What information is important for accredited exercise physiologists to facilitate change in clients living with type 2 diabetes mellitus?
Alisa K. Zimmermann A B and Fiona Barnett AA James Cook University, College of Health Care Sciences, Townsville Campus, 1 James Cook Drive, Douglas, Qld 4811, Australia.
B Corresponding author. Email: alisa.osborne@jcu.edu.au
Australian Journal of Primary Health 24(6) 510-517 https://doi.org/10.1071/PY18046
Submitted: 13 March 2018 Accepted: 13 September 2018 Published: 6 December 2018
Abstract
Accredited Exercise Physiologists (AEPs) prescribe exercise and physical activity interventions for people living with type 2 diabetes mellitus (T2DM). During initial consultations, AEPs face the challenge of collecting enough information to facilitate behaviour change and adherence to treatment recommendations. The objective of this research is to explore the initial consultation practices of AEPs with clients living with T2DM and resultant recommendations provided to clients to promote long-term adherence. This study was an exploratory descriptive qualitative study. Twenty-one AEPs who currently practice in the Townsville Region participated in focus groups or semi-structured interviews. Data were analysed using a thematic and triangulation approach. Results revealed that an interview style consultation is standard practice, which varied based on experience of the AEP. Interviewing techniques facilitating behaviour change were under-utilised, especially among less-experienced AEPs who focused on the medical information. Assessment of the psychosocial wellbeing of the client living with T2DM by AEPs was limited. AEPs recommended that group exercise sessions yielded greater success for clients adopting physical activity. It is recommended that new graduate AEPs develop greater confidence in strategies of gathering information to facilitate behaviour change in clients with T2DM. A mentorship program could ensure the continued development of new graduate AEPs through the transfer of knowledge and skills.
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