The use of technology to promote physical activity in Type 2 diabetes management: A systematic review (original) (raw)
Related papers
Journal of Diabetes Research and Clinical Metabolism, 2014
Background: Type 2 diabetes mellitus (T2DM) is a highly prevalent public health problem. Although there is strong evidence supporting the essential role of physical activity in the management of T2DM, the prescription of physical activity has limited success in promoting changes in behavior. The purpose of the present study was to evaluate the impact of phone call support, over the course of five weeks, as an incentive to promote walking in type 2 diabetic patients with poor glycemic control. Methods: A total of 54 type 2 diabetic patients with poor glycemic control (HbA 1C Hg ≥8%) were enrolled in a randomized controlled clinical trial that was conducted at an outpatient clinic. The intervention patients received one telephone call per week for 5 weeks to encourage activity in the form of walking. Control patients did not receive phone calls. The number of steps each subject took was recorded weekly using pedometers. Results: Intervention group there was a significant increase in the number of steps per week between the first and last week compared to the control group (P<0.001). The absolute risk reduction was 75%, and it was necessary to provide phone call support for only three patients to obtain an increase in the number of the steps between the first and the last week of the study (NNT=3.0). Conclusions: Our results suggest that the telephone call, a high cost-benefit approach, may be an efficient intervention for promoting physical activity improvement in type 2 diabetic patients with poor glycemic control.
Telehealth to Improve Physical Activity in Adults with Diabetes Mellitus: A Narrative Review
Jurnal Aisyah : Jurnal Ilmu Kesehatan
Physical activity has been evaluated to decrease mortality rates in people with diabetes mellitus. After the COVID-19 pandemic, healthcare delivery was leaned towards telemedicine or telehealth to conduct social distancing. The primary aim of this review is to evaluate formats and strategies used in telemedicine to improve physical activity in adults with diabetes mellitus. ProQuest, Medline, and CINAHL were searched for studies involving adults with diabetes mellitus (>18 years old); telemedicine; and physical activity outcomes. The quality of the studies was appraised using the JBI Critical Appraisal Checklists for risk of bias, study design, and quality of evidence. Data syntheses were conducted following simplified approach by Popay et al. Themes were developed based on the findings. Five randomized controlled trials met the inclusion criteria. The risk of bias was determined low in most of the studies. Text messages were the most common method. Pedometer, accelerometer, and International Physical Activity Questionnaires were commonly used to quantify the level of physical activity. Frequent reminders using text messages to the participants were the common strategy to ensure their adherence. The telehealth intervention has not yet shown significant positive effects on physical activity in people with diabetes mellitus. Further studies conducting synchronous and hybrid telehealth to improve physical activity in adults with diabetes mellitus were needed.
Journal of Medical Internet Research, 2016
months of the study compared to the control group. However, over the 6 months followup period, monthly step counts did not differ statistically by group (intervention group (9,092 steps) vs. control group (3,722 steps) (RR, 2.44, 95% CI, 0.68-8.74; p=0.17). HbA1c decreased by 0.07% (95% CI-0.47-0.34; p=0.75) in the TTM group compared with the control group. Within group, HbA1c decreased significantly from baseline in the TTM group by-0.43% (95% CI,-0.75-0.12; p=0.01but non-significantly in the control group, by-0.21% (95% CI,-0.49-0.06; p=0.13)). Similar changes were observed for other secondary outcomes. Conclusion Personalized text messaging can be used to improve outcomes in patients with T2DM by employing optimal patient engagement measures.
BMC public health, 2018
Physical activity can decrease the risk of complications related to diabetes type 2. Feasible and scalable strategies to implement support for a healthy lifestyle for patients in primary care are needed. The aim of the DiaCert-study is to evaluate a digital healthcare platform and the effect of a 12-week long smartphone-app physical activity intervention aiming at increasing physical activity (primary outcome) and improve levels of HbA1c (glycated hemoglobin), blood lipids, blood pressure, body composition, as well as other lifestyle factors and overall health in patients with diabetes type 2. The DiaCert-study is a two-arm, randomized controlled trial that will include 250 patients with diabetes type 2. At baseline, participants are randomized 1:1 to intervention, i.e. use of the smartphone-app, during 12 weeks, or to a control group receiving only standard care. Physical activity and sedentary behavior, is objectively measured using the Actigraph GT3X. Biomarkers including HbA1c a...
Motriz: Revista de Educação Física
The present study aimed to assess the effect of a 24-week intervention on the physical activity level among adults at risk of developing type 2 diabetes mellitus (DM2). Methods: It was included 129 individuals of both sexes who underwent the Preventive Health Checkup at the Albert Einstein Israelita Hospital between January and August 2010 and who were at high and very high risk of developing DM2. The risk of developing DM2 was assessed according to the FINDRISC criteria. All participants were evaluated by the International Physical Activity Questioner (IPAQ). Subjects were followed-up for 24 weeks by a physical education professional through emails during a 6 month period. The IPAQ was sent by email after 3 and 6 months of follow-up. Statistical analysis was performed using the chi-square test with p<0.05 and the Yule Coefficient test. Results: At baseline of the follow-up period, 80.3% of individuals failed to comply with the recommended weekly physical activity. In the end, motivational intervention by e-mail encouraged 74.2% of individuals to comply with the weeklyrecommended physical activity and only 1.5% were classified as sedentary. Conclusion: Therefore, the follow-up protocol conducted by periodic and personalized e-mails proved to be effective in promoting physical activity among people at risk of developing metabolic diseases.
Lifestyle Education Based on Electronic Media for Diabetes Management - A Systematic Review
Proceedings of the 9th International Nursing Conference, 2018
The number of deaths due to diabetes mellitus is still high and tends to increase, this is due to the lack of selfmanagement of patients with diabetes mellitus. The purpose of this research is to identify education with electronic media to improve self-management of diabetes mellitus type 2. This study was used systematic review with a literature search using online reference databases: ProQuest, EBSCOhost, PubMed, Scopus, and Science Direct. The determination of the keyword is based on PICOT framework (P: diabetes mellitus type 2, I: internet, computer, telephone, electronics, telehealth, C:-, O: behavior, lifestyle, blood sugar control, self-management, T: 2009-2018). Studies were included if they described interventions with electronic media targeted at patients with type 2 diabetes, focused on behavioral, biomedical, and psychological changes. The review of 15 papers that met the criteria showed significant results in the use of electronic media to the level of knowledge, confidence, nutrition intake, physical activity, self-efficacy and empowerment. Electronic media also significantly affects biomechanics especially for HbA1c results. Electronic media can be one of the right choices in providing self-management education of type 2 diabetes mellitus.
Health Education Research, 2011
The promotion of regular physical activity for people with type 2 diabetes poses a challenge for public health authorities. The purpose of this study was to evaluate the efficiency of a computer-tailoring print-based intervention to promote the adoption of regular physical activity among people with type 2 diabetes. An experimental design was used; 325 participants between the age of 35 and 55 years old were randomized in one of two experimental conditions: the computer-tailoring intervention and the generic intervention. The two dependant variables were the frequency of participation and the intention to participate in leisure-time physical activities. Among the research hypotheses, only one was confirmed: the first computertailoring print on the practice of physical activity was more efficient than the first generic intervention at 1-month follow-up. Other similar studies will be necessary to determine the real potential of this type of approach for people with type 2 diabetes in a real-life setting.