Effect of implementation intention on walking in people with diabetes: an experimental approach

Rev Saude Publica. 2020 Oct 30:54:103. doi: 10.11606/s1518-8787.2020054002024. eCollection 2020.

Abstract

Objective: To evaluate the effect of implementation intentions as an intervention strategy to promote walking in adults with type 2 diabetes mellitus (T2DM).

Methods: We conducted a controlled and randomized trial, with 12 months of follow-up, involving 65 people with T2DM recruited from primary health care units and allocated them in the control group (CG, n = 32) and intervention group (IG, n = 33). The IG received the implementation intention strategy to promote walking and the CG remained in follow-up for conventional treatment in primary health care. The researchers were blinded by anthropometric measurements and the filling of the instruments.

Results: After twelve months of follow up, the IG presented a statistically significant increase in the leisure time physical activity when compared with the CG (p = 0.0413) and showed a significant decrease in waist circumference (p = 0.0061). No significant difference was observed regarding body mass index and glycated hemoglobin among groups.

Conclusions: Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Diabetes Mellitus, Type 2* / therapy
  • Female
  • Glycated Hemoglobin / analysis
  • Health Promotion* / methods
  • Humans
  • Intention*
  • Male
  • Middle Aged
  • Program Evaluation
  • Walking* / psychology

Substances

  • Glycated Hemoglobin A

Grants and funding

The authors disclosed receipt of the following financial support for the research: grant #2015/01857-8, São Paulo Research Foundation (FAPESP).