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Effect of implementation intention on walking in people with diabetes: an experimental approach
Marco Antonio Vieira da Silva1, Thaís Moreira São-João2, Marilia Estevam Cornelio2
1Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil.
Objective:
To evaluate the effect of implementation intentions as an intervention strategy to promote walking in adults with type 2 diabetes mellitus (T2DM).
Methods:
We conducted a controlled and randomized trial, with 12 months of follow-up, involving 65 people with T2DM recruited from primary health care units and allocated them in the control group (CG, n = 32) and intervention group (IG, n = 33). The IG received the implementation intention strategy to promote walking and the CG remained in follow-up for conventional treatment in primary health care. The researchers were blinded by anthropometric measurements and the filling of the instruments.
Results:
After twelve months of follow up, the IG presented a statistically significant increase in the leisure time physical activity when compared with the CG (p = 0.0413) and showed a significant decrease in waist circumference (p = 0.0061). No significant difference was observed regarding body mass index and glycated hemoglobin among groups.
Conclusions:
Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM.

