Développement systématique d'une intervention tailoring internet automatisée faisant la promotion de la pratique d'activités physiques régulière chez les personnes atteintes du diabète de type 2 insuffisamment actives : intégration de la Théorie de l'autodétermination, de l'entretien motivationnel et du I-Change Model

Authors: Moreau Lapointe, Michel
Advisor: Gagnon, Marie-PierreBoudreau, François
Abstract: Background: Type 2 diabetes (T2D) is a major challenge for public health authorities in Canada and regular physical activity is a key factor in the management of this disease. Given that less than half of people with T2D in Canada are sufficiently active to meet the recommendations, effective programs targeting the adoption of regular PA are in demand for this population. Many researchers argued that web-based tailored interventions targeting PA is a promising and effective avenue for sedentary populations like Canadians with T2D, but few aimed to describe the detailed development of this kind of intervention. Objective: This master’s thesis aims to describe the systematic development of the Diabète en Forme (DEF) web-based tailored intervention promoting regular PA among adult Canadian Francophones with T2D, which can be used as a reference for health professionals interested in developing similar interventions. This master’s thesis also explores the integration of theoretical components derived from the I-Change Model, Self-Determination (SDT) Theory and Motivational Interviewing (MI), a potential path for enhancing the effectiveness of tailored interventions on PA adoption and maintenance. Method: The intervention was built using an adaptation of the program-planning model for tailored interventions developed by Kreuter and his colleagues. An additional step was added to the model to evaluate the intervention’s usability prior to the implementation phase. Results: An eight-week intervention was developed using a theoretical framework integrating the three models previously mentioned. The key components of the intervention include a self-monitoring tool for PA behaviour, a weekly action planning tool and eight tailored motivational sessions based on attitude, self-efficacy, intention, type of motivation, PA behaviour and other constructs and techniques. Usability evaluation, a step added to the original program-planning model, helped to make several improvements to the intervention prior to the implementation phase. Conclusion: Usability evaluation is an essential step in the development of a web-based tailored intervention in order to make pre-implementation improvements. The effectiveness and relevance of the theoretical framework used for the intervention will be analyzed following the process and impact evaluation. Implications for future research are discussed.
Document Type: Mémoire de maîtrise
Issue Date: 2015
Open Access Date: 23 April 2018
Permalink: http://hdl.handle.net/20.500.11794/25729
Grantor: Université Laval
Collection:Thèses et mémoires

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