‘MOVEdiabetes’: A cluster randomized controlled trial to increase physical activity in adults with type 2 diabetes in primary health in Oman
Open accessAbstract
OBJECTIVE: This study examined the impact of a multicomponent intervention to increase physical activity (PA) in adults with type 2 diabetes (T2D) in Oman. RESEARCH DESIGN AND METHODS: This is a cluster randomized controlled trial in eight primary health centers. Participants were physically inactive, aged ≥18 years, and with no contraindication to PA. Patients attending intervention health centers (n=4) received the 'MOVEdiabetes' intervention, which consisted of personalized, individual face-to-face consultations by dietitians. Pedometers and monthly telephone WhatsApp messages were also used. Patients attending comparison health centers received usual care. The primary outcome was change in PA [Metabolic Equivalent(MET).min/week] after 12 months assessed by the Global Physical Activity Questionnaire. The secondary outcomes were changes in daily step counts, sitting time, weight, body mass index, glycated hemoglobin, blood pressure and lipids. RESULTS: Of the 232 participants (59.1% female, mean (SD) age 44.2 (8.1) years), 75% completed the study. At 12 months, the mean change in MET.min/week was +631.3 (95% CI 369.4 to 893.2) in the intervention group (IG) vs +183.2 (95% CI 83.3 to 283.0) in the comparison group, with a significant between-group difference of +447.4 (95% CI 150.7 to 744.1). The odds of meeting PA recommendations were 1.9 times higher in the IG (95% CI 1.2 to 3.3). Significant between-group differences in favor of IG were detected for mean steps/day (+757, 95% CI 18 to 1531) and sitting time hours/ per day (-1.5, 95% CI -2.4 to -0.7). Clinical measures of systolic and diastolic blood pressure and triglycerides also showed significant intervention effects. CONCLUSIONS: 'MOVEdiabetes' was effective in increasing PA, the likelihood of meeting PA recommendations, and providing cardioprotective benefits in adults with T2D attending primary care.
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A single multicomponent programme combining pedometer-guided activity with structured dietary counselling was associated with a modest but significant reduction in triglyceride levels relative to the control group.
“A single multicomponent programme combining pedometer-guided activity with structured dietary counselling, was associated with a modest but significant reduction in triglyceride levels relative to the control group [21].”
A multimodal programme combining dietary counselling, pedometer feedback, and structured WhatsApp messaging maintained blood pressure reduction for up to one year.
“Likewise, a multimodal programme that combined dietary counselling, pedometer feedback, and structured WhatsApp messaging maintained the reduction for up to one year [21].”
The effectiveness of wearable devices appears to depend largely on how they are integrated into the overall intervention, particularly in relation to the level of structure, the consistency and nature of behavioural support, and the presence of clearly defined, measurable objectives.
“Their effectiveness appears to depend largely on how they are integrated into the overall intervention, particularly in relation to the level of structure, the consistency and nature of behavioural support, and the presence of clearly defined, measurable objectives [17,20,21,22,23,26,28].”
Wearables are most effective when combined with regular prompts, personalized feedback, and adaptive communication strategies.
“The review shows that wearables are most effective when combined with regular prompts, personalized feedback, and adaptive communication strategies: features that help maintain motivation and reinforce habits [8,20,21,32,38].”
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“‘MOVEdiabetes’: a cluster randomized controlled trial to increase physical activity in adults with type 2 diabetes in primary health in Oman.”
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- [34]Avery L, Flynn D, Dombrowski SU, et al Successful behavioural strategies to increase physical activity and improve glucose control in adults with Type 2 diabetes. Diabet Med 2015; 32: 1058– 62. 10.1111/dme.12738 25764343 PMC6680111 · DOI
- [36]Alghafri TS Unpublished work: Process evaluation of the “MOVEdiabetes” cluster randomized control study to increase physical activity in adults with type 2 diabetes in primary health care. Oman, 2018. PMC6235057 30487976
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“21 May 20 Accepted 10 Jun 20 1Department of Planning, Directorate General of Planning & Studies, Ministry of Health, Muscat, Oman; 2Department of Medicine, Al Nahdha Hospital, Muscat, Oman; 3Department of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman; 4C…”
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The use of WhatsApp Messenger: an important tool in modern neurological examination
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Cardiovascular prevention using WhatsApp, project "Family Health: Connected and Healthy"
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“[19, 21, 22, 27, 37]; dietitians/nutritionists (n = 4) [19, 20, 37, 38]; and undefined health professionals/lifestyle advisors (n = 4) [19, 27, 33, 34].”
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- Authors
- Alghafri, T. S., Alharthi, S. M., Al-Farsi, Y., Alrawahi, A. H., Bannerman, E., Craigie, A. M., & Anderson, A. S.
- Affiliations
- University of Dundee (GB)
- Ministry of Health, Muscat, Oman
- Sultan Qaboos University (OM)
- Department of Planning and Studies, Research Section, Oman Medical Specialty Board, Muscat, Oman
- Corresponding author
- Alghafri, Thamra S
- Venue
- BMJ Open Diabetes Research & Care
- Publisher
- BMJ
- Published
- 2018-10
- Volume
- 6
- Issue
- 1
- Pages
- e000605
- ISSN
- 2052-4897 (ISSN-L)
- PMC
- PMC6235057
- OpenAlex
- W2899454240
- Cited by
- 38
- References
- 49
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 1 · 2021: 10 · 2020: 6 · 2019: 1 · 2018: 1
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open Diabetes Research & Care (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (acceptedVersion, cc-by-nc)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by-nc)
- Funders
- Oman Ministry of Health
- Oman, The Research Council
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- type 2 diabetes, physical activity, multicomponent intervention, dietitian consultation, pedometers, WhatsApp communication, primary care, step count, sitting time, HbA1c, blood pressure, triglycerides, body mass index
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