Publication Date

Spring 2023

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Nicole Zhang


Diabetes type 2, Physical Activity, patient education, HbA1c


Regular physical activity plays an important role in maintaining good health and managing and reducing HbA1c among type 2 diabetes patients. The goal of this study is to examine the effectiveness of physical activity in reducing the HbA1c among the type 2 diabetes patients of a local community health center in San Leandro, California. A quasi-experimental, pretest-posttest single site design project was conducted among a sample of 24 patients who had type 2 diabetes. The participants were selected to attend regular patient education classes promoting physical activity, diet, and lifestyle change as a measure of controlling diabetes. A paired sample t-test and Wilcoxon Signed-Ranked-rank pretest/posttest comparison of the A1c mean values was conducted. The participants included 16 females (66.67%) and 8 males (33.33%). Physical activity was measured using the International Physical Activity Questionnaire (IPAQ-SF) for each week for a duration of 16 weeks total. The findings of this study showed a significant reduction of 6.9% in A1c at the end of the program. The study also showed females achieved more benefits than males, 7.1% to 6.4%. While the A1c was reduced at the end of the program, the total physical activity did not reach the level to significantly impact the A1c reduction. The implication of this finding is that the patients could gain health benefits from a patient education program including physical activity, diet, and lifestyle change.


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