ArticleInternational journal of behavioral medicine2026
Bridging the Gap in Physical Activity Promotion for Prediabetes and Type 2 Diabetes: A COM-B Study of Primary Care Healthcare Professionals.
Article in International journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimsTo identify determinants of Physical activity (PA) promotion among healthcare professionals (HCPs) caring for patients with prediabetes (PD) and and type 2 diabetes mellitus (T2DM), using the Capability, Opportunity, Motivation-Behavior (COM-B) model.
methodsA cross-sectional online survey was conducted among 84 HCPs involved in diabetes care. The questionnaire assessed PA-promotion practices, knowledge of PA recommendations, personal PA levels, and COM-B model constructs. Descriptive, univariate, and multivariate analyses were performed.
resultsOf the 84 participants, 56% reported promoting PA most of the time, while only 29.7% correctly identified PA recommendations. Mean COM-B scores on a six-point Likert scale (1-6) were 4.00 for capability, 4.66 for motivation, and 3.24 for opportunity. HCPs who frequently promoted PA had significantly higher scores across all COM-B domains compared to non-promoters (p < 0.05). In multivariate analysis, motivation emerged as the strongest predictor of PA promotion behavior (F = 19.7), while perceived opportunity remained comparatively low.
conclusionsPA-promotion in primary care for patients with PD and T2DM remains suboptimal despite relatively high perceived capability and motivation among HCPs. Limited opportunity- reflecting time constraints, organizational barriers, and lack of structured support may hinder implementation. Interventions targeting both motivation and system-level opportunities may enhance PA promotion and improve diabetes management in primary care settings.
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