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Behavior Change Strategies for Increasing Exercise in Diabetes

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Diabetes and Exercise

Part of the book series: Contemporary Diabetes ((CDI))

Abstract

Diabetes is associated with a variety of adverse health conditions including cardiovascular morbidity and mortality. Sedentary activity is a primary contributor to the rapidly escalating prevalence of prediabetes and diabetes in the United States, and a majority of US adults are not meeting recommended guidelines for exercise. This chapter reviews the available research regarding the influence of daily lifestyle activity and structured exercise on health improvement for persons with diabetes. A number of behavioral prescription recommendations are derived from this literature, and the benefit of utilizing behavioral modification techniques in the development and maintenance of increased exercise efforts is discussed. Examples for using specific behavioral techniques in exercise are provided and environmental challenges to creating large-scale behavioral interventions to promote increases in the public’s activity level are reviewed.

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References

  1. Diabetes Prevention Program Research Group. Reduction in the incidence of Type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002; 346:393–403.

    Google Scholar 

  2. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991–98. JAMA 1999; 282:1519–1522.

    PubMed  CAS  Google Scholar 

  3. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002; 288:1723–1727.

    PubMed  Google Scholar 

  4. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003; 282:76–79.

    Google Scholar 

  5. Jemel A, Ward E, Hao Y, Thun M. Trends in leading causes of death in the United States, 1970–2002. JAMA 2005; 294:1255–1259.

    Google Scholar 

  6. Hu FB, Leitzmann MF, Stampfler MJ, Colditz GA, Willett WC, Rimm EB. Physical activity and television watching in relation to risk of Type 2 diabetes in men. Arch Int Med 2001; 1612:1542–1548.

    Google Scholar 

  7. LaMonte MJ, Blair SN, Church TS. Physical activity and diabetes prevention. J Appl Physiol 2005; 99:1205–1213.

    PubMed  Google Scholar 

  8. King H, Aubert RE, Herman WH. Global burden of diabetes 1995–2025: Prevalence, numerical estimates, and projections. Diabetes Care 1998; 21:1414–1431.

    PubMed  CAS  Google Scholar 

  9. Grundy SM, Benjamin IJ, Burke GL, Chait A, Eckel RH, Howard BV, Mitch W, Smith SCJ, Sowers JR. Diabetes and cardiovascular disease: A statement for healthcare professionals for the American Heart Association. Circulation 1999; 100:1134–1146.

    PubMed  CAS  Google Scholar 

  10. Howard BV, Rodriguez BL, Bennett PH, Harris MI, Hamman R, Kuller LH, Pearson TA, Wylie-Rosett J. Prevention Conference VI: Diabetes and Cardiovascular Disease; Writing Group 1: Epidemiology. Circulation 2002; 105:132–137.

    Google Scholar 

  11. Kriska AM, Saremi A, Hanson RL, Bennett PH, Kobes S, Williams DE, Knowler WC. Physical activity, obesity, and the incidence of Type 2 diabetes in a high risk population. Am J Epidemiol 2003; 158:669–675.

    PubMed  Google Scholar 

  12. Pan XR, Li GW, Hu YH, Wang JX, Yang YW, An ZX, Hu ZX, Lin J, Xiao JZ, Cao HB, Liu PA, Jiang XG, Jiang YY, Wang JP, Zheng H, Zhang H, Bennett PH, Howard BV. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 1997; 20:537–544.

    PubMed  CAS  Google Scholar 

  13. Tuomilehto J, Linstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniem S, Laakso M, Louheranta A, Rastas J, Salminen V, Uusitupa M. Prevention of Type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001; 344:1343–1350.

    PubMed  CAS  Google Scholar 

  14. Bassuk SS, Manson JE. Epidemiological evidence for the role of physical activity in reducing risk of Type 2 diabetes and cardiovascular disease. J Appl Physiol 2005; 99:1193–1204.

