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Background: Regular exercise is beneficial to patients with hypertension and/or diabetes mellitus. However, most patients cannot maintain exercise habit. The investigators had developed a program called the "exercise is medicine"(EIM), combining motivational technique, information technology use and teaching exercise techniques. Before using this intervention in a main randomized controlled trial, the investigators would like to test its feasibility and acceptability. It is hypothesized that this program is feasible and acceptable to patients.
Method: 40 patients with HT and/or DM will be recruited to attend the EIM intervention. Primary outcomes will be the rate of recruitment and rate of retention. Other clinical outcomes will be obtained before and immediately after the 12-week program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EIM group | Experimental | patients will go to different classes: (i) Hypertension basic exercise class (ii) Hypertension advanced exercise class (iii) diabetes basic exercise class (iv) diabetes advanced exercise class; if the patient has normal BMI AND reported some regular exercise, they will be prescribed the advanced level class. There is no control group for this pilot study |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EIM exercise classes and intervention | Behavioral | This is a complex intervention. On recruitment, they will be seen by a nurse and counselled using motivational technique. They will then undergo a 12-week class. The exercise levels will be regularly feedback to the patients by use of mobile devices and trackers. Peer support is formed during the 12-week class. Resources to continue exercise will be provided to patients. Regular monitoring of physical improvement will be feedback to patients to encourage continued exercise. |
| Measure | Description | Time Frame |
|---|---|---|
| rate of retention | rate of retention | from recruitment to finish of the 12-week program |
| Rate of recruitment | Rate of recruitment | from recruitment to the start of the 12-week program |
| Measure | Description | Time Frame |
|---|---|---|
| Clinic blood pressure (BP) | Clinical BP will be measured 3 times and the last 2 will be averaged | on recruitment and after the 12- week class |
| HbA1c (glycosylated hemoglobin) | for DM patients only |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lek Yuen Clinic | Hong Kong | Hong Kong |
Will make available on personal requests to investigators
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
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| ID | Term |
|---|---|
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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patients will go to different classes: (i) Hypertension basic exercise class (ii) Hypertension advanced exercise class (iii) diabetes basic exercise class (iv) diabetes advanced exercise class; if the patient has normal BMI AND reported some regular exercise, they will be prescribed the advanced level class. There is no control group for this pilot study
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| on recruitment and after the 12- week class |
| Godin-Shephard Laiesure-Time Physical Activity Questoinnaire | a validated questionnaire to detect change in exercise level | on recruitment and after the 12- week class |
| body mass index (BMI) | the weight and height of the patients will be measured | on recruitment and after the 12- week class |
| body fat percentage | body fat percentage | on recruitment and after the 12- week class |
| lipid level | this will include low-density lipoprotein, high-density lipoprotein, and total lipoprotein | on recruitment and after the 12- week class |
| 9-item patient health questionnaire | a validated questionnaire to detect depressive symptoms | on recruitment and after the 12- week class |
| Generalized anxiety disorder-7 | a validated questionnaire to detect anxiety symptoms | on recruitment and after the 12- week class |
| EQ-5D-5L | a validated questionnaire to measure quality of life | on recruitment and after the 12- week class |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |