None listed
Conditions
Brief summary
The primary aim of this study is to evaluate the effectiveness of an incremental goal-setting intervention (‘Small Steps’) on total sitting time, and blood glucose levels in older Australians living with T2DM. The secondary aim of this study is to explore the preliminary effectiveness of the intervention on self-reported types and context of sedentary behaviour, and quality of life (QOL). Associations between daily sitting time, and the time spent in prolonged bouts of sitting and changes in blood glucose levels in older adults with T2DM will also be explored.
Interventions
The ‘Small Steps’ intervention. The intervention will be administered by the Principal Investigator, and will consist of a one hour face-to-face session at the GP Plus, Marion, where participants are guided through three activities in a workbook: i) review of their assessed sedentary time and education on sitting and health; ii) normative feedback on sedentary time, using quartiles to compare an average Australian of similar age and gender; and iii) guided goal-setting to reduce sedentary time a
The ‘Small Steps’ intervention. The intervention will be administered by the Principal Investigator, and will consist of a one hour face-to-face session at the GP Plus, Marion, where participants are guided through three activities in a workbook: i) review of their assessed sedentary time and education on sitting and health; ii) normative feedback on sedentary time, using quartiles to compare an average Australian of similar age and gender; and iii) guided goal-setting to reduce sedentary time and increase the number of breaks in prolonged sedentary time. The guided goal-setting will involve a ‘small steps’ approach, whereby each participant will choose six ways to decrease their sitting time from a list which combines pre-specified behavioural items with suggestions of their own arising from the interview. Each goal will be incrementally integrated into the participant’s habitual behaviour each week for six weeks (e.g. Week 1 goal: “I am going to stand up during two TV ad breaks”, Week 2 goal: “I am going to stand up while I talk on the phone” + week 1 goal). A summary of the specific goal-setting plan will be provided to participants at the end of the face-to-face session. Participants will be required to self-monitor their goals daily with the completion of a simple checklist (e.g. “Today, did you achieve your goal of standing up during two TV ad breaks? Yes/No. If not, why not?”). Weekly phone calls will be completed by a member of the research team to provide support, and remind participants to build on their previous week’s goal.
Sponsors
Flinders University
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
A sample of 30 older adults with non-insulin dependent T2DM will be recruited through the South Australian Diabetes and Endocrine Service (SADES) at the GP SuperPlus Marion in Adelaide, South Australia. For inclusion, participants will be: 1) aged 60 years or older; 2) community dwelling; 3) live in the metropolitan area; 4) "insufficiently active", defined as doing less than 60 minutes per week of at least moderate intensity physical activity for at least the three previous months; 5) working less than two days per week in paid or voluntary employment; 6) be diagnosed with non-insulin dependent T2DM, and 7) have the ability to self-monitor glucose to calibrate the Continuous Glucose Monitoring System (CGMS) that will be used in this study.
Exclusion criteria
People will be excluded if they: 1) have a medical condition that inhibits standing; 2) have an unstable or life threatening medical condition; severe visual or hearing impairment; 3) are unable to commit to the assessment schedule; 4) are unable to understand written or spoken English; 5) are unable to walk independently; or 6) have a significant cognitive impairment.
Outcome results
None listed