東華大學圖書館 |

The Role of the Physical Therapist in Managing Type 2 Diabetes: Systematic and Qualitative Perspectives /

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The Role of the Physical Therapist in Managing Type 2 Diabetes: Systematic and Qualitative Perspectives // Garrett Matthew Hainline.
作者:	Hainline, Garrett Matthew,
面頁冊數:	1 electronic resource (113 pages)
附註:	Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
Contained By:	Dissertations Abstracts International86-11B.
標題:	Physical therapy. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31562994
ISBN:	9798315747444

The Role of the Physical Therapist in Managing Type 2 Diabetes: Systematic and Qualitative Perspectives /
Hainline, Garrett Matthew,

The Role of the Physical Therapist in Managing Type 2 Diabetes: Systematic and Qualitative Perspectives /Garrett Matthew Hainline. - 1 electronic resource (113 pages)

Source: Dissertations Abstracts International, Volume: 86-11, Section: B.

Introduction: Physical activity (PA) is an effective tool in the management of Type 2 Diabetes (T2D). PA recommendations for people with T2D are to achieve at least 150 minutes per week of moderate intensity PA. This assists to maintain blood glucose control and reduce cardiovascular disease risk factors. Unfortunately, people with T2D are less likely than their normoglycemic peers to meet PA recommendations.Veterans of the armed forces experience T2D at even greater levels than the general population, with prevalence at about 20%. In addition, T2D and pre-diabetes are elevated among younger veterans, including those of recent conflicts. Reducing rates of T2D and the comorbidities associated with the disease is important to serve this population.Physical therapists (PTs) are movement and exercise specialists who are well equipped and trained to direct PA and exercise programs for health. While PTs see many individuals who have or are at risk for T2D, up to 80% of their clientele, these encounters are typically to address some other musculoskeletal complaint and not to assist in the management of diabetes.Objectives: This study was conducted to (1) assess the quality and effectiveness of existing PT-guided/directed PA interventions for patients with T2D, and (2) examine physical therapists' perceptions on promoting PA interventions for patients with T2D.Methods Aim 1: To assess the quality and effectiveness of PT-guided PA interventions for people with T2D (chapter 2), a systematic review and meta-analysis of randomized controlled trials was completed. Standardized mean differences on extracted biomarkers and Hedge's g were calculated to determine the effect of PT-guided PA interventions for people with T2D versus usual care. Effect size was analyzed at the overall level, as well as the study and biomarker level.Results Aim 1: A systematic search of four databases resulted in 21 randomized controlled trials of PA interventions directed by physical therapists for people with T2D. These trials took place around the globe and their duration ranged from approximately 2 weeks to 2 years. There was an overall moderate effect size for these PA interventions on biomarkers related to T2D management.Methods Aim 2: To examine the beliefs and experiences of physical therapists' working for the Veterans Affairs (VA) healthcare system about the role of PT in management of T2D (chapter 3), a phenomenological qualitative study was completed. This study involved semi-structured interviews with physical therapists working for the VA using an interview guide to explore their beliefs, experiences, and perceptions about the role of PT in management of T2D for veterans.Results Aim 2: Twelve semi-structured interviews with physical therapists employed by the VA were analyzed. The 12 interviewees were primarily female, held a board-certified specialization, and had between 8 and 32 years of experience as physical therapists. From these interviews, 6 themes were identified around their beliefs and experiences: 1) prevalence and complexity of the disease (T2D); 2) health behaviors and locus of control; 3) the unique challenges involved in providing care to veterans; 4) opportunities and benefits of working for the VA; 5) confidence in the knowledge of the physical therapist; and 6) variable perceptions of the role of the physical therapist in managing T2D.Conclusions: Systematic review of existing trials shows that PT-directed PA can have a significant and meaningful impact on T2D management. The qualitative study showed that the combination of the resources available through the VA healthcare system and the physical therapists' knowledge and training have them well equipped to address a challenging disease for medically complex patients who are also unique due to their veteran status. From the results of the two studies, physical therapists can help their patients manage T2D, and future intervention studies are needed to trial the incorporation of PT into routine care for veterans newly diagnosed with T2D.

