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Type 2 Diabetes and Dog Walking : Patients' Longitudinal Perspectives About Implementing and Sustaining Physical Activity

Peel, Elizabeth and Douglas, M. and Parry, O. and Lawton, J. (2010) Type 2 Diabetes and Dog Walking : Patients' Longitudinal Perspectives About Implementing and Sustaining Physical Activity. British Journal of General Practice, 60 (577). pp. 570-557. ISSN 0960-1643

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Abstract

Background - Physical activity is particularly important for people with type 2 diabetes, as evidence suggests that any reduction in sedentary time is good for metabolic health. Aim - To explore type 2 diabetes patients' talk about implementing and sustaining physical activity. Design of study - Longitudinal, qualitative study using repeat in-depth interviews with 20 patients over 4 years following clinical diagnosis. Setting - Patients were recruited from 16 general practices and three hospitals across Lothian, Scotland. Results - Discussion, and salience, of physical activity was marginal in patient accounts of their diabetes management. Patients claimed to have only received vague and non-specific guidance about physical activity from health professionals, and emphasised a perceived lack of interest and encouragement. Aside from walking, physical activities which were adopted tended to attenuate over time. Patients' accounts revealed how walking a dog assisted this kind of activity maintenance over time. Three main themes are highlighted in the analysis: 1) incidental walking; 2) incremental physical activity gains; and 3) augmenting physical activity maintenance. The problems arising from walking without a dog (for example, lack of motivation) are also examined. Conclusion - Asking patients about pet preferences might seem tangential to medical interactions. However, encouraging dog walking or identifying another interest that promotes a regular commitment to undertake physical activity may yield long-term health benefits.

Item Type: Article
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Uncontrolled Keywords: adult, aged, animals, type 2 diabetes mellitus, dogs, exercise, female, humans, male, middle aged, Scotland, socioeconomic factors, walking, behaviour change, type 2 diabetes, qualitative study, physical activity, patients' perspectives
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Academic Departments > Institute of Health and Society
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Depositing User: Elizabeth Peel
Date Deposited: 24 Oct 2013 11:03
Last Modified: 22 Mar 2016 17:03
URI: https://eprints.worc.ac.uk/id/eprint/2564

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