Latent growth curve modeling of physical activity trajectories in a positive-psychology and motivational interviewing intervention for people with type 2 diabetes.
Health Psychol Behav Med
; 10(1): 713-730, 2022.
Article
em En
| MEDLINE
| ID: mdl-35957957
ABSTRACT
BACKGROUND:
Physical activity is critical for preventing and treating Type 2 diabetes (T2D). It is important to identify different profiles of physical activity change among those participating in behavioral interventions to optimize intervention-person fit.METHODS:
This study analyzes longitudinal trajectories of change in moderate-to-vigorous physical activity (MVPA) in a positive psychology (PP) and motivational interviewing (MI) intervention for T2D, using latent growth curve modeling (LGCM). Objective measures of MVPA were collected using accelerometers at three time points pre-intervention, immediately post-intervention, and eight weeks post-intervention. LGCM analyses identified subpopulations of participants who responded similarly to the intervention and examined if sociodemographic, medical and psychosocial characteristics were associated with MVPA trajectories.RESULTS:
Analyses included 47 participants with complete follow-ups 49% male, 81% non-Hispanic white, average age 66.1 (SD = 10.1). Overall, 36% of the participants increased MVPA while 57% did not. LGCM identified three profiles with distinct MVPA trajectories. Profile 1 ('Started Low, No Change'; 65.8% of participants) with a starting mean of 4.54â min of MVPA/day and decreased by -3.36â min. Profile 2 ('Moderate-High Start, Minimal Change,' 27.4% of participants) and had a starting mean of 22.86â min/day of MVPA with an average increase of 1.03â min. Profile 3 ('Moderate Start, Ended High'; 6.8% of participants), had a starting mean of 7.33â min MVPA/day, and increased by 28.4â min. Being male, younger, having fewer medical and psychiatric comorbidities were associated with increases in MVPA.CONCLUSIONS:
This secondary analysis detected three distinct physical activity profiles during and after a PP-MI intervention. Future interventions can target individuals with characteristics that showed the greatest benefit and add additional supports to people in groups that did not increase physical activity as much. These findings show a need for targeted and sustained behavior change strategies during and after physical activity interventions. Trial registration ClinicalTrials.gov; identifier NCT03001999.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Idioma:
En
Revista:
Health Psychol Behav Med
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos