The diabetes network Internet-based physical activity intervention - A randomized pilot study

Citation
Hg. Mckay et al., The diabetes network Internet-based physical activity intervention - A randomized pilot study, DIABET CARE, 24(8), 2001, pp. 1328-1334
Citations number
29
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Endocrynology, Metabolism & Nutrition","Endocrinology, Nutrition & Metabolism
Journal title
DIABETES CARE
ISSN journal
0149-5992 → ACNP
Volume
24
Issue
8
Year of publication
2001
Pages
1328 - 1334
Database
ISI
SICI code
0149-5992(200108)24:8<1328:TDNIPA>2.0.ZU;2-H
Abstract
OBJECTIVE - Because of other competing priorities, physical activity (PA) i s seldom addressed in a consistent way in either primary care or diabetes e ducation. This 8-week pilot study evaluated the short-term benefits of an I nternet-based supplement to usual care that focused on providing support fo r sedentary patients with type 2 diabetes to increase their PA levels. RESEARCH DESIGN AND METHODS - A total of 78 type 2 diabetic patients (53% f emale, average age 52.3 years) were randomized to the Diabetes Network (D-N et) Active Lives PA Intervention or an Internet information-only condition. The intervention condition received goal-setting and personalized feedback , identified and developed strategies to overcome barriers, received and co uld post messages to an on-line "personal coach," and were invited to parti cipate in peer group support areas. Key outcomes included minutes of PA per week and depressive symptomatology. RESULTS - There was an overall moderate improvement in PA levels within bot h intervention and control conditions, but there was no significant improve ment in regard to condition effects. There was substantial variability in b oth site use and outcomes within the intervention and control conditions, I nternal analyses revealed that among intervention participants, those who u sed the site more regularly derived significantly greater benefits, whereas those in the control condition derived no similar benefits with increased program use, CONCLUSIONS- Internet-based self-management interventions for PA and Other regimen areas have great potential to enhance the care of diabetes and Othe r chronic conditions. We conclude that greater attention should be focused on methods to sustain involvement with Internet-based intervention health p romotion programs over time.