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
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-TUR...
Gespeichert in:
| Veröffentlicht in: | International journal of environmental research and public health 2020-10, Vol.17 (20), p.7454 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 20 |
| container_start_page | 7454 |
| container_title | International journal of environmental research and public health |
| container_volume | 17 |
| creator | Schmidt, Sabrina K Hemmestad, Liv MacDonald, Christopher S Langberg, Henning Valentiner, Laura S |
| description | 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. |
| doi_str_mv | 10.3390/ijerph17207454 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7602059</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2635371729</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-5a893e1a3f7ac137738ba6b3f8f63f2eba3a6adb87617ad93396c5f5d6a630f33</originalsourceid><addsrcrecordid>eNpVUUtv1DAQjhCIlsKVI7LEBQ4pdiaxEw5IZXlV2vLMnq1JYm-8Su3FdhbtP-Pn4VVLtT1Ytma-x4y_LHvO6DlAQ9-YjfLbkYmCirIqH2SnjHOal5yyh0fvk-xJCBtKoS558zg7AaCcF9CcZn-vXDQ7jMZZgnYg79F7o3wg0ZErNDamY-yaLI1WIe4nRRYj2rUKxFjyPfGUjYH8MXEk7X6rSEE-GOxUTADUUfkkSi5tVDaYnTpSOdT8LpEPxq_aUZFV3q5-fiWtNzi9fksuyNLZtYnzYCxO5MeMk4nJL6n8SsX90-yRximoZ7f3Wbb69LFdfMmX3z5fLi6WeV-yOuYV1g0ohqAF9gyEgLpD3oGuNQddqA4BOQ5dLTgTODTpU3lf6WrgyIFqgLPs3Y3udu6u1dCnkT1OcuvNNfq9dGjk_Y41o1y7nRScFrRqksDLWwHvfs9pfblxs087BVlwqECk8A6o8xtU710IXuk7B0blIWl5P-lEeHE81x38f7TwD4GVqX0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2635371729</pqid></control><display><type>article</type><title>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</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>PubMed Central Open Access</source><creator>Schmidt, Sabrina K ; Hemmestad, Liv ; MacDonald, Christopher S ; Langberg, Henning ; Valentiner, Laura S</creator><creatorcontrib>Schmidt, Sabrina K ; Hemmestad, Liv ; MacDonald, Christopher S ; Langberg, Henning ; Valentiner, Laura S</creatorcontrib><description>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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17207454</identifier><identifier>PMID: 33066239</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adaptation, Psychological ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - diet therapy ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Diet ; Exercise ; Female ; Humans ; Intervention ; Interviews ; Interviews as Topic ; Life Style ; Lifestyles ; Longitudinal Studies ; Male ; Motivation ; Patients ; Physical fitness ; Qualitative analysis ; Qualitative Research ; Self Care ; Social interactions ; Social Support</subject><ispartof>International journal of environmental research and public health, 2020-10, Vol.17 (20), p.7454</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-5a893e1a3f7ac137738ba6b3f8f63f2eba3a6adb87617ad93396c5f5d6a630f33</citedby><cites>FETCH-LOGICAL-c418t-5a893e1a3f7ac137738ba6b3f8f63f2eba3a6adb87617ad93396c5f5d6a630f33</cites><orcidid>0000-0003-3928-3645 ; 0000-0001-7261-5950</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602059/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602059/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33066239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmidt, Sabrina K</creatorcontrib><creatorcontrib>Hemmestad, Liv</creatorcontrib><creatorcontrib>MacDonald, Christopher S</creatorcontrib><creatorcontrib>Langberg, Henning</creatorcontrib><creatorcontrib>Valentiner, Laura S</creatorcontrib><title>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</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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.