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Can physical activity interventions for adults with type 2 diabetes be translated into practice settings? A systematic review using the RE-AIM framework

  • Systematic review
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Translational Behavioral Medicine

ABSTRACT

Despite the strong evidence base for the efficacy of physical activity in the management of type 2 diabetes, a limited number of physical activity interventions have been translated and evaluated in everyday practice. This systematic review aimed to report the findings of studies in which an intervention, containing physical activity promotion as a component, has been delivered within routine diabetes care. A comprehensive search was conducted for articles reporting process data relating to components of the RE-AIM (Reach, Effectiveness, Adoption, Implementation and/or Maintenance) framework. Twelve studies met the selection criteria. Of the nine studies which measured physical activity as an outcome, eight reported an increase in physical activity levels, five of which were significant. Tailoring recruitment, resources and intervention delivery to the target population played a positive role, in addition to the use of external organisations and staff training. Many interventions were of short duration and lacked long-term follow-up data. Findings revealed limited and inconsistent reporting of useful process data.

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References

  1. Shaw J, Sicree R, Zimmet P. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87: 4-14.

    Article  CAS  PubMed  Google Scholar 

  2. Chudyk A, Petrella R. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care. 2011; 34(5): 1228-1237.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Colberg SR, Sigal RJ, Fernhall B, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement executive summary. Diabetes Care. 2010; 33(12): 2692-2696.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Thomas DR, Elliott EJ, Naughton GA. Exercise for type 2 diabetes mellitus. Cochrane Database Syst Rev. 2006; 3, CD002968.

    PubMed  Google Scholar 

  5. Greaves CJ, Sheppard KE, Abraham C, et al. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Publ Health. 2011; 11: 119.

    Article  Google Scholar 

  6. Kavookjian J, Elswick B, Whetsel T. Interventions for being active amoung individuals with diabetes: a systematic review of the literature. Diabetes Educ. 2010; 33: 962-988.

    Article  Google Scholar 

  7. Kirk AF, Barnett J, Mutrie N. Physical activity consultation for people with type 2 diabetes. Evidence and guidelines. Diabet Med. 2007; 24(8): 809-816.

    Article  CAS  PubMed  Google Scholar 

  8. Scottish Intercollegiate Guidelines Network (SIGN). Management of Diabetes. Edinburgh, UK: SIGN; 2010.

    Google Scholar 

  9. Prochaska JO, Vilicer WF. The transtheoretical model of health behavior change. Am J Heal Promot. 1997; 12(1): 38-48.

    Article  CAS  Google Scholar 

  10. Bandura A. Social cognitive theory. Ann Child Dev. 1989; 6: 1-60.

    Google Scholar 

  11. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2): 191-215.

    Article  CAS  PubMed  Google Scholar 

  12. Avery L, Flynn D, van Wersch A, Sniehotta FF, Trenell MI. Changing physical activity behavior in type 2 diabetes: a systematic review and meta-analysis of behavioral interventions. Diabetes Care. 2012; 35(12): 2681-2689.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Umpierre D, Ribeiro P, Kramer CK, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011; 305(17): 1790-1799.

    Article  CAS  PubMed  Google Scholar 

  14. Estabrooks P, Glasgow R. Translating effective clinic-based physical activity interventions into practice. Am J Prev Med. 2006; 31(4S): S45-S56.

    Article  PubMed  Google Scholar 

  15. Pagoto S. The current state of lifestyle intervention implementation research: where do we go next? Transl Behav Med. 2011; 1: 401-405.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Glasgow R, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA. Behaviour change intervention research in healthcare settings: a review of recent reports with emphasis on external validity. Am J Behav Med. 2002; 23(1): 62-69.

    Google Scholar 

  17. Green L. From research to "best practices" in other settings and populations. Am J Health Behav. 2001; 25(3): 165-178.

    Article  CAS  PubMed  Google Scholar 

  18. Dombrowski S, Sniehotta F, Avenell S. Towards a cumulative science of behaviour change: do current conduct and reporting of behavioural interventions fall short of good practice? Psychol Heal. 2007; 22: 869-874.

