Evidence map›Paper›PMID 39963930›Full record

ArticleJournal of clinical nursing2025

Barriers and Facilitators to Physical Activity in People With Young-Onset (Aged 18-40 Years) Type 2 Diabetes: A Qualitative Study.

Xiaoyan Zhao, Maria Duaso, Haya Abu Ghazaleh, Xiaodi Guo, Angus Forbes

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xiaoyan ZhaoCare for Long Term Conditions Division, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0001-9849-3621
Maria DuasoCare for Long Term Conditions Division, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Haya Abu GhazalehCare for Long Term Conditions Division, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0001-6013-6514
Xiaodi GuoThe Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Angus ForbesCare for Long Term Conditions Division, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.

Funding

Internal funding from King's College LondonKing's- China Scholarship Council PhD Scholarship
6 · The paper itself

Abstract

aimTo explore the barriers and facilitators to physical activity engagement among people with young-onset type 2 diabetes.

designA qualitative research design using individual semi-structured interviews.

methodsA purposive sampling technique was used to recruit individuals with young-onset type 2 diabetes through social media, based on: age, gender, diabetes duration, diabetes complication and physical activity level. Interviews were audio recorded, transcribed verbatim and analysed using Framework analysis integrating the Capability, Opportunity, Motivation and Behaviour model.

resultsTwenty-three individuals with type 2 diabetes (median age 29 years; 13 women; median diabetes duration 1 year) were interviewed. Nineteen subthemes were identified across all domains of the Capability, Opportunity, Motivation and Behaviour model. The most common domains and the related subthemes were psychological capability (physical activity knowledge, self-monitoring); social opportunity (stigma, family commitments, guidance from professionals, interactive physical activity, emotional support); and reflective motivation (perceived physical impact of physical activity, perceived mental impact of physical activity, social role & responsibility, perceived self-efficacy). Interactions were also observed between the different domains of the Capability, Opportunity, Motivation and Behaviour model.

conclusionThis study revealed in-depth and novel information on the barriers and facilitators to physical activity in people with young-onset type 2 diabetes. Future interventions would require multimodal approaches to enhance physical activity motivation in this population by addressing these underpinning psychological and social barriers. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: This study highlighted the need for a multimodal strategy that addresses psychological capability, social opportunity and reflective motivation for increasing physical activity in people with young-onset type 2 diabetes. REPORTING

methodThis study was reported using the Consolidated Criteria for Reporting Qualitative Research checklist. PATIENT OR PUBLIC CONTRIBUTION: An advisory group including six individuals with young-onset type 2 diabetes contributed to the design of the interview topic guide.

Indexed as

Diabetes Mellitus, Type 2ExerciseAdolescentAdultAge of OnsetFemaleHumansMaleMotivationQualitative ResearchYoung Adult

Identifiers

PMID39963930
PMCPMC12125533

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