Feasibility, acceptability and efficacy of a pilot exercise physiology group service for older people with type 2 diabetes.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Australian Journal of General Practice Pub Date : 2024-11-01 DOI:10.31128/AJGP-08-23-6946

Kelly A McLeod, Jeanette M Thom, Matthew D Jones, Belinda J Parmenter

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Abstract

Background and objectives: Type 2 diabetes affects over half a million older Australians. Australian Medicare group exercise and education interventions can support older adults' diabetes management. However, the feasibility and acceptability of accredited exercise physiologist (AEP)-delivered services are yet to be assessed. This study aimed to assess the feasibility, acceptability and preliminary efficacy of a Medicare type 2 diabetes group exercise and education intervention for older adults.

Method: This study was a single-arm feasibility, acceptability and preliminary efficacy trial of an AEP-delivered type 2 diabetes group service for older adults with the condition. Participants attended the diabetes clinic once per week for eight weeks, through Medicare, for a group exercise and education session. Attendance, participation, enjoyment, suitability, usefulness and pre-post clinical health outcomes were assessed.

Results: The intervention was feasible and acceptable, with 40 participants (mean [±standard deviation] age 71.8±4.5 years [range 65-81 years]; 45% female) attending 87% of sessions. Almost all participants (97%) strongly agreed that the program was enjoyable. Participants also improved fitness and cardiometabolic health outcomes.

Discussion: More Australians should be referred to and attend Medicare-subsidised exercise physiologist-delivered group sessions. The potential for additional sessions to achieve greater physical activity engagement and diabetes self-management should be further investigated.

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为患有 2 型糖尿病的老年人提供运动生理学小组试点服务的可行性、可接受性和有效性。

背景和目标：超过 50 万澳大利亚老年人患有 2 型糖尿病。澳大利亚医疗保险计划（Australian Medicare）的集体运动和教育干预措施可帮助老年人控制糖尿病。然而，认可运动生理学家（AEP）提供的服务的可行性和可接受性还有待评估。本研究旨在评估针对老年人的医疗保险 2 型糖尿病集体运动和教育干预的可行性、可接受性和初步疗效：本研究是一项单臂可行性、可接受性和初步疗效试验，针对患有 2 型糖尿病的老年人开展 AEP 小组服务。参加者通过医疗保险每周到糖尿病诊所参加一次集体运动和教育课程，为期八周。对参与者的出席率、参与度、乐趣、适合度、有用性和事后临床健康结果进行了评估：干预措施可行且可接受，40 名参与者（平均[±标准差]年龄为 71.8±4.5 岁[65-81 岁]；45% 为女性）参加了 87% 的课程。几乎所有参与者（97%）都非常同意该计划是令人愉快的。参与者的体能和心脏代谢健康状况也得到了改善：讨论：更多的澳大利亚人应转诊并参加由医疗保险补贴的运动生理学家提供的小组课程。应进一步研究额外课程在提高体育锻炼参与度和糖尿病自我管理方面的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.

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