    Article  Google Scholar 

  19. Des Jarlais D, Lyles C, Crepaz N, the TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004; 94: 361-366.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Glasgow R, Boles S, Vogt T. Reach Effectiveness Adoption Implementation Maintenance (RE-AIM). [19-Feb-2012]; Available from: www.re-aim.org.

  21. Austin G, Bell T, Caperchione C, Mummery WK. Translating research to practice: using the RE-AIM framework to examine an evidence-based physical activity intervention in primary school settings. Heal Promot Pract. 2011; 12(6): 932-941.

    Article  Google Scholar 

  22. De Meij J, Chinapaw MJM, Kremers SPJ, Van der wal MF, Jurg ME, Van Mechelen W. Promoting physical activity in chidlren: the stepwise development of the primary school-based JUMP-in intervetnion applying the RE-AIM evaluation framework. Br J Sports Med. 2010; 44: 879-887.

    Article  PubMed  Google Scholar 

  23. De Greef KB, Deforche B, Tudor-Locke C, De Bourdeaudhuij I. Increasing physical activity in Belgian type 2 diabetes patients: a three-armed randomized controlled trial. Int J Behav Med. 2011; 18(2): 188-198.

    Article  PubMed  Google Scholar 

  24. Ramadas A, Quek KF, Chan CK, Oldenburg B. Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence. Int J Med Inform. 2011; 80(6): 389-405.

    Article  CAS  PubMed  Google Scholar 

  25. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, et al. PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009; 6(7): e1000100.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Petticrew M, Roberts H. Starting the review: eefining the question and defining the boundaries (Chapter 2). In: Systematic Reviews in the Social Sciences. Oxford, UK: Blackwell Publishing; 2006: 38-43.

    Chapter  Google Scholar 

  27. Shepherd J, Kavanagh J, Picot J, et al. The effectiveness and costeffectiveness of behavioural interventions for the prevention of sexually transmitted infections in young people aged 13–19: a systematic review and economic evaluation. Health Technol Assess. 2010; 14(7): 139-156. Appendix 5.

    Google Scholar 

  28. Bastiaens H, Sunaert P, Wens J, et al. Supporting diabetes self-management in primary care: pilot-study of a group-based programme focusing on diet and exercise. Prim Care Diabetes. 2009; 3(2): 103-109.

    Article  PubMed  Google Scholar 

  29. Clark M, Hampson S, Avery L, Simpson R. Effects of tailored lifestyle self-management intervention in patients with type 2 diabetes. Br J Health Psychol. 2004; 9: 365-379.

    Article  PubMed  Google Scholar 

  30. Eakin EG, Reeves MM, Lawler SP, et al. The Logan Healthy Living Program: a cluster randomized trial of a telephone-delivered physical activity and dietary behavior intervention for primary care patients with type 2 diabetes or hypertension from a socially disadvantaged community — rationale, design and recruitment. Contemp Clin Trials. 2008; 29(3): 439-454.

    Article  PubMed  Google Scholar 

  31. Keyserling TC, Samuel-Hodge CD, Ammerman AS, et al. A randomized trial of an intervention to improve self-care behaviors of African-American women with type 2 diabetes — impact on physical activity. Diabetes Care. 2002; 25(9): 1576-1583.

    Article  PubMed  Google Scholar 

  32. King DK, Estabrooks PA, Strycker LA, Toobert DJ, Bull SS, Glasgow RE. Outcomes of a multifaceted physical activity regimen as part of a diabetes self-management intervention. Ann Behav Med. 2006; 31(2): 128-137.

    Article  PubMed  Google Scholar 

  33. Klug C, Toobert DJ, Fogerty M. Healthy Changes for living with diabetes: an evidence-based community diabetes self-management program. Diabetes Educ. 2008; 34(6): 1053-1061.