    PubMed  Google Scholar 

  15. Boule NG, Kenny GP, Haddad E, Wells GA, Sigal RJ. Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus. Diabetologia 2003; 46:1071–1081.

    PubMed  CAS  Google Scholar 

  16. Ellis SE, Elasy TA, Sigal RJ, Boule NG, Kenny G. Exercise and glycemic control in diabetes. JAMA 2001; 286:2941–2942.

    PubMed  CAS  Google Scholar 

  17. Dunstan DW, Daly RM, Owen N, Jolley D, DeCourten M, Shaw J, Zimmet P. High-intensity resistance training improves glycemic control in older patients with Type 2 diabetes. Diabetes Care 2002; 25:1729–1736.

    PubMed  Google Scholar 

  18. Fritz T, Rosenqvist U. Walking for exercise – Immediate effect on blood glucose levels in Type w diabetes. Scand J Health Care 2001; 19:31–33.

    CAS  Google Scholar 

  19. Weinstein AR, Sesso HD, Min Lee I, Rexrode RM, Cook NR, Manson JE, Buring JE, Gaziano M. The joint effects of physical activity and body mass index on coronary heart disease risk in women. Arch Int Med 2008; 168:884–890.

    Google Scholar 

  20. Jonker JT, DeLaet C, Franco OH, Peeters A, Mackenbach J, Nusselder WJ. Physical activity and life expectance with and without diabetes. Diabetes Care 2006; 29:38–43.

    PubMed  Google Scholar 

  21. Gregg EW, Gerzoff RB, Caspersen CJ, Williamson DF, Narayan KMV. Relationship of walking to mortality among US adults with diabetes. Arch Int Med 2003; 163:1441–1447.

    Google Scholar 

  22. Tanasescu M, Leitzmann MF, Rimm EB, Hu FB. Physical activity in relation to cardiovascular disease and total mortality among men with Type 2 diabetes. Circulation 2003; 107:2435–2439.

    PubMed  Google Scholar 

  23. Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: The evidence. Can Med Assoc J 2006; 174:801–809.

    Google Scholar 

  24. Wei M, Gibbons LW, Kampert JB, Nichaman MZ, Blair SN. Low cardiorespiratory fitness and physical inactivity as predictors of mortality in men with Type 2 diabetes. Ann Intern Med 2000; 132:605–611.

    PubMed  CAS  Google Scholar 

  25. Leitzmann MF, Park Y, Blair A, Ballard-Barbash R, Mouw T, Hollenbeck AR, Shatzkin A. Physical activity recommendations and decreased risk of mortality. Arch Int Med 2007; 167:2453–2460.

    Google Scholar 

  26. Conn VS, Hafdahl AR, Mehr DR, Lemaster JW, Brown SA, Nielsen PJ. Metabolic effects of interventions to increase exercise in adults with type 2 diabetes. Diabetologia 2007; 50:913–921.

    PubMed  CAS  Google Scholar 

  27. DiLoreto C, Fanelli C, Lucidi P, Murdolo G, DeCicco A, Parlanti N, Ranchelli A, Fatone C, Taglioni C, Santeusanio F, DeFeo P. Make your diabetic patients walk: Long term impact of different amounts of physical activity on Type 2 diabetes. Diabetes Care 2005; 28:1295–1302.

    Google Scholar 

  28. Blair SN, Kohl HW, Paffenbarger RS, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality: A prospective study of healthy men and women. JAMA 1989; 262:2395–2401.

    PubMed  CAS  Google Scholar 

  29. Kujala UM, Kaprio J, Sarna S, Koskenvuo M. Relationship of leisure-time physical activity and mortality. JAMA 1998; 279:440–444.

    PubMed  CAS  Google Scholar 

  30. Blair SN, Kampert JB, Kohl HW, Barlow CE, Macera CA, Paffenbarger RS, Gibbons LW. Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA 1996; 276:205–210.

