Is it feasible to combine non-standard exercise prescriptions with novel smartphone adaptive coaching systems to improve physical activity and health related outcomes in type 2 diabetes mellitus?

High levels of physical activity are paramount in ensuring individuals maintain or improve health outcomes, function and quality of life. However, physical activity continues to be low worldwide and rates of conditions associated with sedentary lifestyles are increasing. Furthermore, adherence to exercise prescriptions in individuals whose conditions are managed more effectively with physical activity is poor. This paper examines the feasibility of a novel adaptive coaching smartphone application in yielding a high adherence to an exercise programme, also specifically designed to improve physical activity habits of previously sedentary individuals with type 2 diabetes mellitus (T2DM) by encouraging adherence. The findings of the current study suggest that combining the specific novel exercise programme used in this study with a novel adaptive coaching smartphone application in sedentary individuals with T2DM is a feasible intervention. The findings also suggest that the combined intervention can yield high adherences, increase overall physical activity levels and improve health related outcomes.