English

ISBN: 9798315747444Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Exercise

The Role of the Physical Therapist in Managing Type 2 Diabetes: Systematic and Qualitative Perspectives /
LDR:05552nmm a22004453i 4500 001 2438249
005 20251210113953.5
006 m o d
007 cr|nu||||||||
008 261011s2024 miu||||||m |||||||eng d
020 $a 9798315747444
035 $a (MiAaPQD)AAI31562994
035 $a AAI31562994
040 $a MiAaPQD $b eng $c MiAaPQD $e rda
100 1 $a Hainline, Garrett Matthew, $e author. $3 3829493
245 1 0 $a The Role of the Physical Therapist in Managing Type 2 Diabetes: Systematic and Qualitative Perspectives / $c Garrett Matthew Hainline.
264 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2024
300 $a 1 electronic resource (113 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
500 $a Advisors: Fritz, Stacy Committee members: Pellegrini, Christine; Harrington, Shana; Davis, Rachel.
502 $b Ph.D. $c University of South Carolina $d 2024.
520 $a Introduction: Physical activity (PA) is an effective tool in the management of Type 2 Diabetes (T2D). PA recommendations for people with T2D are to achieve at least 150 minutes per week of moderate intensity PA. This assists to maintain blood glucose control and reduce cardiovascular disease risk factors. Unfortunately, people with T2D are less likely than their normoglycemic peers to meet PA recommendations.Veterans of the armed forces experience T2D at even greater levels than the general population, with prevalence at about 20%. In addition, T2D and pre-diabetes are elevated among younger veterans, including those of recent conflicts. Reducing rates of T2D and the comorbidities associated with the disease is important to serve this population.Physical therapists (PTs) are movement and exercise specialists who are well equipped and trained to direct PA and exercise programs for health. While PTs see many individuals who have or are at risk for T2D, up to 80% of their clientele, these encounters are typically to address some other musculoskeletal complaint and not to assist in the management of diabetes.Objectives: This study was conducted to (1) assess the quality and effectiveness of existing PT-guided/directed PA interventions for patients with T2D, and (2) examine physical therapists' perceptions on promoting PA interventions for patients with T2D.Methods Aim 1: To assess the quality and effectiveness of PT-guided PA interventions for people with T2D (chapter 2), a systematic review and meta-analysis of randomized controlled trials was completed. Standardized mean differences on extracted biomarkers and Hedge's g were calculated to determine the effect of PT-guided PA interventions for people with T2D versus usual care. Effect size was analyzed at the overall level, as well as the study and biomarker level.Results Aim 1: A systematic search of four databases resulted in 21 randomized controlled trials of PA interventions directed by physical therapists for people with T2D. These trials took place around the globe and their duration ranged from approximately 2 weeks to 2 years. There was an overall moderate effect size for these PA interventions on biomarkers related to T2D management.Methods Aim 2: To examine the beliefs and experiences of physical therapists' working for the Veterans Affairs (VA) healthcare system about the role of PT in management of T2D (chapter 3), a phenomenological qualitative study was completed. This study involved semi-structured interviews with physical therapists working for the VA using an interview guide to explore their beliefs, experiences, and perceptions about the role of PT in management of T2D for veterans.Results Aim 2: Twelve semi-structured interviews with physical therapists employed by the VA were analyzed. The 12 interviewees were primarily female, held a board-certified specialization, and had between 8 and 32 years of experience as physical therapists. From these interviews, 6 themes were identified around their beliefs and experiences: 1) prevalence and complexity of the disease (T2D); 2) health behaviors and locus of control; 3) the unique challenges involved in providing care to veterans; 4) opportunities and benefits of working for the VA; 5) confidence in the knowledge of the physical therapist; and 6) variable perceptions of the role of the physical therapist in managing T2D.Conclusions: Systematic review of existing trials shows that PT-directed PA can have a significant and meaningful impact on T2D management. The qualitative study showed that the combination of the resources available through the VA healthcare system and the physical therapists' knowledge and training have them well equipped to address a challenging disease for medically complex patients who are also unique due to their veteran status. From the results of the two studies, physical therapists can help their patients manage T2D, and future intervention studies are needed to trial the incorporation of PT into routine care for veterans newly diagnosed with T2D.
546 $a English
590 $a School code: 0202
650 4 $a Physical therapy. $3 588713
650 4 $a Public health. $3 534748
650 4 $a Health sciences. $3 3168359
650 4 $a Kinesiology. $3 517627
653 $a Exercise
653 $a Physical activity
653 $a Type 2 Diabetes
653 $a Veterans
653 $a Physical therapists
690 $a 0382
690 $a 0566
690 $a 0575
690 $a 0573
710 2 $a University of South Carolina. $b Exercise Science. $e degree granting institution. $3 3829494
720 1 $a Fritz, Stacy $e degree supervisor.
773 0 $t Dissertations Abstracts International $g 86-11B.
790 $a 0202
791 $a Ph.D.
792 $a 2024
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31562994