    PubMed  CAS  Google Scholar 

  31. Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C. Physical activity/exercise and Type 2 diabetes. Diabetes Care 2004; 27:2518–2539.

    PubMed  Google Scholar 

  32. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Physical activity and health: A report of the Surgeon General. Atlanta, GA, 1996.

    Google Scholar 

  33. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC. Physical activity and public health: A recommendation for the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273:402–407.

    PubMed  CAS  Google Scholar 

  34. Institute of Medicine of the National Academies of Science. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (micronutrients). Washington DC: National Academy Press, 2002.

    Google Scholar 

  35. Schoenborn CA, Barnes PM. Leisure-time physical activity among adults: United States, 1997–1998. Advance Data from Vital and Health Statistics; No. 325. Hyattsville, MD: National Center for Health Statistics; 2002.

    Google Scholar 

  36. Battle-Horgen K, Brownell KD. Confronting the toxic environment: Environmental and public health actions in a world crisis. In: Wadden TA & Stunkard AJ eds. Handbook of Obesity Treatment. New York: Guilford Press, 2002:95–107.

    Google Scholar 

  37. Hill JO, Peters JR. Environmental contributions to the obesity epidemic. Science 1998; 280:1371–1374.

    PubMed  CAS  Google Scholar 

  38. Wadden TA, Brownell KD, Foster GD. Obesity: Responding to the global epidemic. J Cons Clin Psych 2002; 70:510–525.

    Google Scholar 

  39. Van Dorsten B. Behavioral modification in the treatment of obesity. In: Barnett AH & Kumar S eds. Obesity and diabetes. London: John Wiley & Sons, 2004.

    Google Scholar 

  40. King AC, Brach JS, Belle S, Killingsworth R, Fenton M, Kriska AM. The relationship between convenience of destinations and walking levels in older women. Am J Public Health 2003; 18:74–82.

    Google Scholar 

  41. Owen N, Leslile E, Salmon J, Fotheringham MJ. Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev 2000; 28–153–158.

    PubMed  Google Scholar 

  42. Humpel N, Owen N, Leslile E. Environmental factors associated with adults' participation in physical activity: A review. Am J Prev Med 2002; 22:188–199.

    PubMed  Google Scholar 

  43. Wanko NS, Brazier CW, Young-Rogers D, Dunbar VG, Blyd B, George CD, Rhee MK, El-Kebbi IM, Cook CB. Exercise preferences and barriers in urban African Americans with Type 2 diabetes. Diabetes Educ 2004; 30:502–513.

    PubMed  Google Scholar 

  44. Dubbert PM. Physical activity and exercise: Recent advances and current challenges. J Consult Clin Psychol 2002; 70:526–536.

    PubMed  Google Scholar 

  45. Nielsen Report on Television. New York: Neilsen Media Research, 1998.

    Google Scholar 

  46. Hu FB, Li TY, Colditz GA, Willett WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and Type 2 diabetes mellitus in women. JAMA 2003; 289:1785–1791.

    PubMed  Google Scholar 

  47. Simons-Morton DG, Calfas KJ, Oldenburg B, Burton NW. Effects of interventions in health care settings on physical fitness or cardiorespiratory fitness. Am J Prev Med 1998; 14:413–430.

    Google Scholar 

  48. Shappert SM. National Ambulatory Medical Care Survey: 1991 Summary. 230th ed. Hyattsville, MD: National Center for Health Statistics, 1993.

    Google Scholar 

  49. Godin G, Shephard R. An evaluation of the potential role of the physician in influencing community exercise behavior. Am J Health Promot 1990; 4:225–229.

    Google Scholar 

  50. Preventive Services Task Force. The guide to clinical preventive services. (AHRQ Publication No. 06–0588). Rockville, MD: Agency for Healthcare Research and Quality, 2006.

    Google Scholar 

  51. DiLoreto C, Fanelli C, Lucidi P, Murdolo G, DeCicco A, Parlanti N, Santeusanio F, Brunetti P, DeFeo P. Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by Type 2 diabetes subjects. Diabetes Care 2003; 26:404–408.

