Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care
Background: Physical activity (PA) is important in the management of type 2 diabetes (T2DM), however many people find it difficult to implement and/or sustain in the self-management of the condition. Electrically assisted cycling (e-cycling) may be viewed as a means of self-management in which effor...
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| Format: | Article |
| Language: | English |
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Royal College of General Practitioners
2019-01-01
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| Series: | BJGP Open |
| Subjects: | |
| Online Access: | https://bjgpopen.org/content/3/2/bjgpopen18X101638 |
| _version_ | 1811197444882432000 |
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| author | Aidan Searle Emma Ranger Jez Zahra Byron Tibbitts Angie Page Ashley Cooper |
| author_facet | Aidan Searle Emma Ranger Jez Zahra Byron Tibbitts Angie Page Ashley Cooper |
| author_sort | Aidan Searle |
| collection | DOAJ |
| description | Background: Physical activity (PA) is important in the management of type 2 diabetes (T2DM), however many people find it difficult to implement and/or sustain in the self-management of the condition. Electrically assisted cycling (e-cycling) may be viewed as a means of self-management in which effort is invested to balance the interplay of lifestyle factors and disease progression. Aim: To explore engagement with an e-cycling intervention conducted with adults with T2DM. Design & setting: Prospective qualitative interview study with adults in central Bristol (UK) and surrounding suburbs, in the context of the self-management of T2DM in primary care. Method: Interviews were conducted with 20 individuals with T2DM (42–70 years, 11 male, 9 female) prior to their participation in a 20-week e-cycling intervention. Post-intervention interviews were conducted with 18 participants (11 male, 7 female). Interviews were transcribed verbatim and inductive thematic analysis was undertaken. Results: Participants were aware that PA contributed to the management of their diabetes. Engagement with e-cycling was viewed as both an acceptable and a social lifestyle intervention. Furthermore, participants were unhappy with the volume of medication used to manage their diabetes and e-cycling fostered autonomy in the management of T2DM. GPs and practice nurses were regarded as an important source of reliable information, and were considered to be best placed to talk about interventions to increase PA. Conclusion: E-cycling is viewed as an acceptable form of PA to aid the self-management of T2DM. E-cycling may support people with T2DM to reduce their medication intake and in turn foster greater autonomy in managing the condition. The findings have implications for the role of primary care health professionals in supporting both patients and significant others in adoption of e-cycling. |
| first_indexed | 2024-04-12T01:13:46Z |
| format | Article |
| id | doaj.art-e6f3772d46c9451d88fe54e7baf426bb |
| institution | Directory Open Access Journal |
| issn | 2398-3795 |
| language | English |
| last_indexed | 2024-04-12T01:13:46Z |
| publishDate | 2019-01-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj.art-e6f3772d46c9451d88fe54e7baf426bb2022-12-22T03:54:02ZengRoyal College of General PractitionersBJGP Open2398-37952019-01-013210.3399/bjgpopen18X101638Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary careAidan Searle0Emma Ranger1Jez Zahra2Byron Tibbitts3Angie Page4Ashley Cooper5BRC Nutrition Theme School of Oral and Dental Science, University of Bristol Education and Research Centre, Bristol, UKCentre for Exercise, Nutrition and Health Sciences School for Policy Studies, University of Bristol, Bristol, UKBRC Nutrition Theme School of Oral and Dental Science, University of Bristol Education and Research Centre, Bristol, UKCentre for Exercise, Nutrition and Health Sciences School for Policy Studies, University of Bristol, Bristol, UKCentre for Exercise, Nutrition and Health Sciences School for Policy Studies, University of Bristol, Bristol, UKCentre for Exercise, Nutrition and Health Sciences School for Policy Studies, University of Bristol, Bristol, UKBackground: Physical activity (PA) is important in the management of type 2 diabetes (T2DM), however many people find it difficult to implement and/or sustain in the self-management of the condition. Electrically assisted cycling (e-cycling) may be viewed as a means of self-management in which effort is invested to balance the interplay of lifestyle factors and disease progression. Aim: To explore engagement with an e-cycling intervention conducted with adults with T2DM. Design & setting: Prospective qualitative interview study with adults in central Bristol (UK) and surrounding suburbs, in the context of the self-management of T2DM in primary care. Method: Interviews were conducted with 20 individuals with T2DM (42–70 years, 11 male, 9 female) prior to their participation in a 20-week e-cycling intervention. Post-intervention interviews were conducted with 18 participants (11 male, 7 female). Interviews were transcribed verbatim and inductive thematic analysis was undertaken. Results: Participants were aware that PA contributed to the management of their diabetes. Engagement with e-cycling was viewed as both an acceptable and a social lifestyle intervention. Furthermore, participants were unhappy with the volume of medication used to manage their diabetes and e-cycling fostered autonomy in the management of T2DM. GPs and practice nurses were regarded as an important source of reliable information, and were considered to be best placed to talk about interventions to increase PA. Conclusion: E-cycling is viewed as an acceptable form of PA to aid the self-management of T2DM. E-cycling may support people with T2DM to reduce their medication intake and in turn foster greater autonomy in managing the condition. The findings have implications for the role of primary care health professionals in supporting both patients and significant others in adoption of e-cycling.https://bjgpopen.org/content/3/2/bjgpopen18X101638E-cyclingexercisePrimary CareSelf-ManagementQualitativediabetes mellitustype 2 |
| spellingShingle | Aidan Searle Emma Ranger Jez Zahra Byron Tibbitts Angie Page Ashley Cooper Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care BJGP Open E-cycling exercise Primary Care Self-Management Qualitative diabetes mellitus type 2 |
| title | Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care |
| title_full | Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care |
| title_fullStr | Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care |
| title_full_unstemmed | Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care |
| title_short | Engagement in e-cycling and the self-management of type 2 diabetes: a qualitative study in primary care |
| title_sort | engagement in e cycling and the self management of type 2 diabetes a qualitative study in primary care |
| topic | E-cycling exercise Primary Care Self-Management Qualitative diabetes mellitus type 2 |
| url | https://bjgpopen.org/content/3/2/bjgpopen18X101638 |
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