Twelve-month outcomes of an internet-based diabetes self-management support program

Objective: Internet-based programs offer great potential for practical and cost-effective chronic illness self-management programs.

Methods: We report 12-month results of an Internet-based diabetes self-management program (minimal and moderate contact versions) compared to enhanced usual care. Patients (n= 463) were randomized and 77.3% completed 12-month follow-up. Primary outcomes were changes in healthy eating, physical activity, and medication taking. Secondary outcomes were hemoglobin A1c, body mass index, lipids, blood pressure, and psychosocial factors.

Results: Internet conditions improved behavioral outcomes vs. usual care over the 12-month period. All conditions improved moderately on biological and psychosocial outcomes. Moderation analyses indicated that Latinos, lower literacy patients, and those at higher risk of cardiovascular disease improved as much as other participants.

Conclusions: The Internet intervention meets several criteria for public health impact, reaching and being feasible for a wide range of participants. However, 12-month magnitude of effects was small, suggesting that different or more intensive approaches are necessary to support long-term outcomes. Research is needed to understand the linkages between intervention and maintenance processes and outcomes.

Practice Implications: Automated self-managementinterventions should be linked in to primary care in customized ways, and for long-term maintenance, enhanced engagement in self- management and community resources may be necessary.




Gateways Globe

Gateways

Current Students
Future Students
Graduate School
Faculty
Staff
Alumni

Blackboard
Calendar
Emergency Information
Faculty/Staff Email
Financial Aid
Parents
Student Email
UA Online
About UAA question mark

About UAA

Accessibility
Administration
Chancellor's Office
Community Campuses
Diversity Resources
Employment
Map
Mission
News and Publications
Strategic Plan
Academics books

Academics

Academic Calendar
Admissions
Advising and Testing
Catalog
Class Schedule
Colleges and Schools
Computer Labs
Distance Education
Financial Aid
Library
One Stop
Registration/Registrar
Undergraduate Research
Research flask

Research

Undergraduate Research
Office of Research
Centers and Institutes
Colleges and Schools
Campus Life cup

Campus Life

Athletics
Bookstore
Calendar
Commuter Student Services
Intramural Sports
Native Student Services
Parking Services
Residence Life
Student Life
Student Media
USUAA Student Government
Wells Fargo Sports Complex
Public Square balloon quotes

Public Square

Athletics
Calendar
Community Partnerships
Giving to UAA
Library
News and Publications
Podcasts
Visiting the Campus
Wells Fargo Sports Complex
Wendy Williamson Auditorium
© Copyright 2017, University of Alaska Anchorage
UAA is an EEO/AA employer and educational institution
Page Updated: 6/01/16