Tahereh Shamizadeh|Leila Jahangiry|Parvin Sarbakhsh|Koen Ponnet
Social cognitive theory-based intervention to promote physical activity among prediabetic rural people: a cluster randomized controlled trial
Tabriz University of Medical Sciences|Tabriz University of Medical Sciences|Tabriz University of Medical Sciences|Ghent University
present randomized controlled trial rct evaluated effectiveness theorybased physical activity pa intervention rural patients prediabetes hypothesized pa intervention program based social cognitive theory sct modify fasting blood sugar fbs among rural people prediabetes turn result decrease diabetes incidence rural areaa cluster rct prediabetic people conducted ahar east azerbaijan province iran pa intervention prediabetes performed 16 weeks followups 12 villages six per arm residents n 272 n 136 per arm invited participate study rural health care centers screening eligibility participants intervention control groups informed prediabetic conditions encouraged make appropriate changes lifestyles modify prediabetes intervention educational program delivered 16 weeks involved behavioral change techniques education program intervention group received one session per week lasting 90 min total 16 sessions importance risk control pa duration hill climbing well exercise safety tips explained brochure given participants anthropometric measures glycemic status pa evaluated beginning program 16 weeks followupthe pa program showed reduction fbs mgdl 16 weeks largeeffectsize cohens 063 p 0001 compared control condition pa intervention led large effect size diastolic blood pressure bp 101 medium effect size systolic bp 057 body mass index bmi 033 weight 035 based generalized linear mixed model analysis significant reductions fbs mgdl bmi weight diastolic bp found intervention group compared control groupour results support effectiveness sctbased pa intervention reduce risk prediabetes developing diabetes among rural patients prediabetes findings suggest implementation sctbased pa intervention rural population risk diabetes potential benefitsiranian registry clinical trials irct201607198132n4 registered 1 september 2017 prospectively registered