title: Successful behavioural strategies to increase physical activity and improve glucose control in adults with Type 2 diabetes.
abstract: OBJECTIVE
  To explore which behaviour change techniques and other intervention features are associated with increased levels of physical activity and improved HbA1c in adults with Type 2 diabetes.
  
  
  METHODS
  Moderator analyses were performed on a dataset of 21 behaviour change techniques and six intervention features identified in a systematic review of behavioural interventions (N = 1975 patients with Type 2 diabetes) to establish their associations with changes in physical activity and HbA1c .
  
  
  RESULTS
  Four behaviour change techniques (prompt focus on past success, barrier identification/problem-solving, use of follow-up prompts and provide information on where and when to perform physical activity) had statistically significant associations with increased levels of physical activity. Prompt review of behavioural goals and provide information on where and when to perform physical activity behaviour had statistically significant associations with improved HbA1c . Pedometer use was associated with decreased levels of physical activity.
  
  
  CONCLUSIONS
  These data suggest that clinical care teams can optimise their consultations by incorporating specific behaviour change techniques that are associated with increased levels of physical activity and improved long-term glycaemic control.
authors.affiliation: Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK.
authors.forename: L
authors.initials: L
authors.lastname: Avery
authors.affiliation: Institute of Health and Society, Newcastle University, Newcastle Upon Tyne, UK.
authors.forename: D
authors.initials: D
authors.lastname: Flynn
authors.affiliation: School of Natural Sciences, Division of Psychology, University of Stirling, Stirling, UK.
authors.forename: S U
authors.initials: SU
authors.lastname: Dombrowski
authors.affiliation: School of Social Sciences and Law, Teesside University, Middlesbrough, UK.
authors.forename: A
authors.initials: A
authors.lastname: van Wersch
authors.affiliation: Institute of Health and Society, Newcastle University, Newcastle Upon Tyne, UK.
authors.forename: F F
authors.initials: FF
authors.lastname: Sniehotta
authors.affiliation: Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK.
authors.forename: M I
authors.initials: MI
authors.lastname: Trenell
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D001786:Blood Glucose / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D009043:Motor Activity; D011340:Problem Solving; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human