Motivational Interviewing to Promote Maintenance of Physical Activity in People With Type 2 Diabetes

Motivational Interviewing to Promote Maintenance of Physical Activity in People With Type 2 Diabetes

The purpose of the study is to assess the effectiveness of motivational interviewing in promoting maintenance of physical activity in people with Type 2 diabetes (T2D) upon the completion of a structured exercise program.

Participants with T2D who are new graduates of a supervised exercise program will be randomly assigned to either standard care (SC) or to standard care and in addition, participate in two individual motivational interview (MI) sessions (SC + MI).

The primary outcome will be change in physical activity behavior assessed by the Godin Leisure and Exercise questionnaire. Secondary outcomes will include change in blood glucose control (A1C), BMI, six minute walk-test, QoL, and self-efficacy.

Outcomes will be measured in groups at baseline, end of program, 3 months and 6 months post-program.

Inclusion Criteria:

• a) self-reported physician diagnosed T2D, included are those who are treated with diet alone, oral medication and insulin
• b) clearance by Living Well clinical staff to exercise through GXT algorithm and triaged to "Keep Going" level class,
• c) at least 18 years of age,
• d) ability to read and write in English.

Exclusion Criteria:

• a) insulin therapy that began less than 2 years after T2D diagnosis,
• b) changes during the previous 2 months in oral hypoglycemic