Reducing occupational sitting time in adults with type 2 diabetes: Qualitative experiences of an office adapted mHealth intervention.

M Brännholm Syrjälä; E Fharm; P C Dempsey; M Nordendahl; P Wennberg
Understanding barriers and facilitators for limiting occupational sitting and what impact it has on health on those with Type 2 diabetes (T2D) is essential for future trials and intervention development in primary health care settings. This study aimed to explore the feasibility and acceptability of an intervention using mobile health (mHealth) technology, together with counselling by a diabetes specialist nurse, to reduce occupational sitting in adults with T2D.Individual semi-structured interviews were conducted in 15 participants with T2D who completed a three-month intervention including mHealth; activity tracker (Garmin Vivofit3) and SMS reminders, one initial face-to-face patient-centred counselling session and three telephone follow-up calls by a diabetes specialist nurse within the primary health care system in Sweden. The interviews were recorded, transcribed verbatim and analysed using qualitative content analysis.Two themes were identified: (1) 'From baby steps to milestones' reflecting three categories; 'Small changes make it easier to reduce sitting', 'Encouraged by trustworthy coaching', 'Physical and mental rewards matter', and; (2) 'Tailoring strategies that fit me and my workplace' reflecting four categories; 'It's up to me', 'Taking advantage of the support', 'Using creativity to find practical solutions for interrupting sitting' and 'Living up to expectations'.The intervention was perceived as feasible and acceptable in different office workplaces, and led to increased awareness of sedentary behaviour in adults with T2D. Stepwise goal setting together with personalization of the mHealth intervention should be emphasized in individual T2D programmes aiming to reduce workplace sitting.
ISSN 1464-5491
Published 08 Jan 2021
Volume 38
Issue 6
Pages e14514
DOI 10.1111/dme.14514
Type Journal Article