    Google Scholar 

  52. Kushner RF. Barriers to providing nutrition counseling by physicians: A survey of primary care practitioners. Prev Med 1995; 24:546–552.

    PubMed  CAS  Google Scholar 

  53. Wells KB, Lewis CE, Leake B, Ware JE. Do physicians preach what they practice? A study of physicians' health habits and counseling practices. JAMA 1984; 252:2846–2848.

    PubMed  CAS  Google Scholar 

  54. Lewis CE, Clancy C, Leake B, Schwartz JS. The counseling practices of internists. Ann Intern Med 1991; 114:54–58.

    PubMed  CAS  Google Scholar 

  55. Wee CC. Physical activity counseling in primary care: The challenge of effecting behavioral change. JAMA 2001; 286:717–719.

    PubMed  CAS  Google Scholar 

  56. Dunn AL, Anderson RE, Jakicic JM. Lifestyle physical activity interventions: History, short and long-term effects and recommendations. Am J Prev Med 1998; 15:398–412.

    PubMed  CAS  Google Scholar 

  57. Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl HW, Blair SN. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: A randomized trial. JAMA 1999; 281:327–334.

    PubMed  CAS  Google Scholar 

  58. Anderson RE, Wadden TA, Bartlett SJ, Zemel B, Verde TJ, Franckowiak SC. Effects of lifestyle activity vs. structured aerobic exercise in obese women: A randomized trial. JAMA 1999; 281:335–340.

    Google Scholar 

  59. Brill JB, Perry AC, Parker L, Robinson A, Burnett K. Dose-response effect of walking exercise on weight loss. How much is enough? Int J Obes 2002; 26:1484–1493.

    Google Scholar 

  60. Jakicic JM, Marcus BH, Gallagher KI, Napolitano M, Lang W. Effect of exercise duration and intensity on weight loss in overweight, sedentary women. JAMA 2003; 290:1323–1330.

    PubMed  CAS  Google Scholar 

  61. Blair SN, LaMonte MJ, Nichaman MZ. The evolution of physical activity recommendations: How much is enough? Am J Clin Nutr 2004; 79(Suppl):913S-920S.

    PubMed  CAS  Google Scholar 

  62. SoJung L, Kuk, JL, Davidson LE, Hudson, R., Kilpatrick K, Graham TE, Ross R. Exercise without weight loss is an effective strategy for obesity reduction in obese individuals with and without type 2 diabetes. J Appl Physiol 2005; 99:1220–1225.

    Google Scholar 

  63. Jakicic JM. Exercise in the treatment of obesity. Endocrinol Metab Clin North Am 2003; 32:967–980.

    PubMed  Google Scholar 

  64. Snowling NJ, Hopkins WG. Effects of different modes of exercise training on glucose control and risk factors for complications in Type 2 diabetic patients: A meta-analysis. Diabetes Care 2006; 29:2518–2527.

    PubMed  Google Scholar 

  65. Praet SFE, van Loon LJC. Exercise: The brittle cornerstone of type 2 diabetes treatment. Diabetologia 2008; 51:398–401.

    PubMed  CAS  Google Scholar 

  66. Simmons RK, Griffin LJ, Steele R, Wareham NJ, Ekelund U. Increasing overall physical activity and aerobic fitness is associated with improvements in metabolic risk: Cohort analysis of the ProActive trial. Diabetologia 2008; 51:787–794.

    PubMed  CAS  Google Scholar 

  67. Boule NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Effects of exercise on glycemic control and body mass in Type 2 diabetes mellitus: A meta-analysis of controlled clinical trials. JAMA 2001; 286:1218–1227.

    PubMed  CAS  Google Scholar 

  68. DeBusk RF, Stenestrand U, Sheehan M, Haskell WL. Training effects of long versus short bouts of exercise in healthy subjects. Am J Cardiol 1990; 15:1010–1013.

