title: Building Competency and Capacity for Promotion of Effective Physical Activity in Diabetes Care in Canada.
abstract: OBJECTIVE
  The purpose of the present study was to examine the impact of the Canadian Diabetes Association's (CDA) resource titled Building Competency in Diabetes Education: Physical Activity and Exercise and associated workshops, on diabetes care providers' (DCPs) confidence and practices regarding physical-activity promotion 8 to 12 months after attending a workshop.
  
  
  METHODS
  In this action research study, 2 separate cross-sectional samples of DCPs were recruited. DCPs at baseline (N=462) completed a questionnaire assessing their current physical-activity promotion practices, intended changes in practice and intended implementation of the toolkit. At follow up, DCPs (n=132) completed an online questionnaire assessing their physical-activity counselling practices, confidence in their physical-activity counselling, use of the specific CDA resources as well as changes to practice and ongoing challenges.
  
  
  RESULTS
  At baseline, 58% of DCPs incorporated physical-activity content in the majority of their sessions; however, 66% of DCPs discussed physical activity in >50% of their sessions following the launch of the training initiative. Following the training, DCPs reported increased confidence across all 6 aspects of physical-activity counselling that were examined. Improvements were most frequently found in providing advice regarding the benefits of activity (86%) and providing instruction regarding resistance training (86%). DCPs most often changed their practices by discussing physical activity more frequently and confidently (27%); however, lack of time was frequently reported (37%) as an ongoing challenge to providing physical-activity counselling.
  
  
  CONCLUSIONS
  This evaluation highlights the impact of this national initiative and suggests that the resource is effective in improving physical-activity promotion in diabetes care.
authors.affiliation: Acadia University, Wolfville, Nova Scotia, Canada.
authors.forename: Emily
authors.initials: E
authors.lastname: Gray
authors.affiliation: Acadia University, Wolfville, Nova Scotia, Canada. Electronic address: chris.shields@acadiau.ca.
authors.forename: Christopher
authors.initials: C
authors.lastname: Shields
authors.affiliation: Acadia University, Wolfville, Nova Scotia, Canada.
authors.forename: Jonathon R
authors.initials: JR
authors.lastname: Fowles
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards*; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control* / Q000523:psychology; D037001:Directive Counseling / Q000379:methods*; D015444:Exercise; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards; D011320:Primary Health Care / Q000592:standards
keywords: activité physique; diabetes care professionals; education; enseignement; formation; implementation; mise en œuvre; physical activity; professionnels des soins aux diabétiques; training