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Category: Project

Description: Diabetes Mellitus (DM) management comprises the use of medications and lifestyle modifications involving self-management education and support, diet, and physical exercise to get control of blood glucose levels (1). Considering that there is a positive association between diabetes knowledge and treatment adherence and behavior changes (2-4), patient education is a fundamental aspect of diabetes care. However, despite the effectiveness achieved by diabetes educational interventions, most studies on this topic have been to carry out in high-income countries, as shown for the studies reviews related to educational interventions in diabetes (3,5,6) highlighting the relevance of studying this theme in low-to-middle-income countries such as Brazil. The complex current epidemiological scenario of the COVID-19 pandemic and the social distancing adopted as a strategy for the non-propagation and contagion of the virus makes it difficult to treat people with chronic diseases such as DM5,6. In this sense, remote interventions with telemonitoring of health professionals using technological resources become an alternative to maintain health care in different populations (7–9). However, as far as we know, there are still no studies with structured physical exercise and remote educational programs for people with diabetes in Brazil. Therefore, the main objective of this study is to assess the feasibility of delivering the physical exercise and patient education (10) interventions of a randomized controlled clinical trial (Clinical Trials: NCT03914924) remotely. This randomized controlled clinical trial (RCT) has two arms - Exercise program (Ex) or Exercise and Lifestyle Education program (ExLE) - aiming to promote behavior change in adults with diabetes and prediabetes. The specific objectives of the present study are: (1) verify the most efficient means of recruiting participants for the study; (2) examine barriers to inclusion and retention of study participants (3) identify the inclusion rate, dropout rate, and adherence to the interventions (4) verify the number of participants who completed each questionnaire and test used to assess the specific outcomes of the future RCT (5) test remote monitoring procedures, program management tools and data collection (6) assess intervention costs and economic feasibility for future RCT (7) use the results to calculate the effect size and sample size for future RCT (8) assess the satisfaction of participants concerning the proposed programs (9) verify possible adverse effects related to the physical exercise execution.