Physical activity-related experiences, counseling expectations, personal responsibility, and altruism among urban African American women with type 2 diabetes.

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  • Author(s): Miller ST;Miller ST; Marolen K; Marolen K
  • Source:
    The Diabetes educator [Diabetes Educ] 2012 Mar-Apr; Vol. 38 (2), pp. 229-35.
  • Publication Type:
    Journal Article; Research Support, N.I.H., Extramural
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Sage Publications, Country of Publication: United States NLM ID: 7701401 Publication Model: Print Cited Medium: Internet ISSN: 1554-6063 (Electronic) Linking ISSN: 01457217 NLM ISO Abbreviation: Diabetes Educ
    • Publication Information:
      Publication: Thousand Oaks, Calif. : Sage Publications, : American Assn. of Diabetes Educators
      Original Publication: Chicago, American Assn. of Diabetes Educators.
    • Subject Terms:
      Altruism* ; Counseling* ; Motor Activity*; Black or African American/*statistics & numerical data ; Diabetes Mellitus, Type 2/*psychology ; Health Promotion/*methods ; Self Care/*psychology ; Urban Population/*statistics & numerical data; Adult ; Attitude to Health ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/ethnology ; Exercise/psychology ; Female ; Focus Groups ; Humans ; Life Style ; Middle Aged ; Motivation ; Patient Education as Topic ; Patient Satisfaction/statistics & numerical data ; Personal Autonomy ; Social Responsibility ; United States/epidemiology ; Women's Health
    • Abstract:
      Purpose: The purpose of this study was to explore physical activity-related experiences, perceptions, and counseling expectations among urban, underactive, African American women with type 2 diabetes.
      Methods: Participants were recruited via flyers and endocrinologist referral. A professional, African American female moderator led 2 focus groups among 11 participants. Focus groups were conducted in a video- and audio-equipped focus group room in the evening hours. Using a content-based, stepped analytic approach, 2 raters independently analyzed data and collaborated to compare results and finalize themes.
      Results: Competing priorities and lack of motivation were perceived as significant barriers to physical activity. Physical activity-related counseling expectations (ie, physician encouragement) and experiences (physician advising) were inconsistent. Participants expressed a high degree of physical activity-related health responsibility. Altruistic intentions were high relative to helping others incorporate healthful lifestyle changes.
      Conclusions: When counseling women about physical activity, diabetes educators should acknowledge and provide support and resources to help women incorporate more physical activity into their regular routines and enhance motivation for physical activity. Educators should also couple physical activity-related advice with encouragement and support. Because of high levels of altruism, educators should consider implementing group- and/or peer-based physical activity interventions in this patient group.
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    • Grant Information:
      P30 DK092986 United States DK NIDDK NIH HHS; K12 HD043483-05 United States HD NICHD NIH HHS; P20 RR011792 United States RR NCRR NIH HHS; K12 HD043483 United States HD NICHD NIH HHS; P20RR011792-10 United States RR NCRR NIH HHS
    • Publication Date:
      Date Created: 20120329 Date Completed: 20120614 Latest Revision: 20240610
    • Publication Date:
      20240610
    • Accession Number:
      PMC3718393
    • Accession Number:
      10.1177/0145721712437558
    • Accession Number:
      22454407