Study of a 12-Week Technology-Assisted Home Strength Training Program for Adults Aged 55-80 with Type 2 Diabetes and Mild Cognitive Impairment

What this Trial Is About

This research aims to explore the feasibility and adherence to a 12-week technology-assisted home-based strength training program for adults aged 55 to 80 with type 2 diabetes mellitus and mild cognitive impairment. These conditions often occur together in older adults, creating challenges that physical activity may help address, particularly for glucose control and cognitive function. Telehealth support is studied as a way to overcome barriers like transportation and group exercise concerns common in this population. Participants will engage in a progressive exercise program consisting of 50-minute sessions three times per week for 12 weeks. The program includes a warm-up, resistance training targeting various muscle groups, and a cool-down. Supervision shifts over time from mostly in-person during the first two weeks, to a combination of in-person and virtual sessions in weeks five to eight, and then mostly unsupervised with virtual support from weeks nine to twelve. Weekly check-ins with staff occur, and a final assessment is conducted at week thirteen. Throughout the study, participants undergo assessments of physical and cognitive function, glycemic control, and daily living activities at baseline and week thirteen. Tests include balance performance, timed walking tests, grip strength, cognitive assessments like the Montreal Cognitive Assessment, and blood draws. Researchers also evaluate how acceptable and feasible the home-based exercise program is and identify barriers to engagement through interviews. Total participation spans the 13-week intervention and evaluation period.

Feasibility and Adherence to a Technology-assisted Home-based Strength Training Program in Adults With Type 2 Diabetes Mellitus and Mild Cognitive Impairment