    Google Scholar 

  69. Jakicic JM, Wing RR, Butler BA, Robertson RJ. Prescribing exercise in multiple short bouts versus one continuous bout: Effects of adherence, cardiovascular fitness, and weight loss in overweight women. Int J Obes Relat Metab Disord 1995; 19:893–901.

    PubMed  CAS  Google Scholar 

  70. Jakicic JM, Winters C, Lang W, Wing RR. Effects of intermittent exercise and use of home exercise equipment on adherence, weight loss and fitness in overweight women. JAMA 1999; 282:1554–1560.

    PubMed  CAS  Google Scholar 

  71. Schmidt WD, Biwer CJ, Kalscheuer LK. Effects of long versus short bout exercise on fitness and weight loss in overweight females. J Am Coll Nutr 2001; 20:494–501.

    PubMed  CAS  Google Scholar 

  72. American College of Sports Medicine. Exercise and type 2 diabetes. Med Sci Sport Exer 2000; 32:1345–1360.

    Google Scholar 

  73. Schneider SH, Amorosa LF, Khachadurian AK, Ruderman NB. Studies on the mechanism of improved glucose control during regular exercise in type 2 diabetes. Diabetologia 1984; 26:325–360.

    Google Scholar 

  74. Borghouts LB, Keizer HA. Exercise and insulin sensitivity: A review. Int J Sports Med 1999; 20:1–12.

    Google Scholar 

  75. Perseghin G, Price TB, Falk Petersen K, Roden M, Cline GW, Gerow K, Rothman DL, Shulman GI. Increased glucose transport-phosphorylation and muscle glycogen synthesis after exercise training in insulin-resistant subjects. N Engl J Med 1996; 335:1357–1362.

    PubMed  CAS  Google Scholar 

  76. Mikines KJ, Sonne B, Farrell PA, Tronier B, Galbo H. Effect of physical exercise on sensitivity and responsiveness to insulin in humans. Am J Physiol 1988; 254:248–259.

    Google Scholar 

  77. Hu FB, Sigal RJ, Rich-Edwards JW, Colditz GA, Solomon CG, Willett WC, Speizer FE, Manson JE. Walking compared with vigorous physical activity and risk of type 2 diabetes in women. JAMA 1999; 282:1433–1439.

    PubMed  CAS  Google Scholar 

  78. Kazdin AE. Behavioral Modification in Applied Settings. Pacific Grove, CA: Brooks/Cole Publishing Company, 1994.

    Google Scholar 

  79. Miltenberger RG. Behavior Modification: Principles and Procedures. Pacific Grove, CA: Brooks/Cole Publishing Company, 1997.

    Google Scholar 

  80. American Diabetes Association. Diabetes mellitus and exercise. Diabetes Care 1997; 20:1908–1912.

    Google Scholar 

  81. Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomized controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. Lancet 2004; 363:1589–1597.

    PubMed  Google Scholar 

  82. Ridgeway NA, Harvill DR, Harvill LM, Falin TM, Forester GM, Gose OD. Improved glycemic control of type 2 diabetes mellitus: A practical education/behavior modification program in a primary care clinic. South Med J 1999; 92:667–672.

    PubMed  CAS  Google Scholar 

  83. Kosaka K, Noda M, Kuzuya T. Prevention of Type 2 diabetes by lifestyle intervention: A Japanese trial in IGT males. Diabetes Res Clin Pract 2005; 67:152–162.

    PubMed  Google Scholar 

  84. Blair SN, Leermakers EA. Exercise and weight management. In: Wadden TA & Stunkard AJ eds. Handbook of Obesity Treatment. New York: Guilford Press, 2002:283–300.

    Google Scholar 

  85. Brownell KD, Marlatt GA, Lichtenstein E, Wilson GT. Understanding and preventing relapse. Am Psychol 1986; 41:765–782.

