Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Geriatric Rehabilitation

Lifestyle Medicine

Research Papers and Posters

Sedentary Behavior Counseling Intervention in People With Type 2 Diabetes (452830)

Monday, October 1
3:50 PM - 4:07 PM
Location: Manchester

Research Objectives : To examine the feasibility and effect of sedentary behavior (SB) counseling on total sitting time (TST) and physical activity (steps number) in people with type 2 diabetes (T2D).

Design : Interventional pilot study

Setting : University research center

Participants : Community-dwelling sedentary adults (n=6; 4 women; age 65.33 ± 9.27) with T2D.

Interventions : Three months of intervention that consists of SB counseling aided by an activity monitor with accelerometer and inclinometer with vibrotactile feature (ActivPAL VT3, PAL Technologies). The monitor was worn for 7 days at baseline and end of study (without vibrotactile feature) and during month 2 and 3 (with vibrotactile feature) to modify their SB. SB counseling was based on behavioral choice theory and consist of SB education and motivational interviewing. Objective data from the activity monitor facilitated counseling.

Main Outcome Measure(s) : Difference between baseline and end of study TST and number of steps. Wilcoxon matched pair signed-rank test were performed. The effect size (EZ) was calculated using Cohen d.

Results : All participants tolerated wearing the activity monitory well and no reported adverse events. Post TST time decreased from 11.76 hrs ± 1.62 at baseline to 10.15 hrs ± 1.32 at 3 months’ assessment (p = 0.07) with large EZ, Cohen d = 0.98. Steps number increased from 3872.67 ± 1547.35 at baseline to 5243.42 ± 2565.47 (p < 0.05) at 3 months’ assessment with large EZ, Cohen d = 0.88.

Conclusions : This study found that sedentary adults with type 2 diabetes decreased their TST (p-value approached significance) and increased their physical activity level after completing 3 months of SB counseling with activity monitor and vibrotactile feedback. Future research with larger sample is needed.

Author(s) Disclosures : No conflict of interest to report

Learning Objectives:

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Shaima Alothman

Graduate Research Assistant
The University of Kansas Medical Center

Currently, I am a PhD student in the Rehabilitation Science program in Department of Physical Therapy and Rehabilitation Sciences, working with Dr. Patricia Kluding as my primary mentor. My current research revolved around the relationship of sedentary behavior and physical activity with diabetes. My other research work investigates different complications of diabetes such as diabetic peripheral neuropathy and amputation. I am educated as a physical therapist in Saudi Arabia and I worked with wide range of neurological and orthopedic conditions mainly spinal cord injury, stroke, and total joint replacements. I received my master’s degree in Biomedical Science from Oklahoma State University. My research was investigating the effect of peripheral nerve injury on Vascular Glutamate Transporter I & II levels at the dorsal root ganglia and at the site of injury in rat.

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Aqeel M. Alenazi

Student; Lecturer
University of Kansas Medical Center; Prince Sattam Bin Abdulaziz University

Aqeel Alenazi is a PhD candidate in Rehabilitation science, University of Kansas Medical Center, Kansas City, US and a lecturer at Department of Physical Therapy and Rehabilitation Sciences, Collage of Applied Medical Sciences, Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia. Research interests include studying pain in musculoskeletal disorders such as arthritis and outcome measures in neurological and musculoskeletal disorders to establish appropriate prevention and intervention approaches.

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Mohammed M. Alshehri

Graduate Research Assistant
University of Kansas Medical Center

I am a third year PhD student in the Physical Therapy and Rehabilitation Science department at ‎University of Kansas Medical Center. I have mini-fellowship in Behavioral Sleep Medicine from ‎University of Pennsylvania. My PhD focuses on the sleep disorders in people with type 2 diabetes. ‎Specifically, I am studying the impact of insomnia on people with diabetes health outcomes and using ‎Cognitive Behavioral Therapy to treat insomnia symptoms. My long-term research goals optimize the ‎wellness for people with diabetes and increase the awareness of the importance of sleep for health ‎professions.‎

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Jason Rucker

Clinical Assistant Professor
University of Kansas Medical Center

Jason Rucker, PT, PhD, has practiced physical therapy in the Kansas City metropolitan area since 2002, with clinical experience ranging from acuteand intensive care to skilled nursing and inpatient rehabilitation. He currently provides outpatient physical therapy services at the KU Health Partners Silver City Health Center and the multi-disciplinary Amyotrophic Lateral Sclerosis Clinic at KU Medical Center. Rucker also instructs and assists with several courses in neurologic and orthopedic physical therapy in the Doctor of Physical Therapy program.

A graduate of Kansas State University, Manhattan, Kan., in 1999 with a bachelor's degree in kinesiology, Rucker obtained a master's in physical therapy from KU in 2002. He received his doctorate in rehabilitation science from KU in 2014.

As co-director of the Georgia Holland Health Exercise and Aging Laboratory, Rucker’s research is focused on the impact of diabetes on cognitive and physical functioning. In particular, he is interested in examining higher level cognitive processes, such as the ability to multi-task, and aims to discover how these processes may influence walking, functional ability, fall risk, and disability in those with diabetes and other chronic diseases. He has also contributed to a number projects investigating exercise and physical activity in individuals with diabetes and diabetic neuropathy.

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Patricia M. Kluding

Professor and Chair
University of Kansas Medical Center

Patricia Kluding, PT, Ph.D. is Professor and Chair of the Department of Physical Therapy and Rehabilitation Sciences. She has been a physical therapist since 1992 with a clinical practice focus in neurological rehabilitation. Kluding has received recognition for her skills as an educator, including the Stata Norton Distinguished Teaching Award for the School of Health Professions (2010). Kluding directs the Health, Exercise, and Aging Lab (HEAL) on clinical research programs focused on improving the health and wellness of people with chronic disease or disability. She has published over 35 manuscripts in peer-reviewed journals, has received internal and external research support, and serves as the primary mentor for several doctoral students working on dissertation research in the rehabilitation science program. She also currently serves as associate director of the Clinical and Translational Science Unit and is responsible for the Frontiers and Pioneers research participant registry programs.

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