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Article

Feasibility of Remote Delivering an Exercise and Lifestyle Education Program for Individuals Living with Prediabetes and Diabetes in Brazil

by
Mariana Balbi Seixas
1,2,
Gabriela Lima de Melo Ghisi
3,
Paul Oh
3,
Daniele Sirineu Pereira
4,5,
Ana Paula Boroni Moreira
6,
Ann Kristine Jansen
7,
Ana Paula Delgado Bomtempo Batalha
1,2,
Gabriela do Nascimento Cândido
5,
Josiane Aparecida de Almeida
1,8,
Danielle Aparecida Gomes Pereira
4,5 and
Lilian Pinto da Silva
1,2,8,*
1
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
2
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
3
Cardiovascular Rehabilitation and Prevention Program, Toronto Rehabilitation Institute, University Health Network, 347 Rumsey Road, Toronto, ON M4G 1R7, Canada
4
Department of Physical Therapy, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte 31270-901, MG, Brazil
5
Graduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte 31270-901, MG, Brazil
6
Department of Nutrition, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil
7
Department of Nutrition, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte 31270-901, MG, Brazil
8
Graduate Program in Rehabilitation Sciences and Physical-Functional Performance, Faculty of Physical Therapy, Federal University of Juiz de Fora, Avenida Eugênio do Nascimento S/N, Juiz de Fora 36038-330, MG, Brazil
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(24), 16697; https://doi.org/10.3390/ijerph192416697
Submission received: 16 November 2022 / Revised: 5 December 2022 / Accepted: 8 December 2022 / Published: 12 December 2022
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Abstract

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 (n = 13); telephone-based delivery (n = 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.
Keywords: diabetes mellitus; prediabetes; health education; patient education; exercise training; internet-based intervention; virtual education diabetes mellitus; prediabetes; health education; patient education; exercise training; internet-based intervention; virtual education

Share and Cite

MDPI and ACS Style

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

AMA Style

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 Style

Seixas, 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

APA Style

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., & Silva, L. P. d. (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(24), 16697. https://doi.org/10.3390/ijerph192416697

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