Efficacy of a computerized simulation in promoting walking in individuals with diabetes.

Journal of Medical Internet Research
Bryan GibsonCharlene Weir

Abstract

Regular walking is a recommended but underused self-management strategy for individuals with type 2 diabetes mellitus (T2DM). To test the impact of a simulation-based intervention on the beliefs, intentions, knowledge, and walking behavior of individuals with T2DM. We compared two versions of a brief narrated simulation. The experimental manipulation included two components: the presentation of the expected effect of walking on the glucose curve; and the completion of an action plan for walking over the next week. Primary hypotheses were (1) intervention participants' walking (minutes/week) would increase more than control participants' walking, and (2) change in outcome expectancies (beliefs) would be a function of the discrepancy between prior beliefs and those presented in the simulation. Secondary hypotheses were that, overall, behavioral intentions to walk in the coming week and diabetes-related knowledge would increase in both groups. Individuals were randomly assigned to condition. Preintervention measures included self-reported physical activity (International Physical Activity Questionnaire [IPAQ] 7-day), theory of planned behavior-related beliefs, and knowledge (Diabetes Knowledge Test). During the narrated simulation...Continue Reading

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Citations

Oct 1, 2013·Public Health·S Antoine-JonvilleO Hue
Mar 10, 2016·Journal of Physical Therapy Science·Tuğba Kuru ÇolakM Gülden Polat
Apr 28, 2017·PLoS Computational Biology·David J AlbersLena Mamykina
Jun 24, 2018·Journal of Medical Internet Research·Ralph M TurnerAndrea R DeVries
Apr 29, 2019··Lena MamykinaMatthew E. Levine

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