</description><subject>Adaptation, Psychological</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - diet therapy</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diet</subject><subject>Exercise</subject><subject>Female</subject><subject>Humans</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Interviews as Topic</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Motivation</subject><subject>Patients</subject><subject>Physical fitness</subject><subject>Qualitative analysis</subject><subject>Qualitative Research</subject><subject>Self Care</subject><subject>Social interactions</subject><subject>Social Support</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpVUUtv1DAQjhCIlsKVI7LEBQ4pdiaxEw5IZXlV2vLMnq1JYm-8Su3FdhbtP-Pn4VVLtT1Ytma-x4y_LHvO6DlAQ9-YjfLbkYmCirIqH2SnjHOal5yyh0fvk-xJCBtKoS558zg7AaCcF9CcZn-vXDQ7jMZZgnYg79F7o3wg0ZErNDamY-yaLI1WIe4nRRYj2rUKxFjyPfGUjYH8MXEk7X6rSEE-GOxUTADUUfkkSi5tVDaYnTpSOdT8LpEPxq_aUZFV3q5-fiWtNzi9fksuyNLZtYnzYCxO5MeMk4nJL6n8SsX90-yRximoZ7f3Wbb69LFdfMmX3z5fLi6WeV-yOuYV1g0ohqAF9gyEgLpD3oGuNQddqA4BOQ5dLTgTODTpU3lf6WrgyIFqgLPs3Y3udu6u1dCnkT1OcuvNNfq9dGjk_Y41o1y7nRScFrRqksDLWwHvfs9pfblxs087BVlwqECk8A6o8xtU710IXuk7B0blIWl5P-lEeHE81x38f7TwD4GVqX0</recordid><startdate>20201013</startdate><enddate>20201013</enddate><creator>Schmidt, Sabrina K</creator><creator>Hemmestad, Liv</creator><creator>MacDonald, Christopher S</creator><creator>Langberg, Henning</creator><creator>Valentiner, Laura S</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3928-3645</orcidid><orcidid>https://orcid.org/0000-0001-7261-5950</orcidid></search><sort><creationdate>20201013</creationdate><title>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</title><author>Schmidt, Sabrina K ; Hemmestad, Liv ; MacDonald, Christopher S ; Langberg, Henning ; Valentiner, Laura S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-5a893e1a3f7ac137738ba6b3f8f63f2eba3a6adb87617ad93396c5f5d6a630f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adaptation, Psychological</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - diet therapy</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diet</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Intervention</topic><topic>Interviews</topic><topic>Interviews as Topic</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Motivation</topic><topic>Patients</topic><topic>Physical fitness</topic><topic>Qualitative analysis</topic><topic>Qualitative Research</topic><topic>Self Care</topic><topic>Social interactions</topic><topic>Social Support</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmidt, Sabrina K</creatorcontrib><creatorcontrib>Hemmestad, Liv</creatorcontrib><creatorcontrib>MacDonald, Christopher S</creatorcontrib><creatorcontrib>Langberg, Henning</creatorcontrib><creatorcontrib>Valentiner, Laura S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmidt, Sabrina K</au><au>Hemmestad, Liv</au><au>MacDonald, Christopher S</au><au>Langberg, Henning</au><au>Valentiner, Laura S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-10-13</date><risdate>2020</risdate><volume>17</volume><issue>20</issue><spage>7454</spage><pages>7454-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33066239</pmid><doi>10.3390/ijerph17207454</doi><orcidid>https://orcid.org/0000-0003-3928-3645</orcidid><orcidid>https://orcid.org/0000-0001-7261-5950</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1660-4601 |
| ispartof | International journal of environmental research and public health, 2020-10, Vol.17 (20), p.7454 |
| issn | 1660-4601 1661-7827 1660-4601 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7602059 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Adaptation, Psychological Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - diet therapy Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Diet Exercise Female Humans Intervention Interviews Interviews as Topic Life Style Lifestyles Longitudinal Studies Male Motivation Patients Physical fitness Qualitative analysis Qualitative Research Self Care Social interactions Social Support |
| title | 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 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T19%3A13%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Motivation%20and%20Barriers%20to%20Maintaining%20Lifestyle%20Changes%20in%20Patients%20with%20Type%202%20Diabetes%20after%20an%20Intensive%20Lifestyle%20Intervention%20(The%20U-TURN%20Trial):%20A%20Longitudinal%20Qualitative%20Study&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Schmidt,%20Sabrina%20K&rft.date=2020-10-13&rft.volume=17&rft.issue=20&rft.spage=7454&rft.pages=7454-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph17207454&rft_dat=%3Cproquest_pubme%3E2635371729%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2635371729&rft_id=info:pmid/33066239&rfr_iscdi=true |