A minority of published evidence -based PA interventions for adults with T2D were both effective and pragmatic for clinical implementation .
Although regular physical activity ( PA ) is a cornerstone of treatment for type 2 diabetes ( T2D ) , most adults with T2D are sedentary .
R and omized controlled trials ( RCTs ) have proven the effectiveness of PA behavioral interventions for adults with T2D but have rarely been conducted in healthcare setting s. We sought to identify PA interventions that are effective and practical to implement in clinical practice setting s. Our first aim was to use the valid Pragmatic-Explanatory Continuum Indicator Summary 2 ( PRECIS-2 ) tool to assess the potential for future implementation of PA interventions in clinical practice setting s. Our second aim was to identify interventions that effectively increased PA and glycemic control among the interventions in the top tertile of PRECIS-2 scores .
The impact of self-reported arthritis and diabetes on response to a home-based physical activity counselling intervention
Objectives : Physical activity ( PA ) has the potential to improve outcomes in both arthritis and diabetes , but these conditions are rarely examined together . Our objective was to explore whether persons with arthritis alone or those with both arthritis and diabetes could improve amounts of PA  with a home-based counselling intervention . Methods : As part of the Veterans LIFE ( Learning to Improve Fitness and Function in Elders ) Study , veterans aged 70–92 were r and omized to usual care or a 12-month PA counselling programme .  Arthritis and diabetes were assessed by self-report . Mixed models were used to compare trajectories for minutes of endurance and strength training PA for persons with no arthritis ( n = 85 ) , arthritis ( n = 178 ) , and arthritis plus diabetes ( n = 84 ) . Results : Recipients of PA counselling increased minutes of PA per week independent of disease status ( treatment arm by time interaction p < 0.05 for both ; endurance training time p = 0.0006 and strength training time p < 0.0001 ) . Although PA was lower at each wave among persons with arthritis , and even more so among persons with arthritis plus diabetes , the presence of these conditions did not significantly influence response to the intervention ( arthritis/diabetes group × time interactions p > 0.05 for both outcomes ) as each group experienced a nearly twofold or greater increase in PA  . Conclusions : A home-based PA intervention was effective in increasing minutes of weekly moderate intensity endurance and strength training PA in older veterans , even among those with arthritis or arthritis plus diabetes . This programme may serve as a useful model to improve outcomes in older persons with these pervasive diseases
A minority of published evidence -based PA interventions for adults with T2D were both effective and pragmatic for clinical implementation .
Although regular physical activity ( PA ) is a cornerstone of treatment for type 2 diabetes ( T2D ) , most adults with T2D are sedentary .
R and omized controlled trials ( RCTs ) have proven the effectiveness of PA behavioral interventions for adults with T2D but have rarely been conducted in healthcare setting s. We sought to identify PA interventions that are effective and practical to implement in clinical practice setting s. Our first aim was to use the valid Pragmatic-Explanatory Continuum Indicator Summary 2 ( PRECIS-2 ) tool to assess the potential for future implementation of PA interventions in clinical practice setting s. Our second aim was to identify interventions that effectively increased PA and glycemic control among the interventions in the top tertile of PRECIS-2 scores .