Diabetes Research and Clinical Practice
Volume 72, Issue 1 , Pages 20-27 , April 2006

Physical activity barriers in diabetes: Development and validation of a new scale

  • M.-C. Dubé

      Affiliations

    • Faculty of Medicine, Department of Physiology and Endocrinology, Laval University, Qué., Canada
  • ,
  • P. Valois

      Affiliations

    • Faculty of Education, Laval University, Qué., Canada
  • ,
  • D. Prud’homme

      Affiliations

    • School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, ON, Canada
  • ,
  • S.J. Weisnagel

      Affiliations

    • Department of Social and Preventive Medicine, Division of Kinesiology, Laval University, Qué., Canada
    • Diabetes Research Unit, CRML, CRCHUL, Laval University, Qué., Canada
  • ,
  • C. Lavoie

      Affiliations

    • Faculty of Medicine, Department of Physiology and Endocrinology, Laval University, Qué., Canada
    • Department of Physical Activity Sciences, Université du Québec à Trois-Rivières, C.P. 500, Trois-Rivières, Qué., Canada G9A 5H7
    • Corresponding Author InformationCorresponding author. Tel.: +1 819 376 5011 3767; fax: +1 819 376 5092.

Received 4 May 2005 ,Accepted 19 August 2005.

References 

  1. Zinman B, Ruderman N, Campaigne BN, Devlin JT, Schneider SH. Physical activity/exercise and diabetes. Diab. Care. 2004;27(Suppl. 1):S58–S62
  2. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273:402–407
  3. Paffenbarger RSJ, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. N. Engl. J. Med. 1993;328:538–545
  4. Health Canada, Canada's Physical Activity Guide to Healthy Active Living, Health Canada, Ottawa, 1998.
  5. Brooks GA, Butte NF, Rand WM, Flatt JP, Caballero B. Chronicle of the Institute of Medicine physical activity recommendation: how a physical activity recommendation came to be among dietary recommendations. Am. J. Clin. Nutr. 2004;79:921S–930S
  6. Direction générale de la protection de la santé, Statistiques nationales et possibilités d’accroître la surveillance, la prévention et la lutte, Santé Canada, 1999.
  7. Thomas N, Alder E, Leese GP. Barriers to physical activity in patients with diabetes. Postgrad. Med. J. 2004;80:287–291
  8. Ford ES, Herman WH. Leisure-time physical activity patterns in the U.S. diabetic population. Findings from the 1990 National Health Interview Survey—Health Promotion and Disease Prevention Supplement. Diab. Care. 1995;18:27–33
  9. Searle MS, Ready AE. Survey of exercise and dietary knowledge and behaviour in persons with type II diabetes. Can. J. Public Health. 1991;82:344–348
  10. Hays LM, Clark DO. Correlates of physical activity in a sample of older adults with type 2 diabetes. Diab. Care. 1999;22:706–712
  11. Mendez FJ, Belendez M. Effects of a behavioral intervention on treatment adherence and stress management in adolescents with IDDM. Diab. Care. 1997;20:1370–1375
  12. Swift CS, Armstrong JE, Beerman KA, Campbell RK, Pond-Smith D. Attitudes and beliefs about exercise among persons with non-insulin-dependent diabetes. Diab. Educ. 1995;21:533–540
  13. Godin G, Valois P, Desharnais R. A typology of stages of adherence to exercise behavior: a cluster analysis. J. Appl. Soc. Psychol. 2001;31:1979–1994
  14. I. Ajzen, Construction of a TpB Questionnaire: conceptual and methodological considerations, 2002, http://www-unix.oit.umass.edu/∼aizen/pdf/tpb.measurement.pdf.
  15. Nunnally JC. Psychometric Theory. second ed.. NY: McGraw-Hill; 1978;pp. 1–701
  16. Ghiselli EE. Theory of Psychological Measurement. NY: McGraw-Hill; 1964;pp. 1–408
  17. Crocker L, Algina J. Introduction to Classical and Modern Test Theory. Forth Worth, TX: Harcourt Brace Jovanovich College Publishers; 1986;pp. 1–527
  18. Ramsay JO. A Functional Approach to Modeling Test Data. Handbook of Modern Item Response Theory. NY: Springer; 1997;pp. 381–394
  19. Ramsay JO. TestGraf: A Program for the Graphical Analysis of Multiple Choice Test and Questionnaire Data. Montreal, Canada: McGill University; 2000;pp. 1–114
  20. Suen HK. Principles of Test Theory. Hillsdale, NJ: Lawrence Erlbaum Associates; 1990;pp. 1–236
  21. Becker MH, Haefner DP, Kasl SV, Kirscht JP, Maiman LA, Rosenstock IM. Selected psychosocial models and correlates of individual health-related behaviors. Med. Care. 1977;15:27–46
  22. Strecher V, Rosenstock I. The Health Belief Model Health Behavior and Health Education: Theory, Research and Practice. San Fransisco: Jossey-Bass; 2002;pp. 1–583
  23. Allison KR, Dwyer JJ, Makin S. Perceived barriers to physical activity among high school students. Prev. Med. 1999;28:608–615
  24. Clark DO. Perceived barriers and facilitators to exercise among older low income adults. J. Clin. Geropsychol. 1998;5:51–62
  25. Dishman RK, Sallis JF, Orenstein DR. The determinants of physical activity and exercise. Public Health Rep. 1985;100:158–171
  26. Sallis JF, Hovell MF, Hofstetter CR, Faucher P, Elder JP, Blanchard J, et al. A multivariate study of determinants of vigorous exercise in a community sample. Prev. Med. 1989;18:20–34
  27. Okoro CA, Mokdad AH, Ford ES, Bowman BA, Vinicor F, Giles WH. Are persons with diabetes practicing healthier behaviors in the year 2001? Results from the Behavioral Risk Factor Surveillance System. Prev. Med. 2004;38:203–208
  28. Ramchandani N, Cantey-Kiser JM, Alter CA, Brink SJ, Yeager SD, Tamborlane WV, et al. Self-reported factors that affect glycemic control in college students with type 1 diabetes. Diab. Educ. 2000;26:656–666
  29. Richmond J. Effects of hypoglycaemia: patients’ perceptions and experiences. Br. J. Nurs. 1996;5:1054–1059
  30. Kemmer FW. Prevention of hypoglycemia during exercise in type I diabetes. Diab. Care. 1992;15:1732–1735

 Data from the manuscript have been presented at the Canadian Diabetes Association Professional Meeting, October 2004, Québec City, Canada.

PII: S0168-8227(05)00367-0

doi: 10.1016/j.diabres.2005.08.008

Diabetes Research and Clinical Practice
Volume 72, Issue 1 , Pages 20-27 , April 2006