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Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify determinants of Physical activity (PA) promotion among healthcare professionals (HCPs) caring for patients with prediabetes (PD) and and type 2 diabetes mellitus (T2DM), using the Capability, Opportunity, Motivation\u2013Behavior (COM-B) model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional online survey was conducted among 84 HCPs involved in diabetes care. The questionnaire assessed PA-promotion practices, knowledge of PA recommendations, personal PA levels, and COM-B model constructs. Descriptive, univariate, and multivariate analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 84 participants, 56% reported promoting PA most of the time, while only 29.7% correctly identified PA recommendations. Mean COM-B scores on a six-point Likert scale (1\u20136) were 4.00 for capability, 4.66 for motivation, and 3.24 for opportunity. HCPs who frequently promoted PA had significantly higher scores across all COM-B domains compared to non-promoters (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In multivariate analysis, motivation emerged as the strongest predictor of PA promotion behavior (F\u2009=\u200919.7), while perceived opportunity remained comparatively low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PA-promotion in primary care for patients with PD and T2DM remains suboptimal despite relatively high perceived capability and motivation among HCPs. Limited opportunity- reflecting time constraints, organizational barriers, and lack of structured support may hinder implementation. Interventions targeting both motivation and system-level opportunities may enhance PA promotion and improve diabetes management in primary care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s12529-026-10489-9","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:05:55Z","timestamp":1792616755000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging the Gap in Physical Activity Promotion for Prediabetes and Type 2 Diabetes: A COM-B Study of Primary Care Healthcare Professionals"],"prefix":"10.1007","author":[{"given":"Oz","family":"Ben-Zvi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riki","family":"Tesler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8842-9271","authenticated-orcid":false,"given":"Liora","family":"Shmueli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"10489_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108086","volume":"162","author":"P Saeedi","year":"2020","unstructured":"Saeedi P, Salpea P, Karuranga S, Petersohn I, Malanda B, Gregg EW, et al. 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Int J Environ Res Public Health. 2020;17(12):4358. https:\/\/doi.org\/10.3390\/ijerph17124358.","journal-title":"Int J Environ Res Public Health"}],"container-title":["International Journal of Behavioral Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12529-026-10489-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12529-026-10489-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12529-026-10489-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:05:57Z","timestamp":1792616757000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12529-026-10489-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":46,"alternative-id":["10489"],"URL":"https:\/\/doi.org\/10.1007\/s12529-026-10489-9","relation":{},"ISSN":["1070-5503","1532-7558"],"issn-type":[{"value":"1070-5503","type":"print"},{"value":"1532-7558","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"assertion":[{"value":"29 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval: The study protocol was reviewed and approved by the Human Subjects Institutional Review Board (HSIRB) of Bar-Ilan University (Approval No. 010624133; June 1, 2024). All the data gathered in this study were kept confidential throughout the study.","order":1,"name":"Ethics","label":"Ethics Approval and Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures involving human participants were conducted in accordance with the ethical standards of the Human Subjects Institutional Review Board of Bar-Ilan University and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","label":"Human Rights","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Digital informed consent was obtained from all participants prior to participation. In the introduction of the anonymous online questionnaire, participants were informed about the purpose of the study, that participation was voluntary, that responses would remain anonymous and confidential, and that they could withdraw from the survey at any time without consequence.","order":3,"name":"Ethics","label":"Informed Consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}