General practitioners` experiences promoting digital activity tracking for patients with type 2 diabetes: a focus group study

Physical activity is a cornerstone in treatment for patients with type 2 diabetes. In Norway, estimates show that less than 30% of all adults meet the recommendations for physical activity. Most patients expect their GP to support them in adopting a more active lifestyle. However, lifestyle changes are time-consuming, and GPs have expressed the need for specific tools to support their patients effectively. What are the experiences of GPs in implementing physical activity as a therapeutic intervention through digital activity trackers to patients with type 2 diabetes. Using semi-structured interview guide, we conducted a focus group study to explore GP’s experiences and perspectives on the use of digital activity trackers with Personal Activity Intelligence (PAI) to promote physical activity. Thirteen GPs and one GP practice nurse aged 38 to 64 years old and located at five different GP`s offices in the south of Norway participated in the study. The GPs and the GP practice nurse were divided into four focus groups. The participants were recruited through the study DIGIPAS, social media and our network. All interviews were digitally recorded. Data were analysed thematically using systematic text condensation. Three overarching themes, each comprising several related subthemes, emerged: (1) PAI as an objective measure of physical activity, (2) Activity trackers with PAI as a motivational tool, but not for everybody, and (3) Lack of supportive structures as a barrier for implementation of physical activity as treatment. A digital activity tracker served as a motivational tool for some patients, but the GPs reported technological challenges particularly among elderly patients. They also expressed a necessity for improved structural long-term support in promoting lifestyle changes, as well as more collaboration partners in general practice. A digital activity tracker may support healthy lifestyles for some patients, but successful implementation in general practice requires better usability, integration and governmental support.