Mobile Health Biometrics to Enhance Exercise and Physical Activity Adherence in Type 2 Diabetes

为什么这个项目很重要？身体活动和锻炼在2型糖尿病的治疗中非常重要，有助于控制血糖和预防并发症。然而，许多2型糖尿病患者发现很难进行身体活动和/或坚持锻炼计划，即使医生和糖尿病护士告诉他们锻炼作为治疗的一部分。需要研究确定更有效的方法来帮助2型糖尿病患者增加日常身体活动水平，开始定期锻炼，并坚持适量的运动，以利于他们的2型糖尿病管理，特别是在诊断后的早期阶段。项目的目的是什么？在这个项目中，我们想看看移动的健康技术（即使用智能手机，可穿戴技术和应用程序来支持干预措施的实施）是否可以让2型糖尿病患者更容易地开始并保持身体活跃的生活方式，包括定期锻炼。我们将如何运行该项目？我们将对英国和加拿大最近被诊断为2型糖尿病的人进行一项研究。将招募120人（英国n=60，加拿大n=60）并随机分为两组。一组将获得标准支持，以帮助他们变得更加活跃，然后保持更加活跃。第二组，除了这种支持将提供一个手表，可以监测日常活动和他们的心率，一个智能手机应用程序和访问一个网站。对日常活动的监控将有助于鼓励参与者在一天中更加活跃。心率监测将帮助他们在家里锻炼，提供在每次锻炼中需要做什么的细节，并提供关于他们在锻炼过程中努力程度的真实的时间反馈。智能手机应用程序将允许患者跟踪个性化身体活动和锻炼目标的进展，联系他们的医疗保健专业人员，并与该计划中的其他2型糖尿病患者分享经验。最后，该网站将允许医疗保健专业人员跟踪患者的日常身体活动和锻炼坚持性，使用这些数据在整个计划中为患者提供个性化的反馈。2型糖尿病患者一般在确诊后不久就参加教育课程。作为这种教育的一部分，建议他们增加体育活动和经常锻炼。然而，许多2型糖尿病患者并不遵循这一建议，因为他们不确定如何增加他们的活动，他们从医疗保健专业人员那里得到的支持很少，而且他们没有人与2型糖尿病患者谈论运动。该项目中的移动的健康技术将为患者提供如何增加锻炼的建议，就像私人教练所做的那样。这项技术还将使医疗保健专业人员能够与患者保持密切联系，并使患者能够与其他2型糖尿病患者联系，他们也试图变得更加活跃。我们相信这项技术将有助于教育和激励患者增加日常体力活动，并坚持锻炼计划，帮助管理他们的糖尿病。这些结果将如何改善糖尿病患者的健康？这项研究的结果将帮助我们设计一项更大的研究，以测试这种移动的健康技术是否会在整个英国和加拿大发挥作用。如果是这样的话，随着技术变得越来越便宜，大多数人已经拥有智能手机，推出智能手机将是廉价的。

Why is this project important?Being physically active and exercising is very important in the treatment of type 2 diabetes, with it helping to control blood sugar and prevent complications. Nevertheless, lots of people with type 2 diabetes find it hard to be physically active and/or stick to an exercise programme, even when doctors and diabetes nurses have told them to exercise as part of their treatment. Research is needed to identify more effective methods to help people with type 2 diabetes increase their everyday physical activity levels, start exercising regularly and stick too the right amount of exercise to benefit their type 2 diabetes management, particularly in the early stages after diagnosis. What is the purpose of the project?In this project we want to see if mobile health technology (i.e. the use of smartphones, wearable technology and apps to support the delivery of interventions) when added into exercise advice makes it easier for people with type 2 diabetes to begin and maintain a physically active lifestyle, which includes exercising regularly. How will we run the project?We will run a study for people who have recently been diagnosed with type 2 diabetes in the UK and Canada. 120 people will be recruited (UK n=60, Canada n=60) and randomly put into two groups. One group will receive standard support to help them become and then remain more active. The second group, in addition to this support will be provide with a wrist watch that can monitor everyday activity and their heart rate, a smartphone app and access to a website. Monitoring of everyday activities will help to encourage the participants to be more active throughout the day. Heart rate monitoring will help them to exercise at home by providing details of what needs to be done in each exercise session, and providing real time feedback on how hard they are working during the exercise sessions. The smartphone app will allow patients to track progress towards personalised physical activity and exercise goals, contact their health care professional, and share experiences with other people with type 2 diabetes on the programme. Finally, the website will allow health care professionals to track patient's daily physical activity and exercise adherence, using the data to provide personalised feedback to patients throughout the programme.What is unique about this project?Usually, soon after diagnosis people with type 2 diabetes attend education sessions. As part of this education they are advised to increase physical activity and exercise regularly. However, many patients with type 2 diabetes do not follow this advice, because they are unsure how to increase their activity, they get little support from health care professionals and they have no-one with Type 2 diabetes to talk with about exercise. The mobile health technology in this project will provide patients with advice on how to increase their exercise, in a similar way to how a personal trainer would. This technology will also enable health care professionals to keep in close contact with patients, and will enable patients to contact other people with type 2 diabetes also trying to become more active. We believe this technology will help educate and motivate patients to increase daily physical activity, and stick to an exercise plan, helping to manage their diabetes. How will the outcomes improve the health of people with diabetes? Findings from this study will help us design a larger study to test whether this mobile health technology would work throughout the UK and Canada. If so it would be cheap to roll out as technology is becoming cheaper and the majority of people already have smart phones.