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The Diabetes Educator
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Social Support and Physical Activity in Type 2 Diabetes

A Social-Ecologic Approach

JoAnn Gleeson-Kreig, PhD, RN

From the State University of New York, Plattsburgh.

Correspondence to JoAnn Gleeson-Kreig, PhD, RN, State University of New York, Plattsburgh, Department of Nursing and Nutrition, 101 Broad Street, Plattsburgh, NY 12901 (gleesojm{at}plattsburgh.edu).

Purpose

This study utilized social-ecology to describe sources of social-environmental support for physical activity perceived by people with type 2 diabetes, and examined the relationship between support and physical activity.

Methods

Multidimensional support and physical activity were measured in 58 people with diabetes. Descriptive and correlational statistics were used.

Results

Support from the media scored highest, followed by the health care team, personal support, workplace, family and friends, and lowest for the community. Physical activity was related to personal, media, and community support.

Conclusions

Using a social-ecological approach, health care professionals must focus on enhancing support from media sources, strengthening community context, and bolstering personal self-management. Professionals must also critically examine patient-provider interactions to motivate lifestyle change.

The Diabetes Educator, Vol. 34, No. 6, 1037-1044 (2008)
DOI: 10.1177/0145721708325765
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