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EXPLORING FACTORS THAT INFLUENCE DIABETES EDUCATOR’S PHYSICAL ACTIVITY COUNSELING DURING DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT

Powell, Robert (2015) EXPLORING FACTORS THAT INFLUENCE DIABETES EDUCATOR’S PHYSICAL ACTIVITY COUNSELING DURING DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Abstract

Physical activity (PA) is considered a cornerstone to diabetes management and care. Diabetes educators (DE) come from a variety of health disciplines and are responsible for delivering physical activity counseling to patients during Diabetes Self-Management Education and Support (DSME/S). PURPOSE: The purpose of this study was to identify factors that may influence physical activity counseling during the delivery of DSME/S. METHODS: Pennsylvania DEs were recruited from the State Diabetes Conference and surveyed regarding their: time dedicated to PA counseling; importance placed on PA as a treatment; knowledge of the current PA Guidelines for American Adults (PAGAA); level of confidence with PA counseling; barriers associated with PA counseling. RESULTS: 119 DEs participated in the survey (95.8% female; 94.1% Caucasian; 60.5% nurses; 73.9% Certified Diabetes Educators (CDE)). Mean age was 51.9 ±10.7 years with a mean of 13 ±8.62 years delivering DSME/S. Of the 4 content areas examined during DSME/S (healthy eating, taking medications, monitoring

blood glucose and being active), DEs spent the least amount of time addressing PA during DSME/S (14.5 +12.1 minutes). DEs ranked PA as the 3rd most important treatment modality
behind healthy eating and taking medications but above monitoring blood glucose. Nearly ¾ (74%) of DEs reported the correct PAGAA for moderate intensity aerobic activity. However, only 40.2% of DEs reported knowledge of vigorous intensity aerobic activity with 51% acknowledging resistance training guidelines. Approximately half (54.7%) of DEs reported “very confident” counseling on PA during DSME/S. When examining barriers with PA counseling during DSME/S, DEs ranked “inability to engage patients on PA” as the most challenging personal barrier while “time allotted for DSME/S visits was reported as the greatest challenge to counsel on PA within as a practice barrier. CONCLUSION: DEs have an obligation to discuss PA as a treatment strategy during DSME/S. These data lend credence to the improvement of effective PA counseling within DSME/S delivery.

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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Powell, Robertpowellro@marshall.edu
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairJakicic, Johnjjakicic@pitt.eduJJAKICIC
Committee MemberKriska, Andrea MKriskaA@edc.pitt.eduAKY
Committee MemberRickman, Amyarickman@pitt.eduARICKMAN
Committee MemberSiminerio, Linda Msimineriol@upmc.eduLSI100
Date: 29 January 2015
Date Type: Publication
Defense Date: 1 December 2014
Approval Date: 29 January 2015
Submission Date: 16 January 2015
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 144
Institution: University of Pittsburgh
Schools and Programs: School of Education > Health and Physical Activity
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: Physical Activity, Diabetes, Counseling
Date Deposited: 29 Jan 2015 16:12
Last Modified: 19 Dec 2016 14:42
URI: http://d-scholarship.pitt.edu/id/eprint/23950

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