Effects of a brief computer-assisted diabetes self-management intervention on dietary, biological and quality-of-life outcomes

Glasgow, Russell E.; Nutting, Paul A.; Toobert, Deborah J.; King, Diane K.; Strycker, Lisa A.; Jex, Marleah; O’Neill, Caitlin; Whitesides, Holly; Merenich, John A.

doi:10.1179/174592006x93851

Cited by 29 publications

(95 citation statements)

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“…All of the studies had HbA 1c as an outcome measure and 11 studies (13)(14)(15)(16)(18)(19)(20)(22)(23)(24)(25) provided enough data to combine in a meta-analysis, as shown in Fig. 2.…”

Section: Cardiovascular Risk Factorsmentioning

confidence: 99%

“…Participants in one study (14) were all Latin or Hispanic. Three studies (13,15,16) reported that .70% of participants were Caucasian or non-Hispanic white. In 13 studies, all participants had type 2 diabetes; 3 studies (12,17,18) included participants with both type 1 and type 2 diabetes; the percentage of participants with type 1 diabetes ranged from 19-26%.…”

Section: Descriptions Of Studiesmentioning

confidence: 99%

“…Only three interventions referenced psychological theories (15,20,23). These included the transtheoretical model, social ecological theory, social cognitive theory, and self-determination theory.…”

Section: Descriptions Of Studiesmentioning

confidence: 99%

“…Ten studies (13)(14)(15)17,19,20,(22)(23)(24)(25)) measured serum lipids, and seven (13)(14)(15)19,20,22,23) were combined in a meta-analysis. The overall pooled effect did not reach statistical significance (pooled standardized mean difference 20.11 [95% CI, 20.28 to 0.05]) ( Supplementary Fig.…”

Section: Cardiovascular Risk Factorsmentioning

confidence: 99%

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Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis

et al. 2014

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OBJECTIVEStructured patient education programs can reduce the risk of diabetes-related complications. However, people appear to have difficulties attending face-to-face education and alternatives are needed. This review looked at the impact of computerbased diabetes self-management interventions on health status, cardiovascular risk factors, and quality of life of adults with type 2 diabetes. RESEARCH DESIGN AND METHODSWe searched The Cochrane Library, Medline, Embase, PsycINFO, Web of Science, and CINAHL for relevant trials from inception to November 2011. Reference lists from relevant published studies were screened and authors contacted for further information when required. Two authors independently extracted relevant data using standard data extraction templates. RESULTSSixteen randomized controlled trials with 3,578 participants met the inclusion criteria. Interventions were delivered via clinics, the Internet, and mobile phones. Computerbased diabetes self-management interventions appear to have small benefits on glycemic control: the pooled effect on HbA 1c was 20.2% (22.3 mmol/mol [95% CI 20.4 to 20.1%]). A subgroup analysis on mobile phone-based interventions showed a larger effect: the pooled effect on HbA 1c from three studies was 20.50% (25.46 mmol/mol [95% CI 20.7 to 20.3%]). There was no evidence of improvement in depression, quality of life, blood pressure, serum lipids, or weight. There was no evidence of significant adverse effects. CONCLUSIONSComputer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control, and this effect was larger in the mobile phone subgroup. There was no evidence of benefit for other biological, cognitive, behavioral, or emotional outcomes.The burden of diabetes is growing, with 347 million people currently affected worldwide (1) and numbers projected to increase to 552 million by 2030 (2). The International Diabetes Federation suggests that in the developed world, the cost of caring for patients with diabetes is double that of the background population, and

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“…All of the studies had HbA 1c as an outcome measure and 11 studies (13)(14)(15)(16)(18)(19)(20)(22)(23)(24)(25) provided enough data to combine in a meta-analysis, as shown in Fig. 2.…”

Section: Cardiovascular Risk Factorsmentioning

confidence: 99%

Section: Descriptions Of Studiesmentioning

confidence: 99%

Section: Descriptions Of Studiesmentioning

confidence: 99%

Section: Cardiovascular Risk Factorsmentioning

confidence: 99%

See 2 more Smart Citations

Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis

et al. 2014

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“…[10][11][12][13][14][15] Unfortunately, most of these studies do not address the mechanisms for maintenance of lifestyle change, nor do the studies have data points beyond 1 year postintervention.…”

Section: Background and Significancementioning

confidence: 99%

Contextualizing the Effects of Yoga Therapy on Diabetes Management

Alexander¹,

Taylor

Innes³

et al. 2008

Family &Amp; Community Health

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This article provides a review of literature both to identify the effects of yoga-based therapy on the management of type 2 diabetes mellitus and to examine the social context of physical activity. Findings from the review indicate that yoga has a positive short-term effect on multiple diabetesrelated outcomes; however, long-term effects of yoga therapy on diabetes management remain unclear. The context of the social environment, including interpersonal relationships, community characteristics, and discrimination, influences the adoption and maintenance of health behaviors such as physical activity, including yoga practice. Further research is necessary to determine the extent of this influence.

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A systematic review of internet-based self-help therapeutic interventions to improve distress and disease-control among adults with chronic health conditions

Beatty

Lambert

2013

Clinical Psychology Review

227

163

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Effects of a brief computer-assisted diabetes self-management intervention on dietary, biological and quality-of-life outcomes

Abstract: This relatively low-intensity intervention appealed to a large, generally representative sample of patients, was well implemented, and produced improvement in targeted behaviours. Implications of this practical clinical trial for dissemination are discussed.

Cited by 29 publications

References 0 publications

Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis

Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis

Contextualizing the Effects of Yoga Therapy on Diabetes Management

A systematic review of internet-based self-help therapeutic interventions to improve distress and disease-control among adults with chronic health conditions

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