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 .
Dissemination of the Look AHEAD intensive lifestyle intervention in the United States Air Force: study rationale, design and methods.
BACKGROUND Despite an increase in overweight and obesity similar to the civilian population , there have been few r and omized controlled trials examining behavioral weight management interventions in the military setting s. PURPOSE This paper describes the design , intervention development and analysis plan of the Fit Blue study , a r and omized controlled behavioral weight loss trial taking place in the United States Air Force . DESIGN This study compares two adapted versions of the efficacious Look AHEAD Intensive Lifestyle Intervention ( ILI ) , a counselor-initiated condition and a self-paced condition . Also described are the unique steps required when conducting military-based health promotion research and adaptations made to the Look AHEAD intervention to accommo date the military environment . CONCLUSIONS To our knowledge , this is the first translation of the Look AHEAD ILI in the military setting and one of the first translations of the ILI in general . If successful , this intervention could be disseminated to the entire U.S. Military as this project is design ed to overcome the barriers and utilize the facilitators for weight loss that are unique to a military population . Programs vali date d in military population s can have a major public health impact given that with 1.4 million active duty personnel , the Department of Defense is the nation 's largest employer . However , while this intervention is design ed for a military population and there are unique aspects of the military that may enhance weight loss interventions , the diversity of the study population should help inform obesity efforts in both civilian and military setting
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 .