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Table 2 Topic guide for Phase 1 interviews

From: Exercise to preserve beta cell function in recent-onset type 1 diabetes mellitus (EXTOD) - a study protocol for a pilot randomized controlled trial

1) Moderator’s introduction

 

2) About the group

 

3) Activity and exercise behavior

What exercise do you do?

What does the word ‘exercise’ mean to you? (focus on activity levels)

Why should someone exercise?

How active are you on a day to day basis/how do you feel about the amount of exercise you do?

Do you think you do enough exercise to keep healthy?

Is exercise important in the management of diabetes?

What are the recommended guidelines?

The DOH recommends 150 minutes exercise per week, what do you think of this?

Do you think this is achievable?

How do you relate to the recommended levels?

4) Barriers to exercise

What are the mains reasons for not meeting the guidelines?

How do you try to overcome these barriers? How can you resolve them?

If you have a fear of having a hypo, do you make any adjustments?

If you had a magic wand what would be the one thing you could overcome in order to allow you to do more exercise?

Has the diagnosis of diabetes changed your attitudes towards exercise?

Does education and understanding have a role in the management of your diabetes and therefore your exercise levels?

5) Encouragement and facilitation of exercise

Can you think of any ways of improving your activity levels?

 

How can small changes be incorporated into your lifestyle?

 

Are there any major themes that would help encourage people to be more active?

 

Would more advice or information help?

 

If you had to choose one intervention that would help your activity levels - which would it be?

 

Has anyone any successful experiences of exercising?

 

We are thinking about doing a study - if you were to take part how would you like to be monitored / encouraged?

 

One-to-one advice from a health and fitness advisor

 

Attending an exercise group organized by the hospital or your GP

 

Support - someone who keeps in touch to see how you are doing with your exercise program

 

Goal setting/modification/action planning

 

Heart rate monitoring

 

Chat room with other people from the study to share ideas

 

Uploading BMI/weight loss onto website - self monitoring

 

If phone calls weren’t appropriate, what else could we do to motivate you?

6) Summary of session

Outlining main points of discussion and key issues raised

 

Questions and thank everyone for their input