    PubMed  CAS  Google Scholar 

  86. Brown S. Interventions to promote diabetes self-management: State of the science. Diabetes Educ 1999; 25:52–61.

    PubMed  CAS  Google Scholar 

  87. Gary TL, Genkinger JM, Guallar E, Peyrot M, Brancatti FL. Meta-analysis of randomized educational and behavioral interventions in Type 2 diabetes. Diabetes Educ 2003; 29:488–501

    PubMed  Google Scholar 

  88. Sherwood NE, Jeffery RW. The behavioral determinants of exercise: Implications for physical activity interventions. Annu Rev Nutr 2000; 20:21–44.

    PubMed  CAS  Google Scholar 

  89. Steed L, Cooke D, Newman S. A systematic review of psychosocial outcomes following education, self-management and psychological interventions in diabetes mellitus. Patient Educ Couns 2003; 51:5–15.

    PubMed  Google Scholar 

  90. Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in Type 2 diabetes: A systematic review of randomized clinical trials. Diabetes Care 2001; 24:561–587.

    PubMed  CAS  Google Scholar 

  91. Norris SL, Zhang X, Avenell A., Gregg E, Bowman B, Serdula M, Brown TJ, Schmid CH, Lau J. Long-term effectiveness of lifestyle and behavioral weight loss interventions in adults with Type 2 diabetes: A meta-analysis. Am J Med 2004; 117:762–774.

    PubMed  Google Scholar 

  92. Prochaska JL, DiClemente CC, Norcross JC. In search of how people change: Applications to addictive behaviors. Am Psychol 1992; 47:1102–1114.

    PubMed  CAS  Google Scholar 

  93. Prochaska JL, Redding C, Evers K. The transtheoretical model of behavioral change. In: Glanz K, Lewis FM & Rimer BK eds. Health Behavior and Health Education: Theory, Research and Practice. 2nd ed. San Francisco: Jossey Bass, 1994:60–84.

    Google Scholar 

  94. Spencer L, Adams TB, Malone S, Roy L, Yost E. Applying the transtheoretical model to exercise: A systematic and comprehensive review of the literature. Health Promot Pract 2006; 7:428–433.

    PubMed  Google Scholar 

  95. Fahrenwald NL, Walker SN. Application of the transtheoretical model of behavior change to the physical activity behavior of the WIC mothers. Publ Health Nurs 2003; 20:307–317.

    Google Scholar 

  96. Cowan R, Logue E, Milo L, Britton PJ, Smucker W. Exercise stage of change and self-efficacy in primary care: Implications for intervention. J Clin Psychol Med Settings 1997; 4:295–311.

    Google Scholar 

  97. McAuley E. The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults. J Behav Med 1992; 15:65–88.

    PubMed  CAS  Google Scholar 

  98. McAuley E, Jacobson L. Self-efficacy and exercise participation in sedentary adult fremales. Am J Health Promot 1991; 5:185–191.

    PubMed  CAS  Google Scholar 

  99. Marcus BH, Rakowski W, Rossi JS. Assessing motivational readiness and decision making for exercise. Health Psychol 1992; 11:257–261.

    PubMed  CAS  Google Scholar 

  100. Marcus BH, Eaton CA, Rossi JS, Harlow LL. Self-efficacy, decision making, and stages of change: An integrative model of physical exercise. J Appl Soc Psychol 1994; 94:489–508.

    Google Scholar 

  101. Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change Addictive Behavior. New York: Guilford Press, 1991.

    Google Scholar 

  102. Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. 2nd ed. New York: Guilford Press, 2002.

    Google Scholar 

  103. Stott NCH, Pill RM. “Advise yes, dictate no”: Patient's views on health promotion in consultation. Fam Pract 1990; 7:125–131.

    PubMed  CAS  Google Scholar 

  104. Hettema J, Steele J, Miller WR. Motivational interviewing. Annu Rev Clin Psychol 2005; 1:91–111.

    PubMed  Google Scholar 

  105. Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. J Consult Clin Psychol 2003; 71:843–861.

