Barriers to Physical Activity in People with Type 2 Diabetes Mellitus Enrolled in a Worksite Disease Management Program

Thursday, 16 July 2009: 2:25 PM

Deborah L. Erickson, PhD, RN
Department of Nursing, Bradley University, Peoria, IL

Learning Objective 1: describe program charactistics of a worksite diabetes disease management program.

Learning Objective 2: identify barriers to physical activity experienced by people with type 2 diabetes.

Purpose: The purpose of this study was to explore the stage of change for moderate intensity physical activity and identify barriers to obtaining moderate intensity physical activity in participants with type 2 diabetes mellitus enrolled in a worksite diabetes disease management program.

Methods: Using a descriptive, cross-sectional, correlational research design, 600 participants of a worksite diabetes disease management program who met the study's inclusion criteria were recruited to participate in a study. 75 participants returned study materials that coud be used for analysis. 

Results: Study participants were primarily male (77.3%), Caucasian (90.7%), had some college education or a college degree (84%), and were employed or retired from management positions (50.6%). Independent sample t-tests were conducted to analyze the data. Participants who chose to work on physical activity as part of their diabetes self-management had a higher stage of change for physical activity (p=.02) and participated in more general (p=.034) and specific (p=.016) physical activity than those participants who did not choose to work on physical activity. Participants who were active reported fewer barriers to physical activity (p<.001) than those participants in the inactive group.

Conclusion: Participants who chose to work on physical acitivty participated in more general and specific physical activity and had a higher stage of change for physical activity. Stage of change impacts physical activity. While results provide support for the stage of change construct of the transtheoretical model of change, the results do not support that the worksite diabetes management program assisted participants in achieving their physical activity goals.