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Related Experiment Video

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Physical and psychological optimization of tele-exercise programs by establishing guidelines.

Manuela Cantoia1, Giovanna Zimatore1, Barbara Matteo1

  • 1Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.

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|July 24, 2025
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Summary

Tele-exercise promotes physical activity for those with access barriers. This study established consensus on 7 key areas and 25 recommendations for safe and effective tele-exercise implementation.

Keywords:
Home-based exerciseRemote trainingSynchronous and asynchronous modeTele-coachingTele-fitnesseHealth

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Area of Science:

  • Health Sciences
  • Exercise Physiology
  • Digital Health

Background:

  • Tele-exercise offers a solution for physical activity access barriers.
  • The field lacks standardized guidelines for safe and effective implementation.
  • Structured frameworks are needed to ensure tele-exercise quality and accessibility.

Purpose of the Study:

  • To establish expert consensus on fundamental aspects of tele-exercise.
  • To address the need for standardized tele-exercise guidelines.
  • To create a preliminary framework for tele-exercise implementation.

Main Methods:

  • Mixed-method approach combining literature analysis and a modified Delphi study.
  • Four rounds of expert opinions collected via focus groups and questionnaires.
  • Consensus defined as ≥60% agreement among 31 experts (17 internal, 14 external).

Main Results:

  • Consensus reached on 7 thematic areas and 25 operational recommendations.
  • Key recommendations cover fitness training design (e.g., 2-10 participants/session), safety protocols, and technology.
  • Guidelines address definitions, program design, space/equipment, safety, technology, engagement, and monitoring.

Conclusions:

  • Standardized tele-exercise practices are crucial for safety and effectiveness.
  • The study provides a preliminary framework with consensus on technical and psychological features.
  • Findings support the scalability and safety of tele-exercise across diverse populations.