Lifestyle Intervention for Adults With Diabetes

Not Applicable

Completed

Brief Summary: Physical activity is the cornerstone of good diabetes management, and yet effective physical activity intervention is not available. The investigators developed a lifestyle intervention based on individual's home activity patterns. The goal of the study is to test the efficacy of this intervention among older adults with diabetes. In addition to physical activity, the investigators will also assess if the intervention will improve social participation.

Detailed Description: To tailor to the needs of older adults, the investigators developed an innovative lifestyle modification intervention that incorporates rehabilitation approaches to improve the participation of physical activities (PA) among sedentary older adults with type 2 diabetes. The intervention is developed based on well-established health behavior theory (i.e., self-regulation) and the conceptual framework from the World Health Organization, with several innovations not previously investigated in this population. The intervention:

1. is tailored based on individual's unique patterns of daily PA performed within his/her environment as opposed to the total amount of PA performed in a day or a recall of activities over some time period;

2. uses an accelerometer-assisted, field-based method to address the individual's unique physical and social environment;

3. is delivered by a trained occupational therapist in brief counseling sessions, which can be easily translated into real clinical settings; and

4. addresses participation, a patient-centered outcome that is associated with quality of life but has received limited attention outside of rehabilitation research.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Medically unstable
Dementia diagnosis
Currently taking any medications for memory impairment
Currently participating in a physical activity program
Heart attack within the past month
Self-reported illness or condition that would impair the cooperation with the study team or the ability to complete the study

Arm && Interventions

Group	Intervention	Description
Intervention	Counseling	OT-led counseling based on home activity pattern

Primary Outcome Measures

Name	Time	Method
Change in physical activity: accelerometer counts	baseline, 18 weeks	Change in physical activity from baseline as measured by having participants wearing an accelerometer on their wrists for one week at home at baseline and then at the end of the study.
Change in physical activity: Community Healthy Activities Model Program for Seniors (CHAMPS) survey	baseline, 18 weeks	Change in self reported physical activities (Kcal/week) from baseline as measured by participants answering CHAMPS survey questions at baseline and at the end of the study.

Secondary Outcome Measures

Name	Time	Method
Change in social participation:validated questionnaires from the Patient-Reported Outcomes Measurement Information System (PROMIS) assessment center	baseline, 18 weeks	Changes in two subdomains of participation - ability to participate and satisfaction with participation, will be assessed by participants answering surveys at the baseline and then at the end of the study.

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