A randomized trial comparing structured and lifestyle goals in an internet-mediated walking program for people with type 2 diabetes

Abstract

Background: The majority of individuals with type 2 diabetes do not exercise regularly. Pedometer-based walking interventions can help; however, pedometer-based interventions targeting only total daily accumulated steps might not yield the same health benefits as physical activity programs specifying a minimum duration and intensity of physical activity bouts.

Physical activity in postdeployment Operation Iraqi Freedom/Operation Enduring Freedom veterans using Department of Veterans Affairs services

“…Furthermore, since 74 percent of participants report checking email almost every day or more and 93 percent report having access to a cellular telephone, Internet-based and/or text message-based interventions may prove effective for maintaining and/or increasing physical activity in our target population. Such technology-mediated approaches to lifestyle and behavior-change interventions have previously proven to be efficacious in increasing physical activity and promoting healthy diets in other at-risk groups [38][39][40][41][42][43][44].…”

Health Technologies for Monitoring and Managing Diabetes: A Systematic Review

“…Two trials included some component or measurement of compliance with the pedometer-based intervention. 37,38 None of the selected studies on pedometerbased interventions assessed issues of feasibility or usability. One trial using an accelerometer-based exercise intervention was reviewed 39 but did not fit the inclusion criteria.…”

“…This is based on results from a16-week intervention with a 24-week follow-up. Level 2b (limited) evidence from one good quality RCT 38 suggests that using a pedometer may increase the number of daily accumulated steps, whether the person is involved in a structured or unstructured goal-setting program. A structured lifestyle-goal program may improve participant satisfaction with pedometer-based programs, based on the results from a 6-week intervention.…”

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD

“…19,20 We developed an Internetmediated, pedometer-based walking program called Taking Healthy Steps (THS) to promote PA in people with COPD. [21][22][23][24][25] THS provides iterative step-count feedback, individualized step-count goals, education on disease self-management, motivational support, and an online community of social support. A 3-month singlearm study showed this intervention to be safe, engaging, and able to increase daily step counts.…”