Behavior change interventions in patients with type 2 diabetes: a systematic review of the effects on self-management and A1c

Batalha, Ana Paula; Ponciano, Isabela Coelho; Chaves, Gabriela; Felício, Diogo Carvalho; Britto, Raquel Rodrigues; Silva, Lílian Pinto da

doi:10.1007/s40200-021-00846-8

Cited by 6 publications

(1 citation statement)

References 61 publications

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“…In this context, diabetes education is one of the essential elements of diabetes care [ 6 , 7 , 8 ], as educational interventions effectively promote behavior changes and can support the self-management of individuals with diabetes, which can ultimately promote metabolic control, as described in previous reviews [ 9 , 10 , 11 ]. Despite its great potential to support diabetes care, the impact of diabetes patient education on behavior changes has not been frequently evaluated in low- and middle-income countries such as Brazil, with most studies on this topic being carried out in high-income countries [ 12 , 13 , 14 ].…”

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

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et al. 2022

IJERPH

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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.

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