    PubMed  Google Scholar 

  106. Harland J, White M, Drinkwater C, Chinn D, Farr L, Howel D. The Newcastle exercise project: A randomized controlled trial of methods to promote physical activity in primary care. BMJ 1999; 319:828–832.

    PubMed  CAS  Google Scholar 

  107. Brodie DA, Inoue A. Motivational interviewing to promote physical activity for people with chronic heart failure. J Adv Nurs 2005; 50:518–527.

    PubMed  Google Scholar 

  108. Jones KD, Burchhardt CS, Bennett JA. Motivational interviewing may encourage exercise in persons with fibromyalgia by enhancing self efficacy. Arthritis Rheum 2004; 51:864–867.

    PubMed  Google Scholar 

  109. Scales R, Miller JH. Motivational techniques for improving compliance with an exercise program: Skills for primary care physicians. Curr Sports Med Rep 2003; 2:166–172.

    PubMed  Google Scholar 

  110. DiLillo V, Siegfried NJ, Smith-West D. Incorporating motivational interviewing into behavioral obesity treatment. Cogn Behav Pract 2003; 10:120–130.

    Google Scholar 

  111. Smith D, Heckemeyer C, Kratt P, Mason D. Motivational interviewing to improve adherence to a behavioral weight-control program for older obese women with NIDDM. Diabetes Care 1997; 20:52–58.

    PubMed  CAS  Google Scholar 

  112. Van Dorsten B. The use of motivational interviewing in weight loss. Curr Diab Rep 2007; 7:386–390.

    PubMed  Google Scholar 

  113. Rollnick S, Mason P, Butler C. Health behavior change: A guide for practitioners. London: Churchill Livingstone, 1999.

    Google Scholar 

  114. Lincour P, Kuettel TJ, Bombardier DH. Motivational interviewing in a group setting with mandated clients: A pilot study. Addict Behav 2002; 27:381–391.

    PubMed  Google Scholar 

  115. Van Horn DHA, Bux D. A pilot test of motivational interviewing groups for dually diagnosed inpatients. J Subst Abuse Treat 2001; 20:191–195.

    PubMed  CAS  Google Scholar 

  116. Santa Ana EJ, Wulfert E, Neitart PJ. Efficacy of group motivational interviewing (GMI) for psychiatric inpatients with chemical dependency. J Consult Clin Psychol 2008; 75:816–822.

    Google Scholar 

  117. Ingersoll KS, Wagner CC, Gharib S. Motivational groups for community substance abuse programs. Richmond VA: Mid-Atlantic Addiction Technology Transfer Center, Virginia Commonwealth University, 2000.

    Google Scholar 

  118. Padgett D, Mumford E, Hynes M, Carter R. Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus. J Clin Epidemiol 1988; 41:1007–1030.

    PubMed  CAS  Google Scholar 

  119. Irwin ML, Ainsworth BE, Conway JM. Estimation of energy expenditure from physical activity measures: Determinants of accuracy. Obes Res 2001; 9:517–525.

    PubMed  CAS  Google Scholar 

  120. Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB. Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med 1992; 327:1893–1898.

    PubMed  CAS  Google Scholar 

  121. Ureda JR. The effect of contract witnessing on motivation and weight loss in a weight control program. Health Educ Quart 1980; 7:163–184.

    CAS  Google Scholar 

  122. Zandee GL, Oermann MH. Effectiveness of contingency contracting. Am Assoc Occup Health Nurs J 1996; 44:183–188.

    CAS  Google Scholar 

  123. Beck AT, Weishar M. Cognitive therapy. In: Freeman A, Simon KM, Beutler LE & Arkowitz H eds. Comprehensive Handbook of Cognitive Therapy. New York: Plenum Publishing Company, 1989.

    Google Scholar 

  124. Wing RR, Jeffrey RM. Benefits of recruiting participants with friends and increasing social support for weight loss maintenance. J Consult Clin Psychol 1999; 67:132–138.

