Motiva.DM2 project. A pilot behavioral intervention on diet and exercise for individuals with type 2 diabetes mellitus

Diabetes Res Clin Pract. 2021 Jan;171:108579. doi: 10.1016/j.diabres.2020.108579. Epub 2020 Dec 9.


Aim: The purpose of this study was to assess the efficacy of an educational intervention based on the Behavior Change Wheel (BCW) framework for individuals with type 2 diabetes mellitus (DM2) on dietary and exercise behavior in a Spanish region.

Methods: A two-arm pilot research was developed. The intervention consisted of a 6-month period with guidelines and 4 in-person interventions. The outcome was changes in behaviors, motivation, competence, autonomy, social support to implement the recommendations, HbA1c, and body composition.

Results: n = 111 patients were recruited. Individuals in the intervention experienced a significative improvement on adherence to dietary recommendations (+1.23; p = 0.026), exercise (+0.86; p = 0.001), and a decrease in HbA1c levels (-0.6%; p = 0.002) and BMI (-0.73; p < 0.001).

Conclusion: The intervention for DM2 individuals, based on the BCW framework, developed, and implemented by primary care nurses has been effective in improving the adherence to healthy eating, exercise, HbA1c levels, and body composition.

Keywords: Diabetes Mellitus, Type 2; Diet; Exercise; Health Education.

MeSH terms

  • Aged
  • Diabetes Mellitus, Type 2 / therapy*
  • Diet Therapy / methods*
  • Exercise Therapy / methods*
  • Female
  • Health Education / methods*
  • Humans
  • Male
  • Pilot Projects
  • Spain