Using the transtheoretical model to guide adults with Type 2 diabetes as they change their behavior to adopt and adhere to a more active lifestyle

grantor: University of TorontoPhysical activity or exercise is recognized and recommended as part of the treatment protocol for persons with Type 2 diabetes in diabetes education programs. Unfortunately, participants in these programs seldom receive adequate direction or strategies necessary to develop a commitment to regular activity and thus, are subject to high relapse and attrition rates. As a result, the quality of life they might enjoy is sacrificed. Therefore, the purpose for conducting this qualitative study was to design, implement and examine the impact of a strategy oriented education intervention on adults with Type 2 diabetes using the transtheoretical model of behavior change in conjunction with the empowerment ideology and Pratt's relational construct of andragogy. Based on this premise, the specific intent of the intervention was to guide adults with Type 2 diabetes from preparation into the action stage of behavior change to incorporate physical activity into their lifestyle using a pedometer for feedback as part of their diabetes self-management routine. The contemporary research paradigm using a case study approach was used to frame the examination of the strategy oriented education intervention and its effects on the behavior change process of adults with Type 2 diabetes. From a methodological viewpoint, this approach proved to be instrumental in allowing me as the practitioner researcher to: (1) explore in great detail each experience, including my own, individually and collectively; (2) develop a comprehensive understanding of the behavior change process and the impact of teaching and empowering adults as adult learners; and (3) the effect a change in physical activity might have on the perception of quality of life, well-being, and/or health status of those with Type 2 diabetes. The evolution of a behavior change/health promotion using andragogy in relation model guided me in this study to help four individuals with Type 2 diabetes improve their activity level an average of 2127 steps per day as well as improve a number of their health related measures. Concurrently, the same individuals reported a positive change in their quality of life; thus, suggesting the inclusion of physical activity in their daily routine had a positive impact and was a welcome addition to their diabetes self-management strategies.Ed.D