Evidence map›Paper›PMID 41873154›Full record

SynthesisJournal of diabetes research2026

Barriers and Facilitators to the Delivery of Physical Activity Promotion by Healthcare Professionals for Adults With Type 2 Diabetes: A Mixed-Methods Systematic Review Using the Theoretical Domains Framework.

Emma Gibson, Angela Tufte-Hewett, Atiya Kamal

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

3 authors.

Emma GibsonDepartment of Psychology and Counselling, Birmingham City University, Birmingham, UK, bcu.ac.uk.ORCID https://orcid.org/0009-0002-1979-7569
Angela Tufte-HewettSchool of Health Sciences, University of Birmingham, Birmingham, UK, birmingham.ac.uk.
Atiya KamalDepartment of Psychology and Counselling, Birmingham City University, Birmingham, UK, bcu.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity is an integral component in the treatment and management of Type 2 diabetes. It is recommended that healthcare professionals (HCPs) promote physical activity to patients with Type 2 diabetes; however, they report many challenges to doing this in practice.

aimsThis systematic review is aimed at identifying HCPs' barriers and facilitators to promoting physical activity among adults with Type 2 diabetes.

methodsA mixed-methods systematic review (MMSR) was conducted using a convergent integrated approach, following the Joanna Briggs Institute methodological procedures. MEDLINE, PubMed, PsycINFO, CINAHL, Web of Science and grey literature were searched from 1951 to 2020, with updates in 2024. Studies were excluded if they lacked HCPs' views on Type 2 diabetes care or were not in English, but no study design restrictions were applied. Barriers and facilitators were coded to the Theoretical Domains Framework (TDF); each domain was ranked for importance, and an inductive thematic synthesis was conducted.

resultsA total of 29 primary studies were included in the review. Barriers were reported across 11 TDF domains and facilitators across eight. Key findings within these TDF domains include insufficient time and resources to promote physical activity, a lack of organisational support, lack of knowledge and skills, challenges related to patient comorbidities/complications and HCPs' perceptions of their roles and responsibilities in promoting physical activity.

conclusionsThe findings highlight the need for change at HCP, organisational and environmental levels. Key improvements include clearer roles for promoting physical activity, system-embedded prompts and the integration of disease-specific modules into medical training.

Indexed as

Diabetes Mellitus, Type 2ExerciseHealth PersonnelHealth PromotionAdultAttitude of Health PersonnelHealth Knowledge, Attitudes, PracticeHumansbehaviour changediabetes mellitushealthcare professionalsmixed methodsphysical activitysystematic reviewTheoretical Domains FrameworkType 2

Identifiers

PMID41873154
PMCPMC13140809

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.