Physical Activity and Participation

Physical activity is the cornerstone of good diabetes management, and yet effective physical
activity intervention is not available. The investigators developed a lifestyle intervention
based on individual's home activity patterns. The goal of the study is to test the efficacy
of this intervention among Veterans with diabetes in a randomized-controlled trial. In
addition to physical activity, the investigators will also assess if the intervention will
improve social participation among Veterans.

Inclusion Criteria:

- Veterans

- Aged 60 years or older

- Has Type 2 diabetes mellitus

- Able to operate accelerometer

- Competent to consent to the study

- No dementia diagnosis

- Ambulatory with or without assistive device

- English-speaking

- Community living (i.e., not a nursing home resident)

- Not physically active on a regular basis (less than 150 minutes of moderate or
vigorous physical activity per week)

Exclusion Criteria:

- Medically unstable

- Hospitalized within the last 6 months

- 2 or more days of complete bed rest in the last month

- hemiplegia or limb amputation

- Self-reported illness or conditions that would impair the cooperation with the study
team or the ability to complete the study

- work involved in shift schedule

- current enrollment of a physical activity program

- replacement of hip or knee within the last 6 months.

- Parkinson's disease

- frequent falls