title: Insights from older adults with type 2 diabetes: making dietary and exercise changes.
abstract: The purpose of this research was to identify factors that affect the nutrition and exercise behaviors of persons over the age of 55 with type 2 diabetes.
  
  
  
  Focus groups were conducted using a validated focus group interview guide to determine primary health concerns and health behaviors, favored learning modalities, barriers to learning, food preferences, and exercise preferences.
  
  
  
  The following major themes and subthemes were identified: some risk factors for diabetes and heart disease seem more salient than others; perceived susceptibility for serious outcomes of diabetes can occur through vicarious learning; willpower, often obtained through a belief in God, is necessary for successful behavior change; effective modification of behavior and building self-efficacy starts with small steps; and intrinsic reinforcement is necessary for behavior change.
  
  
  
  These data were used to identify strategies and messages to enhance adherence to nutrition and activity recommendations for persons with type 2 diabetes and accompanying cardiovascular risk factors.
authors.affiliation: The Department of Public Health Sci­ences, Clemson University, Clemson, South Carolina (Dr Dye)
authors.forename: Cheryl J
authors.initials: CJ
authors.lastname: Dye
authors.affiliation: The Department of Food Science and Human Nutrition, Clemson University, Clemson, South Carolina (Dr Haley-Zitlin)
authors.forename: Vivian
authors.initials: V
authors.lastname: Haley-Zitlin
authors.affiliation: The School of Nursing, Clemson University, Clemson, South Carolina (Dr Willoughby)
authors.forename: Deborah
authors.initials: D
authors.lastname: Willoughby
mesh_terms: D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D004032:Diet / Q000523:psychology; D015444:Exercise / Q000523:psychology; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D012069:Religion and Psychology; D012307:Risk Factors; D013022:South Carolina