Discuss how the use of pedometers benefited people at high risk for type 2 diabetes. (Site 1)
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Pedometer Use Among Adults at High Risk of Type 2 Diabetes, Finland, 2007-2008 Eveliina E. Korkiakangas, MNSc; Maija A. Alahuhta, MNSc, Päivi M. Husman, MSocSc; Sirkka Keinänen-Kiukaanniemi; Anja M. Taanila; Jaana H. Laitinen, PhD, MSc Abstract Introduction A pedometer helps adults exercise more, but sedentary adults need instruction and advice to be motivated to use one. We conducted this qualitative study to describe the experiences of participants at high risk of type 2 diabetes who began using a pedometer. Methods A total of 74 people at high risk of type 2 diabetes participated in 6 months of group counseling. From April 2007 to April 2008, we collected data through questionnaires, theme interviews (n = 22) and video recordings of counseling sessions. From October 2007 through June 2008, we analyzed the data. Results Pedometers were useful tools for observing levels of exercise, setting personal goals for walking, and helping evaluate whether daily goals were met. Negative experiences were associated with functional failures, pedometers’ unsuitability for exercise other than walking, and the goal of 10,000 steps, which some participants considered too high. Conclusions Sedentary adults can be motivated to use a pedometer if we inform them that regular users find it a useful instrument for increasing their level of exercise. These adults should set realistic goals for walking and receive adequate instructions for using pedometers.n, MSocSc; Sirkka Keinänen-Kiukaanniemi; Anja M. Taanila; Jaana H. Laitinen, PhD, MSc Introduction Pedometers monitor the number of steps taken in a day. The use of a pedometer has been shown to increase physical activity among sedentary populations. Walking is an excellent way for most inactive people to begin regular exercise. The Finnish Diabetes Prevention Study demonstrated that people at high risk of type 2 diabetes who walked 2.5 hours or more per week were 63% to 69% less likely to develop diabetes than were those who walked less than 1 hour per week. Regular exercise can prevent type 2 diabetes. Although using a pedometer seems to motivate people to exercise more, we do not know how to motivate people to use one. Knowledge of the experiences of inactive adults who have used a pedometer increases the effectiveness of counseling, but few previous studies on this issue exist. We describe the experiences of a group of sedentary adults at high risk of type 2 diabetes who began using a pedometer, in particular the factors that encouraged or discouraged regular exercise. Discussion This study describes the experiences of inactive participants at high risk of type 2 diabetes who used a pedometer during a 6-month group counseling process to promote lifestyle changes. Participants saw the pedometer as a source of feedback on their exercise. It provided immediate feedback on the amount of exercise in steps, aerobic steps (>60 steps/minute), kilometers, walking time, and calories. By monitoring their walking, the participants noted improvements in their physical capacity, which in turn motivated them to exercise more. Some participants particularly monitored the steps taken during a workday, and many were surprised by the low number of steps recorded. Using the pedometer made it easier to set personal exercise goals. These goals included increasing the amount of exercise, exercising regularly, and exercising daily. Some participants tried to increase the number of steps taken per day, whereas others pursued the goal of a minimum of 10,000 steps daily. Using the pedometer helped people exercise more regularly. More active participants were motivated to further increase their exercise. Participants found that achieving a certain number of steps made them want to increase their goal. The pedometer motivated sedentary people to exercise more. The pedometer was not appropriate for all. Some were disappointed because of technical problems. Moreover, the 10,000-step recommendation for daily exercise was considered too difficult to achieve. In these cases, the pedometer did not increase motivation to exercise. Several arguments can motivate inactive adults to use a pedometer. First, using the pedometer helps people monitor their own level of exercise easily, set goals, and track their progress. Second, to avoid negative experiences, users could be taught to use the pedometer correctly. Third, a proportional increase in the number of steps as a personal daily goal should be discussed to avoid the disappointment of not reaching the difficult target of 10,000 steps. Good instructions for using the pedometer are essential because functional errors were a barrier to its use. The effects of the pedometer’s functional errors on the physical activity of users were previously uncertain. Only a few negative experiences with using a pedometer arose during group sessions and theme interviews, although less than half of the participants (46%) used the pedometer regularly at the end of the process. Others may not have been encouraged to highlight negative experiences, may have had a neutral attitude, or may not have used a pedometer at all, and thus had no negative experiences to report. A limitation of this study often seen in qualitative studies is the small sample size, which prevents the results from being applicable to all exercisers. Another limitation is that we were not able to use objective measures of physical activity. Some participants were inactive even at 6 months, although they might have overreported their level of exercise on the questionnaires. We based the main study results on qualitative data collected by videorecordings from group sessions and by theme interviews, which improved the scope of the data. The atmosphere during counseling sessions and interviews was relaxed, and participants knew that all conversations were confidential. During group sessions, everyone had the opportunity to participate in the discussion and to express opinions, experiences, and feelings, although some were quiet. Qualitative analysis has been described as accurately as possible. Many situation-specific factors also influenced group discussions (eg, age and sex of participants, the counselor’s role, group type [videoconferencing/face-to-face], the content of the intervention, and the counseling methods). These factors have been documented and taken into account in the interpretation of results. Nevertheless, positive experiences might be exaggerated. Experiences with using the pedometer were mainly positive. The pedometer promoted exercise and was considered effortless, easy to use, and its features were easily adopted. The pedometer helped participants keep track of their amount of exercise and find situations in which it was easier to attain the required number of steps and situations in which it was easy to increase the number of daily steps.
The use of pedometers has been beneficial for individuals at high risk for type 2 diabetes in several ways. Pedometers are small devices that track the number of steps taken throughout the day. By wearing a pedometer, individuals can monitor their daily physical activity levels and set step goals to increase their overall movement. For people at high risk for type 2 diabetes, regular physical activity is crucial in managing blood sugar levels and improving insulin sensitivity. Pedometers provide a tangible way to track progress, motivate individuals to meet daily step targets, and increase their overall physical activity. Research has shown that using pedometers can lead to increased physical activity levels, weight loss, improved glucose control, and a decreased risk of developing type 2 diabetes. Pedometers serve as a constant reminder to be active and help individuals make lifestyle changes to reduce their risk and promote better health.
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