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Korkiakangas, E.E., et al., (2010). Motivators and barriers to exercise among adults with a high risk of type 2 diabetes -- a qualitative study. Scandinavian Journal of Caring Sciences: 62-69. This article addresses the prevention of Type 2 diabetes mellitus. Lifestyle changes can generally prevent this form of the disease, and exercise and a good diet (along with weight loss) are important. There were 74 subjects in this study, and they were counseled as a group and recorded in order to provide information for the qualitative analysis. Exercise was seen as a highly significant issue for these people, but they had to enjoy it and find reasons to continue with it, or they would simply slip back into old habits and avoid working out. When they had social interactions with others, they were better able to find reasons to work out. Conclusions drawn by the study included the fact that people who were high risk for type 2 diabetes were very positive about working out and getting healthy so they could avoid their health risks. That boded well for their futures and for what they would teach to their children when it came to exercise and eating habits.
The problem in this article is both clearly stated and significant to research done into nursing and other types of health care. There is a definite correlation between people who are overweight and the incidence of type 2 diabetes (Balducci, 2010; Hawthorne, 2008; Korkiakangas, 2010). Because that is the case, studies such as this one address the issue from the standpoint of how diet and exercise (both of which will also generally cause weight loss) can affect a person's risk for the disease. Diabetes is a serious illness, and while type 1 cannot be prevented, type 2 is a preventable disease that can be avoided and/or reversed when people make appropriate changes to their lifestyle (Davis, Forbes, & Wylie-Rosett, 2009; Smyth & Heron, 2006). Exercise is a big part of those changes, and can make the most difference in how a person lowers his or her risk for type 2 diabetes.
The purpose of the article is also clearly stated. The goal is to determine whether exercise plays a significant role in the lives of people who are attempting to avoid type 2 diabetes, and how getting more exercise lowers the risks of those individuals (Korkiakangas, 2010). Whether they want to exercise and whether they enjoy exercise also matter a great deal, because people who do not enjoy exercise and who do not feel as though they are deriving benefits from it will often stop exercising, even if they have been warned about the dangers of doing so. Not everyone who does not exercise will get type 2 diabetes, of course, but a sedentary lifestyle coupled with a poor diet and extra weight can contribute strongly to people who are unhealthy - and type 2 diabetes is one of the main health problems they will generally develop (Balducci, 2010). The research question is broad enough to be acceptable for a qualitative study, because there are many ways in which the question could be addressed. There is more to the issue then just whether people exercise and whether they have type 2 diabetes.
There is plenty of room for expansion of the data collected, and for the researchers to consider various facets of the information collected from the study. The design follows the qualitative approach that was used by the researchers, and the subjects were obtained following methods consistent with what qualitative methodology requires. When locating subjects for qualitative methodology, it is often easier to recruit them as a group, where they can share their information and opinions with the researchers and with others in the group (Korkiakangas, 2010). The counseling setting is appropriate for the study. It provides more opportunity for the researchers to see and hear honest reactions to others and to what is happening in the lives of individual participants. The way the data was collected also worked well for the qualitative approach, because a group setting provided more honest answers for any issues that were faced by the participants. Since they were not one-on-one with only the researchers, they were more likely to share experiences with other people who were also in the study (Korkiakangas, 2010).
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