Scripties UMCG - Rijksuniversiteit Groningen
English | Nederlands

Self-efficacy; a key characteristic in digital coaching on physical activity in type 2 Diabetes Mellitus patients? : Evaluation of Self-efficacy, Coaching And Physical Activity in type 2 Diabetes mEllitus patients (ESCAPADE)

(2017) Tuinstra, N.F.M.

Background – Type 2 diabetes mellitus type 2 (T2DM) often results from obesity and is a major cause of morbidity and mortality worldwide. The inadequate physical activity of T2DM patients is possibly an effect of barriers like insufficient knowledge and lack of motivation. Health behavioural change theories state that competence, or self-efficacy, plays a key role in behavioural change. Coaching on behavioural change is however very labour intensive. Using technology in daily coaching towards behavioural change might be more cost-effective. It is however important to get insight into people’s attitudes towards the actual use of a technical service.
Aim – This study focusses on the level of self-efficacy, a possible relation between self-efficacy and physical activity in T2DM patients and their appreciation for digital coaching.
Method – The cross-sectional study investigated the level of self-efficacy and a possible relation between self-efficacy and physical activity. A total of 35 T2DM patients in the secondary care setting were included by whom self-efficacy and determinants of physical activity during 2 weeks were collected. The longitudinal design evaluated the participants’ appreciation towards daily SMS text messages; 10 patients received 2 SMS text messages per day during 2 weeks, whereby no actions were imposed. Hereafter, they were interviewed on how they valued this intervention.
Results – No clear association is found between self-efficacy and physical activity. Participants positively value daily SMS text messages and this significantly increases their physical activity. Patients with low self-efficacy more often benefit from coaching.
Conclusion – Determining self-efficacy is important in coaching, as this study shows it is mostly people with low self-efficacy that increase their physical activity. T2DM patients have a positive attitude towards daily informational and motivational SMS text messages. More personalized information is desirable though. This should be done by making individual profiles based on physical condition, self-efficacy and educational level.

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