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Physical activity-related experiences, counseling expectations, personal responsibility, and altruism among urban African American women with type 2 diabetes.
Miller ST, Marolen K
(2012) Diabetes Educ 38: 229-35
MeSH Terms: Adult, African Americans, Altruism, Attitude to Health, Counseling, Diabetes Mellitus, Type 2, Exercise, Female, Focus Groups, Health Promotion, Humans, Life Style, Middle Aged, Motivation, Motor Activity, Patient Education as Topic, Patient Satisfaction, Personal Autonomy, Self Care, Social Responsibility, United States, Urban Population, Women's Health
Show Abstract · Added July 28, 2016
PURPOSE - The purpose of this study was to explore physical activity-related experiences, perceptions, and counseling expectations among urban, underactive, African American women with type 2 diabetes.
METHODS - Participants were recruited via flyers and endocrinologist referral. A professional, African American female moderator led 2 focus groups among 11 participants. Focus groups were conducted in a video- and audio-equipped focus group room in the evening hours. Using a content-based, stepped analytic approach, 2 raters independently analyzed data and collaborated to compare results and finalize themes.
RESULTS - Competing priorities and lack of motivation were perceived as significant barriers to physical activity. Physical activity-related counseling expectations (ie, physician encouragement) and experiences (physician advising) were inconsistent. Participants expressed a high degree of physical activity-related health responsibility. Altruistic intentions were high relative to helping others incorporate healthful lifestyle changes.
CONCLUSIONS - When counseling women about physical activity, diabetes educators should acknowledge and provide support and resources to help women incorporate more physical activity into their regular routines and enhance motivation for physical activity. Educators should also couple physical activity-related advice with encouragement and support. Because of high levels of altruism, educators should consider implementing group- and/or peer-based physical activity interventions in this patient group.
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23 MeSH Terms
Ethics and statistics in randomized clinical trials.
Royall RM, Bartlett RH, Cornell RG, Byar DP, Dupont WD, Levine RJ, Lindley F, Simes RJ, Zelen M
(1991) Stat Sci 6: 52-88
MeSH Terms: Altruism, Beneficence, Biomedical Technology, Ethical Analysis, Ethics, Evaluation Studies as Topic, Extracorporeal Membrane Oxygenation, Freedom, Human Experimentation, Humans, Infant, Newborn, Informed Consent, Moral Obligations, Mortality, Paternalism, Patient Advocacy, Patient Care, Patient Selection, Personal Autonomy, Physician-Patient Relations, Professional Competence, Random Allocation, Research Design, Research Personnel, Research Subjects, Risk, Risk Assessment, Social Justice, Social Responsibility, Social Welfare, Statistics as Topic, United States
Added March 21, 2014
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1 Members
0 Resources
32 MeSH Terms