Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control

Ramadas, Amutha; Chan, Carina Ka Yee; Oldenburg, Brian; Hussein, Zanariah; Quek, Kia Fatt

doi:10.1186/s12889-018-5640-1

Cited by 53 publications

(99 citation statements)

References 51 publications

(54 reference statements)

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“…The included studies provided results from a total of 1056 participants representing three countries—France [ 28 ], Malaysia [ 29 ], and the United States [ 30 - 32 ]. The number of participants ranged from ≤26 in the pilot study [ 30 ] to ≤463 in the RCTs [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…The number of participants ranged from ≤26 in the pilot study [ 30 ] to ≤463 in the RCTs [ 32 ]. The mean age of participants ranged from 50.5 years [ 29 ] to 59 years [ 32 ]. Three studies had an intervention period of 4 months [ 28 , 30 , 32 ], one was 3 months [ 31 ], and one was 6 months [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of participants ranged from 50.5 years [ 29 ] to 59 years [ 32 ]. Three studies had an intervention period of 4 months [ 28 , 30 , 32 ], one was 3 months [ 31 ], and one was 6 months [ 29 ]. Two studies included a 12-month follow up [ 29 , 32 ], one had a 10-month follow up [ 31 ], and another had a 32-week follow up [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies had an intervention period of 4 months [ 28 , 30 , 32 ], one was 3 months [ 31 ], and one was 6 months [ 29 ]. Two studies included a 12-month follow up [ 29 , 32 ], one had a 10-month follow up [ 31 ], and another had a 32-week follow up [ 30 ]. The Malaysian Dietary Intervention for People with Type 2 Diabetes: An e-Approach (myDIDeA) [ 29 ] focused solely on dietary behavior by providing participants with a personalized intensive dietary intervention.…”

Section: Resultsmentioning

confidence: 99%

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Web-Based Interventions for Dietary Behavior in Adults With Type 2 Diabetes: Systematic Review of Randomized Controlled Trials

Dening¹,

Islam²,

George³

et al. 2020

J Med Internet Res

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Background Type 2 diabetes mellitus (T2DM) is among the most prevalent noncommunicable health conditions worldwide, affecting over 500 million people globally. Diet is a key aspect of T2DM management with dietary modification shown to elicit clinically meaningful outcomes such as improved glycemic control, and reductions in weight and cardiovascular disease risk factors. Web-based interventions provide a potentially convenient and accessible method for delivering dietary education, but its effects on dietary behavior in people with T2DM are unknown. Objective The objective of this review was to determine the effectiveness of web-based interventions on dietary behavior change and glycemic control in people with T2DM. Methods Per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, systematic literature searches were performed using Medline, Embase, The Cochrane Library, and CINAHL to retrieve papers from January 2013 to May 2019. Randomized controlled trials of web-based interventions in adults with T2DM with reported dietary assessment were included. Population and intervention characteristics, dietary guidelines and assessments, and significant clinical outcomes were extracted. Differences between groups and within groups were assessed for dietary behavior and clinical outcomes. Results There were 714 records screened, and five studies comprising 1056 adults were included. Studies measured dietary changes by assessing overall diet quality, changes in specific dietary components, or dietary knowledge scores. Significant improvements in dietary behavior were reported in four out of the five studies, representing healthier food choices, improvements in eating habits, reductions in carbohydrates, added sugar, sodium, saturated fat and overall fat intake, and/or increases in dietary knowledge. Three studies found significant mean reductions for hemoglobin A1c ranging from –0.3% to –0.8%, and/or weight ranging from –2.3 kg to –12.7 kg, fasting blood glucose (–1 mmol/L), waist circumference (–1 cm), and triglycerides (–60.1 mg/dL). These studies provided varied dietary recommendations from standard dietary guidelines, national health program guidelines, and a very low carbohydrate ketogenic diet. Conclusions This review provided evidence that web-based interventions may be an effective way to support dietary behavior change in people with T2DM, potentially leading to changes in glycemic control and other clinical outcomes. However, the evidence should be viewed as preliminary as there were only five studies included with considerable heterogeneity in terms of the diets recommended, the dietary assessment measures used, the complexity of the interventions, and the modes and methods of delivery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Web-Based Interventions for Dietary Behavior in Adults With Type 2 Diabetes: Systematic Review of Randomized Controlled Trials