    Article  PubMed  Google Scholar 

  34. McKay HG, King D, Eakin EG, Seeley JR, Glasgow RE. The diabetes network Internet-based physical activity intervention — a randomized pilot study. Diabetes Care. 2001; 24(8): 1328-1334.

    Article  CAS  PubMed  Google Scholar 

  35. Osborne C. Development and implementation of a culturally tailored diabetes intervention in primary care. Transl Behav Med. 2011; 1: 468-479.

    Article  Google Scholar 

  36. Plotnikoff RC, Johnson ST, Luchak M, et al. Peer telephone counseling for adults with type 2 diabetes mellitus: a case-study approach to inform the design, development, and evaluation of programs targeting physical activity. Diabetes Educ. 2010; 36(5): 717-729.

    Article  PubMed  Google Scholar 

  37. Richert ML, Webb AJ, Morse NA, O'Toole ML, Brownson CA. Move more diabetes: using lay health educators to support physical activity in a community-based chronic disease self-management program. Diabetes Educ. 2007; 33(Suppl6): 179S-184S.

    Article  PubMed  Google Scholar 

  38. Two-Feathers J, Kieffer EC, Palmisano G, et al. The development, implementation, and process evaluation of the REACH Detroit Partnership's Diabetes Lifestyle Intervention. Diabetes Educ. 2007; 33(3): 509-520.

    Article  Google Scholar 

  39. Unsworth M, Slee R. Evaluation of the Living with Diabetes Program for people with Type 2 diabetes: East Metropolitan Population Health Unit 2001–2002. Perth, Western Australia: East Metropolitan Population Health Unit; 2002.

    Google Scholar 

  40. National Institute for Clinical Excellence. Quick Reference Guide. Preventing Type 2 Diabetes: Population and Community Interventions. London: National Health Service; 2011.

    Google Scholar 

  41. Whittemore R, Melkus G, Wagner J, Dziura J, Northrup V, Grey M. Translating the diabetes prevention program to primary care: a pilot study. Nurs Res. 2009; 58(1): 2-12.

    Article  PubMed Central  PubMed  Google Scholar 

  42. Glasgow RE, Bull SS, Gillette C, Klesges LM, Dzewaltowski DA. Behaviour change intervention research in healthcare settings: a review of recent reports with empahsis on external validity. Am J Prev Med. 2002; 23(1): 62-69.

    Article  PubMed  Google Scholar 

  43. Kahn E, Ramsey L, Brownson R, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med. 2002; 4(Suppl 1): 73-107.

    Article  Google Scholar 

  44. Prince S, Adamo KB, Hamel ME, Hardt J, Gorber SC, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008; 5(56): 1-24.

    Google Scholar 

  45. van Acker R, De Bourdeaudhuij I, De Cocker M, Klesges LM, Cardon G. The impact of disseminating the whole community project '10,000 steps': a RE-AIM analysis. BMC Public Health. 2011; 11(3). doi:10.1186/1471-2458-11-3.

  46. Glasziou P, Chalmers I, Altman DG, et al. Taking healthcare interventions from trial to practice. Br Med J. 2010; 341: c3852.

    Article  Google Scholar 

  47. Jansink R, Braspenning J, van der Weijden T, Elwyn G, Grol R. Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis. BMC Fam Pract. 2010; 11(41): 1-7.

    Google Scholar 

  48. Korkiakangas EE, Alahuhta MA, Laitinen JH. Barriers to regular exercise among adults at high risk or diagnosed with type 2 diabetes: a systematic review. Health Promot Interational. 2009; 24(4): 416-427.

    Article  Google Scholar 

  49. Morrato EH, Hill JO, Wyatt HR, Ghushchyan V, Sullivan PW. Are health care professionals advising patients with diabetes or at risk for developing diabetes to exercise more? Diabetes Care. 2006; 29(3): 543-548.

    Article  PubMed  Google Scholar 

  50. Lindstrom J, Neumann A, Sheppard KE, et al. Take action to prevent diabetes — the IMAGE Toolkit for the prevention of type 2 diabetes in Europe. Horm Metab Res. 2010; 42: S37-S55.

