Faculty of Humanities, Sports and Educational Science, Department of Sport, Physical Education and Outdoor Studies, University of South-Eastern Norway, 3800 Bø in Telemark, Norway.
The Centre of Inflammation and Metabolism and the Centre for Physical Activity Research, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.
Int J Environ Res Public Health. 2020 Oct 13;17(20):7454. doi: 10.3390/ijerph17207454.
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.
本研究旨在探讨并确定影响 2 型糖尿病患者在参与强化多生活方式干预后采纳和维持生活方式改变的动机和障碍的因素。参与者是从 U-TURN 试验中招募的，这是一项针对 2 型糖尿病患者的为期一年的强化生活方式干预试验。本研究是随着时间进行的；在试验结束后，在两次访谈之间间隔六个月，对信息提供者进行了两次访谈。使用系统文本浓缩和归纳方法对这些个人访谈的定性数据进行了分析。出现了五个主题：社会支持和关联性、取得成果、医疗保健专业人员的支持、认同和接受新的生活方式以及应对持续的挑战。这些对于维持生活方式的改变和糖尿病自我管理都很重要。改变生活方式可能是一场持续不断的艰难斗争。为了在强化干预后取得可持续的进展，必须让患者采纳和认可这些改变，并将其融入他们的社交环境中。参加运动小组、对管理生活方式调整的信心以及通过持续支持和专业的糖尿病治疗来处理挑战，对于维持和坚持新的生活方式至关重要。
