Exploring Healthcare Professionals Physical Activity Promotion for Adults with Type 2 Diabetes in Oman

Gibson, Emma (2025) Exploring Healthcare Professionals Physical Activity Promotion for Adults with Type 2 Diabetes in Oman. Doctoral thesis, Birmingham City University.

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Abstract

Background: Physical activity is recommended as a key component of type 2 diabetes care and management. However, globally and in Oman, people with type 2 diabetes are less physically active than the general population. It is recommended that healthcare professionals (HCPs) should promote physical activity to this population, yet they report challenges to doing this in practice. Developing a better understanding of the influences on HCPs' physical activity promotion could support them in this area of diabetes care.

Methods: Study one was a mixed-methods systematic review that followed the Joanna Briggs Institute methodological procedures with the Theoretical Domains Framework as an a priori framework. Study two was a qualitative online interview study exploring HCPs influences on physical activity promotion for patients with type 2 diabetes in Oman. Study three was a qualitative online interview study exploring the perspectives of Oman policymakers regarding type 2 diabetes and physical activity promotion.

Results: Study one identified a dominance of barriers compared to facilitators. Barriers included a lack of resources and organisational support, limited time, increasing workloads, and a lack of education and training on physical activity and its promotion. Study two reported findings similar to those of Study one, in addition to environmental, cultural, and social norms as barriers to physical activity promotion. Study three identified the lack of prioritisation of physical activity in healthcare policy and planning, collaboration challenges amongst sectors, and a lack of local physical activity research as barriers to physical activity promotion.

Conclusions: The findings of this research programme highlight the need for changes at the HCP, organisational, environmental, and policy levels to bridge the gap between research, practice and policy. Recommendations include behavioural science-informed CPD training for HCPs, improved cross-sectoral collaboration, conducting local implementation research, and the continued use of the MRC framework and implementation science frameworks and health psychology theory to develop interventions to support HCPs.

Item Type: Thesis (Doctoral)
Dates:
Date
Event
8 January 2025
Accepted
Uncontrolled Keywords: Healthcare professionals, physical activity, type 2 diabetes, Theoretical Domains Framework
Subjects: CAH04 - psychology > CAH04-01 - psychology > CAH04-01-04 - psychology and health
Divisions: Doctoral Research College > Doctoral Theses Collection
Faculty of Business, Law and Social Sciences > College of Psychology
Depositing User: Louise Muldowney
Date Deposited: 24 Jan 2025 13:53
Last Modified: 24 Jan 2025 13:53
URI: https://www.open-access.bcu.ac.uk/id/eprint/16095

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