Online-supervised Exercise Program in Elderly People With Diabetes

Study Overview
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Brief Summary
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This study was conducted to determine the effect of an online-supervised exercise program on fasting blood sugar, psychological resilience, and quality of life in elderly people with diabetes. A parallel-group, randomized controlled trial design was used. The study was conducted in a public hospital with 70 patients with elderly type 2 diabetes between Nowember 2021 and May 2022. A Personal Information Form, The Brief Resilience Scale and A Measure of Quality of Life in the Elderly were used to collect data.

Official Title
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The Effect of an Online-supervised Exercise Program in Elderly People With Diabetes on Fasting Blood Sugar, Psychological Resilience, and Quality of Life: A Double Blind Randomize Controlled Trial

Conditions
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Exercise Program, Type2diabetes

Intervention / Treatment
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* Behavioral: Online-supervised exercise group
* Behavioral: Unsupervised-exercise training group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having a diagnosis of Type 2 diabetes mellitus for at least 6 months, Being aged >50 years, Receiving oral antidiabetic and/or insulin therapy, Having a smartphone or a computer, Volunteering to participate in the study, Exclusion Criteria: Individuals who had type 2 DM, but were illiterate Had vision and hearing loss Did not volunteer to participate in the study

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Online-supervised exercise group<br>After the pre-tests (The Brief Resilience Scale, Quality of Life) , the patients were given online-supervised exercise education for 6 weeks. | Behavioral: Online-supervised exercise group<br>* Participants in the online-supervised exercise group were provided with an online-supervised exercise program by using the video conferencing method three times a week for 6 weeks on the Zoom application. The exercise program was carried out synchronously<br>|
| Experimental: The unsupervised-exercise training group<br>After the pre-tests (The Brief Resilience Scale, Quality of Life) , the patients were given unsupervised exercise education for 6 weeks. | Behavioral: Unsupervised-exercise training group<br>* The unsupervised-exercise training group was informed about how to do the same exercises by another researcher, a nurse academician, on the online platform by using the lecturing method. Each training intervention took approximately 30 minutes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Brief Resilience Scale | The scale was developed by Smith et al. to measure individuals' resilience levels and was adapted to Turkish by Doğan. It is a one-dimensional 6-item measurement tool. High scores obtained from the scale indicate that the individual's psychological resilience is good. Cronbach's alpha internal consistency coefficient of the scale is .83. | 5 minute | 
| A Measure of Quality of Life in the Elderly | This scale was developed by Hyde et al. in 2003 to measure the quality of life of the elderly. It was adapted to Turkish society in 2014 by Türkoğlu and Adıbelli. An increase in the total score indicates an increase in the quality of life. The scale consists of two sub-dimensions, namely perceived autonomy and satisfaction and perceived disability. Cronbach's alpha value of the original scale is .91. | 5 minute | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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psychological resilience, quality of life, distance education