type 2 diabetes patients
Abstract Purpose – This paper aims to identify and explore the factors affecting type 2 diabetes mellitus (T2DM) patients’ adherence to lifestyle change recommendations, with the guidance of the trans-theoretical model (stages of change). Design/methodology/approach – This study was conducted in...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Emerald Group Holdings Ltd.
2020
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/100727/1/100727_Adhering%20to%20lifestyle%20change%20recommendations.pdf http://irep.iium.edu.my/100727/2/100727_Adhering%20to%20lifestyle%20change%20recommendations_SCOPUS.pdf http://irep.iium.edu.my/100727/ https://www-emerald-com.ezaccess.library.uitm.edu.my/insight/content/doi/10.1108/NFS-02-2020-0043/full/pdf?title=adhering-to-lifestyle-change-recommendations-via-the-trans-theoretical-model-a-mixed-methods-study-among-type-2-diabetes-patients |
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| Summary: | Abstract
Purpose – This paper aims to identify and explore the factors affecting type 2 diabetes mellitus (T2DM)
patients’ adherence to lifestyle change recommendations, with the guidance of the trans-theoretical model
(stages of change).
Design/methodology/approach – This study was conducted in two parts. In Part A, 163 randomly
selected participants were asked to complete a cross-sectional survey. Data regarding demographics, stages of
change and levels of confidence to engage in lifestyle changes were collected. In Part B, in-depth interviews
were conducted among 30 individuals, aged between 30 and 65 years, had been diagnosed with T2DM and
had seen dietitian at least once. Purposive sampling was used to recruit participants with different
sociodemographic characteristics.
Findings – Part A showed that most of the participants were in the pre-action group (60%), with a
higher mean HbA1c (8.9%) as compared to the action group (40%) which had a mean HbA1c of 6.9%.
Part B further revealed the pre-action group and action group identified four key themes concerning
lifestyle changes adherence: stumbling block; self-care belief; knowledge implementation; and selfempowerment.
Practical implications – Health-care providers should identify patients’ stages of change before lifestyle
changes implementation.
Originality/value – This study highlighted that many factors might influence a T2DM patient’s
adherence to lifestyle change recommendations. Determining the stages of change and self-confidence of
T2DM patients is needed to ascertain long-term adherence. |
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