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Personal Activity Intelligence eHealth intervention in people with diabetic peripheral neuropathy: A feasibility
Brooke K Coombes1, Leanne M Bisset2, Eva Sierra-Silvestre3
1BPhty (Hons), MPhty (Musc), GCertHigherEd, PhD, Lecturer, School of Health Sciences and Social Work, Griffith University, Brisbane and Gold Coast, Qld; Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld.
Background And Objectives:
People with diabetic peripheral neuropathy (DPN) report difficulty exercising. This study tested an innovative intervention to promote physical activity self-management and its impact on foot symptoms.
Method:
Ten adults with DPN not meeting exercise guidelines consented to four weekly sessions involving exercise tasters, behaviour change counselling and Physical Activity Intelligence (PAI) self-monitoring, with a goal to maintain daily PAI scores ≥100. Foot symptoms were assessed using repeated mobile phone surveys at 0 and 12 weeks.
Results:
Participants attended a mean 3.5 sessions and achieved 100 PAI on 53% and 15% of days during Weeks 2-4 and 5-12, respectively. No major adverse events and large reductions in aching (P=0.02) and burning pain (P=0.03) in the feet were recorded.
Discussion:
The PAI eHealth intervention was feasible and safe and might reduce foot symptoms. More work is needed to support self-directed exercise maintenance.
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