    Article  CAS  PubMed  Google Scholar 

  51. Diabetes Prevention Program. Diabetes Prevention Program: Lifestyle Manual of Operations. 1996. Retrieved 12th December, 2012, from http://www.bsc.gwu.edu/dpp/manuals.htmlvdoc.

  52. van Dam H, van der Horst F, Knoops L, Ryckman R, Crebolder H, van den Borne B. Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ Couns. 2005; 59: 1-12.

    Article  PubMed  Google Scholar 

  53. Fjeldsoe B, Neuhaus M, Winkler E, Eakin E. Systematic review of maintenance of behavior change following physical activity and dietary interventions. Heal Psychol. 2011; 30(1): 99-109.

    Article  Google Scholar 

  54. De Greef K, Deforche B, Tudor-Locke C, De Bourdeaudhuij I. Increasing physical activity in Belgian type 2 diabetes patients: a three-arm randomized controlled trial. Int J Behav Med. 2011; 18(3): 188-198.

    Article  PubMed  Google Scholar 

  55. Negri C, Bacchi E, Morgante S, et al. Supervised walking groups to increase physical activity in type 2 diabetic patients. Diabetes Care. 2010; 33(11): 2333-2335.

    Article  PubMed Central  PubMed  Google Scholar 

  56. Furber S, Monger C, Franco L, et al. The effectiveness of a brief intervention using a pedometer and step-recording diary in promoting physical activity in people diagnosed with type 2 diabetes or impaired glucose tolerance. Health Promot J Aust. 2008; 19: 189-195.

    Google Scholar 

  57. Goode AD, Owen N, Reeves MM, Eakin EG. Translation from research to practice: community dissemination of a telephone-delivered physical activity and dietary behavior change intervention. Am J Heal Promot. 2012; 26(4): 253-259.

    Article  Google Scholar 

  58. Bors P, Dessauer M, Bell R, Wilkerson R, Lee J, Strunk SL. The active living by Design National Program: community initiatives and lessons learned. Am J Prev Med. 2009; 37(6S2): S313-S321.

    Article  PubMed  Google Scholar 

  59. Aittasalo M, Miilunpalo S, Stahl T, Kakkonen-Harjula K. From innovation to practice: initiation, implementation and evaluation of a physician-based physical activity program in Finland. Heal Promot Int. 2007; 22(1): 19-27.

    Article  Google Scholar 

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Acknowledgments

This study was funded by a faculty PhD scholarship from the University of Strathclyde. The authors have no conflict of interest to declare.

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Authors and Affiliations

  1. Physical Activity for Health Research Group, School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland, UK

    Lynsay Matthews MBChB MSc, Alison Kirk PhD, BSc Hnrs & Freya MacMillan BSc Hnrs

  2. Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, Scotland, UK

    Nanette Mutrie PhD, CPsychol, FBASES

Authors
  1. Lynsay Matthews MBChB MSc
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  2. Alison Kirk PhD, BSc Hnrs
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  3. Freya MacMillan BSc Hnrs
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  4. Nanette Mutrie PhD, CPsychol, FBASES
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Corresponding author

Correspondence to Lynsay Matthews MBChB MSc.

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Implications

Policy: Research funding for physical activity in adults with type 2 diabetes should support the translation of interventions focused on long-term behavior change and follow-up.

Research: Given the importance of physical activity promotion in the management of type 2 diabetes, further interventions need to be effectively translated, implemented, evaluated, and consistently reported to inform future sustainable practice.

Practice: Future physical activity interventions should include partnership with relevant external organisations and staff training, in addition to tailoring recruitment, resources and intervention delivery to the target population.

Appendix 1

Appendix 1

Table 4 Systematic review search strategy
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Matthews, L., Kirk, A., MacMillan, F. et al. Can physical activity interventions for adults with type 2 diabetes be translated into practice settings? A systematic review using the RE-AIM framework. Behav. Med. Pract. Policy Res. 4, 60–78 (2014). https://doi.org/10.1007/s13142-013-0235-y

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