| Autor: |
Wilson-Anumudu, Folasade, Quan, Ryan, Castro Sweet, Cynthia, Cerrada, Christian, Juusola, Jessie, Turken, Michael, Bradner Jasik, Carolyn |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
JMIR Diabetes, Vol 6, Iss 1, p e25295 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2371-4379 |
| DOI: |
10.2196/25295 |
| Popis: |
BackgroundTranslation of diabetes self-management education and support (DSMES) into a digital format can improve access, but few digital programs have demonstrated outcomes using rigorous evaluation metrics. ObjectiveThe aim of this study was to evaluate the impact of a digital DSMES program on hemoglobin A1c (HbA1c) for people with type 2 diabetes. MethodsA single-arm, nonrandomized trial was performed to evaluate a digital DSMES program that includes remote monitoring and lifestyle change, in addition to comprehensive diabetes education staffed by a diabetes specialist. A sample of 195 participants were recruited using an online research platform (Achievement Studies, Evidation Health Inc). The primary outcome was change in laboratory-tested HbA1c from baseline to 4 months, and secondary outcomes included change in lipids, diabetes distress, and medication adherence. ResultsAt baseline, participants had a mean HbA1c of 8.9% (SD 1.9) and mean BMI of 37.5 kg/m2 (SD 8.3). The average age was 45.1 years (SD 8.9), 70% were women, and 67% were White. At 4-month follow up, the HbA1c decreased by 0.8% (P9.0% at baseline. Diabetes distress and medication adherence were also significantly improved between baseline and follow up. ConclusionsThis study provides early evidence that a digitally enhanced DSMES program improves HbA1c and disease self-management outcomes. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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