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Master Thesis

Motivations et barrières à la pratique d'une activité physique prescrite au sein d'un programme Sport sur Ordonnance chez le patient diabétique de type 2

Abstract : Type 2 diabetes (T2D) is a regional public health priority in Reunion Island. A program « exercise on prescription » was set up in 2014 in Saint-Paul. Exploring and identifying facilitators and obstacles with the patient are required to promote their compliance to exercise. The main goal of this study was to identify motivations and barriers in this program for T2D patients. The study was observational, prospective, quantitative. Included patients were T2D adults, with no complications, HbA1c <10 %, sedentary, participating to the program. A questionnaire was submitted by phone at the beginning of the program and 6 months later. During the study period, between October 2016 and June 2017, the highest participation was from obese unemployed women living in mountainous areas. The main motivations were intrinsic: well-being, relaxation; and extrinsic: being less likely to be prescribed medication, and feeling safe in the presence of the sports counselor. The main barriers were extern: disliking the chosen sport, expensive price to practice, being alone to practice and intern: lack of time. Program’s influence seemed to be positive: motivations seemed to remain the same or to be reinforced. Extern barriers seemed less present; while others, intern, were more expressed. These results were coherent with other studies, barriers about cost and transportation were more frequently found. A model of motivational interview was proposed. The use of a IPAQ questionnaire was proposed. A study with a bigger cohort and about long- term compliance could confirm and complete this work.
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Master Thesis
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Submitted on : Wednesday, April 11, 2018 - 6:34:55 PM
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Élodie Grondin. Motivations et barrières à la pratique d'une activité physique prescrite au sein d'un programme Sport sur Ordonnance chez le patient diabétique de type 2. Médecine humaine et pathologie. 2018. ⟨dumas-01764322⟩

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