Feasibility of Remote Delivering an Exercise and Lifestyle Education Program for Individuals Living with Prediabetes and Diabetes in Brazil
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Ethical Aspects
2.2. Participants
2.3. Procedures
2.4. Study Variables’ Measurement
2.5. Interventions
2.6. Feasibility Outcomes
2.7. Statistical Analysis
3. Results
3.1. Acceptability
Satisfaction with the Interventions
3.2. Implementation
3.2.1. Rate of Obtaining the Measures Used to Assess Study Variables
3.2.2. Delivery Rate of the Filled Exercise and Study Diaries
3.2.3. Total Attempts and Answer Rate to the Phone Calls or Text Messages in the Weekly Follow-Up
3.2.4. Questions Asked by Participants during the Weekly Follow-Up
3.2.5. Reported utilization rate of educational materials
3.2.6. Website Visits and Barriers to Website Navigation
3.3. Practicality
Adherence Rate to Study Interventions
3.4. Limited Efficacy
3.4.1. Intervention Preliminary Effects on Study Variables
3.4.2. Adverse Effects of Exercise Intervention
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Feasibility Outcomes | Data Source | Data Analysis | |
---|---|---|---|
Acceptability |
| The satisfaction questionnaire answered by the participant in the face-to-face stage of post-intervention assessment | Descriptive statistics of numerical data and qualitative analysis of open questions of the satisfaction questionnaire |
Implementation |
| Research files: assessment sheetsResearch files: exercise and study diaries Research files: spreadsheet used to report weekly follow-ups carried out by the research team Specific questions from the satisfaction questionnaire answered by the participant in the face-to-face stage of post-intervention assessment and study diary reports Data recorded on the website platform | Descriptive statistics of numerical data and qualitative analysis of the questions asked by the participants during the weekly follow-up and of the open questions of the satisfaction questionnaire |
Practicality |
| Research files: exercise and study diaries | Descriptive statistics of numerical data |
Limited Efficacy |
| Research files: data obtained from pre- and post-intervention assessments sheets and exercise diary | Descriptive statistics of numerical data |
Variables | ExLE Internet-Based (n = 6) | ExLE Telephone-Based (n = 2) | Ex Internet-Based (n = 7) | Total Sample (n = 15) |
---|---|---|---|---|
Sociodemographic Characteristics | ||||
Age (years) | 50.2 ± 11.3 | 70.5 ± 6.4 | 43.0 ± 14.9 | 49.5 ± 15.1 |
Female—% (n) | 50.0 (3) | 100.0 (2) | 85.7 (6) | 73.3 (11) |
Years of study | 16.7 ± 3.7 | 4.5 ± 0.7 | 16.7 ± 6.7 | 15.1 ± 6.5 |
Household income (USD) | 2295.0 ± 2076.2 1735.8 (742.5–4050.1) | 771.4 ± 0 771.4 (771.4–771.4) | 2093.9 ± 1143.3 2507.2 (964.3–2893.0) | 1998.0 ± 1535.3 1542.9 (771.4–2893.0) |
Work status—% (n) | ||||
Retired | 16.7 (1) | 100.0 (2) | 14.3 (1) | 26.7 (4) |
Employed | 83.3 (5) | 0 (0) | 57.1 (4) | 60.0 (9) |
Student | 0 (0) | 0 (0) | 28.6 (2) | 13.3 (2) |
Marital status—% (n) | ||||
Single | 16.7 (1) | 0 (0) | 14.3 (1) | 13.3 (2) |
Married | 83.3 (5) | 50.0 (1) | 71.4 (5) | 73.3 (11) |
Widow | 0 (0) | 0 (0) | 14.3 (1) | 6.7 (1) |
Divorced | 0 (0) | 50.0 (1) | 0 (0) | 6.7 (1) |
Clinical Characteristics | ||||
Diabetes type—% (n) | ||||
Type 1 | 16.7 (1) | - | 0 (0) | 6.7 (1) |
Type 2 | 33.3 (2) | 100.0 (2) | 57.1(4) | 53.3 (8) |
Prediabetes | 50.0 (3) | - | 42.9 (3) | 40.0 (6) |
Time elapsed since diagnosis (years) | 7.9 ± 8.8 | 3.2 ± 3.9 | 2.3 ± 2.4 | 2.0 (0.1–23.6) |
Oral antidiabetics—% Yes (n) | 66.7 (4) | 100.0 (2) | 85.7 (6) | 80.0 (12) |
Insulin therapy—% Yes (n) | 16.7 (1) | 0 (0) | 0 (0) | 6.7 (1) |
Diabetes complications self-reported—% Yes (n) | 0 (0) | 50.0 (1) | 0 (0) | 6.7 (1) |
Regular exercise self-reported—% Yes (n) | 50.0 (3) | 0 (0) | 28.6 (2) | 33.3 (5) |
Smoking—% Yes (n) | 16.7 (1) | 0 (0) | 0 (0) | 6.7 (1) |
Hypertension—% Yes (n) | 33.3 (2) | 100.0 (2) | 14.3 (1) | 33.3 (5) |
Stress—% Yes (n) | 16.7 (1) | 100.0 (2) | 42.9 (3) | 40.0 (6) |
Dyslipidemia—% Yes (n) | 66.7 (4) | 50.0 (1) | 57.1 (4) | 60.0 (9) |
Healthcare service—% (n) | ||||
Public | 16.7 (1) | 0 (0) | 28.6 (2) | 20.0 (3) |
Private | 66.7 (4) | 50.0 (1) | 57.1 (4) | 60.0 (9) |
Not reported | 16.7 (1) | 50.0 (1) | 14.3 (1) | 20.0 (3) |
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Seixas, M.B.; Ghisi, G.L.d.M.; Oh, P.; Pereira, D.S.; Moreira, A.P.B.; Jansen, A.K.; Batalha, A.P.D.B.; Cândido, G.d.N.; Almeida, J.A.d.; Pereira, D.A.G.; et al. Feasibility of Remote Delivering an Exercise and Lifestyle Education Program for Individuals Living with Prediabetes and Diabetes in Brazil. Int. J. Environ. Res. Public Health 2022, 19, 16697. https://doi.org/10.3390/ijerph192416697
Seixas MB, Ghisi GLdM, Oh P, Pereira DS, Moreira APB, Jansen AK, Batalha APDB, Cândido GdN, Almeida JAd, Pereira DAG, et al. Feasibility of Remote Delivering an Exercise and Lifestyle Education Program for Individuals Living with Prediabetes and Diabetes in Brazil. International Journal of Environmental Research and Public Health. 2022; 19(24):16697. https://doi.org/10.3390/ijerph192416697
Chicago/Turabian StyleSeixas, Mariana Balbi, Gabriela Lima de Melo Ghisi, Paul Oh, Daniele Sirineu Pereira, Ana Paula Boroni Moreira, Ann Kristine Jansen, Ana Paula Delgado Bomtempo Batalha, Gabriela do Nascimento Cândido, Josiane Aparecida de Almeida, Danielle Aparecida Gomes Pereira, and et al. 2022. "Feasibility of Remote Delivering an Exercise and Lifestyle Education Program for Individuals Living with Prediabetes and Diabetes in Brazil" International Journal of Environmental Research and Public Health 19, no. 24: 16697. https://doi.org/10.3390/ijerph192416697