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Changing behaviors: Using norms to promote physical activity for type 2 diabetes patients
Institution:1. Department of Urology, Shandong Provincial Qianfoshan Hospital Affiliated to Shandong University, Jinan, Shandong 250014, China;2. Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, 250021, China;1. Centre for Addiction and Mental Health, 33 Russell St., Toronto, ON M5S 2S1, Canada;2. University of Toronto, 1 King''s College Circle, Toronto, ON M5S 3G3, Canada;3. National Institute for Mental Health Research, The Australian National University, Canberra ACT 0200, Australia;1. Foothills Medical Center, Southern Alberta Rare Blood and Bleeding Disorders Comprehensive Care Program, Calgary, AB, Canada;2. Center for Cancer and Blood Disorders, Children''s National Health System, Washington, DC, USA;3. Hemostasis Nurse, Center for Cancer and Blood Disorders, Children''s Health System, Washington, DC, USA;4. Critical Care Research, Hamilton General Hospital, Hamilton, ON, Canada;5. Clinical Haematology, Royal Children''s Hospital, Hamilton, ON, Canada;6. Departments of Paediatrics and Nursing, The University of Melbourne, Parkville, Vic, Australia;7. Haematology Research, Murdoch Childrens Research Institute, Parkville, Vic, Australia
Abstract:IntroductionGiven that diabetes is a major public heath issue around the world, it is vital that we find effective means to change behaviors, especially levels of physical activity among type 2 diabetes patients.ObjectiveThis study aims to provide proof of the effectiveness of programs promoting physical activity, based on cognitive dissonance and normative focus theories which are designed to produce behavioral changes in persons with type 2 diabetes.MethodNinety-six type 2 diabetes patients were assigned to one of three programs: a traditional information program, a norm-based program, and a dissonance-based program. The participants filled out a short French version of the International Physical Activity Questionnaire (IPAQ) one week before and one week after the program.ResultsThe results showed that the participants in the norm-based program made progress compared to those in the traditional information program. No significant difference was observed between the traditional information program and dissonance-based program.ConclusionsThese findings are consistent with both the focus normative theory and previous studies showing that recalling the norm increases compliance. The procedure to be used in diabetes prevention programs should focus on the normative dimensions of the desired behaviors in order to improve patients’ quality of life.
Keywords:Behavior change  Normative focus  Cognitive dissonance  Health education  Type 2 diabetes  Changement de comportement  Orientation normative  Dissonance cognitive  Éducation à la santé  Diabète de type 2
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