Cardiovascular Research Unit and Exercise Physiology, University Hospital, Federal University of Juiz de Fora, Avenida Eugênio do Nascimento S/N, Juiz de Fora 36038-330, MG, Brazil.
Graduate Program in Physical Education, Faculty of Physical Education and Sports, Federal University of Juiz de Fora, Rua José Lourenço Kelmer S/N, Juiz de Fora 36036-900, MG, Brazil.
Int J Environ Res Public Health. 2022 Dec 12;19(24):16697. doi: 10.3390/ijerph192416697.
This study aimed to test the feasibility of remote delivering a 12-week exercise and lifestyle education program (ExLE) or a 12-week exercise program (Ex) for individuals with prediabetes and diabetes in terms of acceptability, implementation, practicality, and limited efficacy. The programs were internet- or telephone-based delivered, depending on the participants' internet access and technology literacy. Of the 196 individuals screened, 15 were included in the study (internet-based delivery ( = 13); telephone-based delivery ( = 2)). Twelve participants completed the program they were randomized to, and most reported being satisfied with the study interventions (acceptability). Data collection procedures, weekly follow-up, study website visits, and educational materials were proper (implementation), and the adherence rate to study interventions ranged from 24% to 58% (practicality). Additionally, both programs (ExLE and Ex) seemed to promote beneficial changes in functional capacity (limited efficacy). The internet-based remote delivery of the interventions showed feasibility. Therefore, in future trials, exercise and educational interventions can be internet-based remote delivered to individuals with prediabetes and diabetes with internet access and technology literacy. In addition, some adjustments to eligibility criteria, study websites, more accessible ways of recording exercise sessions and using educational materials, and an initial supervised exercise session are recommended.
本研究旨在测试针对糖尿病前期和糖尿病患者远程提供为期 12 周的运动和生活方式教育计划（ExLE）或为期 12 周的运动计划（Ex）的可行性，从可接受性、实施、实用性和有限疗效方面进行考量。这些计划通过互联网或电话来进行，具体取决于参与者的互联网接入和技术素养。在筛选出的 196 名个体中，有 15 名被纳入研究（基于互联网的交付（n = 13）；基于电话的交付（n = 2））。12 名参与者完成了他们随机分配到的计划，大多数人表示对研究干预措施感到满意（可接受性）。数据收集程序、每周随访、研究网站访问和教育材料都是恰当的（实施性），对研究干预措施的依从率范围为 24%至 58%（实用性）。此外，这两个方案（ExLE 和 Ex）似乎都促进了身体功能的有益变化（有限疗效）。基于互联网的远程干预交付具有可行性。因此，在未来的试验中，可以为有互联网接入和技术素养的糖尿病前期和糖尿病患者提供基于互联网的远程运动和教育干预。此外，建议对纳入标准、研究网站、更便于记录运动课程和使用教育材料的方式、以及初始监督运动课程进行一些调整。