    PubMed  CAS  Google Scholar 

  125. Wallace JP, Raglin JS, Jastremski CA. Twelve month adherence of adults who joined a fitness program with a spouse vs without a spouse. J Sports Med Phys Fitness 1995; 35:206–213.

    PubMed  CAS  Google Scholar 

  126. Brekke HK, Jansson PA, Mansson JE, Lenner RA. Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with Type 2 diabetes. J Am Diet Assoc 2003; 103:835–843.

    PubMed  Google Scholar 

  127. Dishman RK. Overview. In: Dishman R. ed. Exercise Adherence. City, IL: Human Kinetics, 1988.

    Google Scholar 

  128. Carmody TP, Senner JW, Manilow MR, Matarazzo, JD. Physical exercise rehabilitation: Long term dropout rate in cardiac patients. J Behav Med 1980; 3:163–168.

    PubMed  CAS  Google Scholar 

  129. Sallis JF, Haskell WL, Fortmann SP, Vranizan KM, Taylor CB, Solomon DS. Predictors of adoption and maintenance of physical activity in a community sample. Prev Med 1986; 15:331–341.

    PubMed  CAS  Google Scholar 

  130. Marlatt GA, Gordon JR. Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press, 1985.

    Google Scholar 

  131. Perri MG, McAdoo WG, McAllister DA, Lauer JB, Jordan RC, Yancey DZ, Nezu AM. Effects of peer support and therapist contact on long term weight loss. J Consult Clin Psychol 1987; 55:615–617.

    PubMed  CAS  Google Scholar 

  132. Perri MG, McAdoo WG, McAllister DA, Lauer JB, Yancey DZ. Enhancing the efficacy of behavior therapy for obesity: Effects of aerobic exercise and a multi-component maintenance program. J Consult Clin Psychol 1986; 54:670–675.

    PubMed  CAS  Google Scholar 

  133. Lindstrom LL, Balch P, Reese S. In person versus telephone treatment for obesity. J Behav Ther Exp Psychiatry 1976; 7:367–369.

    Google Scholar 

  134. Tate DF, Jackvony EH, Wing RR. Effects of internet behavioral counseling on weight loss in adults at risk for type 2 diabetes. JAMA 2003; 289:1833–1836.

    PubMed  Google Scholar 

  135. Jeffrey RW, Bjornson-Benson WM, Rosenthal BS, Kurth CL, Dunn MM. Effectiveness of monetary contracts with two repayment schedules on weight reduction in men and women from self-referred and population samples. Behav Ther 1984; 15:273–279.

    Google Scholar 

  136. Jeffrey RW, Wing RR, Thorson C, Burton LR. Use of personal trainers and financial incentives to increase exercise in a behavioral weight loss program. J Consult Clin Psychol 1998; 66:777–783.

    Google Scholar 

  137. Brownell KD, Yopp-Cohen R, Stunkard AJ, Felix MRJ, Cooley NB. Weight loss competitions at the work site: Impact on weight, morale, and cost-effectiveness. Am J Pub Health 1984; 74:1283–1285.

    CAS  Google Scholar 

  138. Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care: Helping patient's change behavior. New York: Guilford Press, 2008.

    Google Scholar 

  139. Wing RR, Goldstein MG, Action KJ, Birch LL, Jakicic JM, Sallis JF, Smith-West D, Jeffrey RW, Surwit RS. Behavioral science research in diabetes. Diabetes Care 2001; 24:117–123.

    PubMed  CAS  Google Scholar 

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Dorsten, B. (2009). Behavior Change Strategies for Increasing Exercise in Diabetes. In: Regensteiner, J.G., Reusch, J.E., Stewart, K.J., Veves, A. (eds) Diabetes and Exercise. Contemporary Diabetes. Humana Press. https://doi.org/10.1007/978-1-59745-260-1_10

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