Dening¹,

Islam²,

George³

et al. 2020

J Med Internet Res

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“…Language-concordant care, delivered through patient counselling or health coaching, is a critical predictor of improved diabetes self-management outcomes [14,15,16]. Technology-assisted diabetes self-management and prevention programs, including those that provide patient-centered supports, have expanded signi cantly in the last decade with a myriad of approaches including: webbased programs [17,18], SMART phone applications or apps [19,20], telephone-based automated call programs, (often referred to as Automated Telephonic Self-Management Support, or 'ATSM' or Interactive Voice Response) which blend narratives content with queries that require patients to respond via touch tone with the information going to a central location for review [21,22,23,24,25]. Each of these program archetypes provides an e cient platform to deliver multi-lingual content, content tailored to local context, and a range of additional modular features.…”

Section: Introductionmentioning

confidence: 99%

What Matters When Exploring Fidelity in Interventions Using Health It to Reduce Disparities in Language-diverse Populations?”

Handley¹,

Landeros²,

Chen³

et al. 2020

Preprint

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Background: Evidence-based interventions often develop strategies to engage diverse populations while also attempting to maintain external validity. When using health IT tools to deliver patient-centered health messages, systems-level requirements are often at odds with ‘on-the ground’ tailoring approaches employed in patient-centered care, particularly regarding ensuring equity is achieved linguistically diverse populations. Methods: STAR MAMA, is a 5-month bilingual (English and Spanish) intervention adapted from the Diabetes Prevention Program, examined in a pilot RCT conducted among 181 post-partum women with recent gestational diabetes. Fidelity to pre-determined ‘core’ intervention components (e.g. systems integration) as well as important ‘modifiable’ components focused on population equity (e.g. health coaching responsiveness, and variation in outcomes by language), were assessed, using an adapted implementation fidelity framework. Evaluation data included participant-level surveys, systems-level databases of message delivery, call completion, and health coaching notes.Results: Participant mean age was 31.5 years, 96.6% of participants are Latina and 80.9% were born outside the US. Among those receiving the STAR MAMA calls 55 received the calls in Spanish (61%) and 35 English (39%). Of those in the call arm, 81 women (90%) completed all 20 weeks of the program. There were many more systems errors in the beginning of the program, than over time. Health coaching triggers were also more widespread in the first several weeks of the STAR MAMA intervention, notably among Spanish-speakers. Although Spanish speakers had more triggers than English-speakers, the difference was not statistically significant. Of the calls that triggered a health coach follow-up, a call-back attempt was made for 85.4% (n=152) of the English call triggers and for 80.0% (n=279) of the Spanish call triggers (NS). Of those with attempted calls, health coaching calls were complete for 55.6% (n=85) of English-language call triggers and for 56.6% of Spanish-language call triggers (NS). Some differences in acceptability were noted by language, with Spanish-speakers reporting higher satisfaction with prevention content (p=<0.01) and English-speakers reporting health coaches were less considerate of their time (p=0.03). Conclusions: Implementation fidelity for health IT interventions involving health coaching should address moderating factors, such as language, as well as systems level factors.Trial Registration: National Clinical Trials registration number: CT02240420 Registered September 15, 2014 . ClinicalTrials.gov

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Goat Milk Consumption Ameliorates Abnormalities in Glucose Metabolism and Enhances Hepatic and Skeletal Muscle AMP‐Activated Protein Kinase Activation in Rats Fed with High‐Fat Diets

Liu

Sun²,

Zhou

et al. 2019

Molecular Nutrition Food Res

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ScopeDiabetes endangers health and causes serious economic impediment. The aim of this study is to identify the effects of goat milk consumption on glucose metabolism of rats with high‐fat (HF) diet.Methods and resultsSixty male Sprague Dawley rats are divided into five groups and fed with different diets for 24 weeks: goat‐milk‐based HF diet (GHF group; goat milk powder+HF diet), cow‐milk‐based HF diet (CHF group; cow milk powder+HF diet), HF diet, HF diet plus acarbose (HF+A group; acarbose+HF diet), and chow diet (CD group). Fasting glucose in GHF‐fed rats are lower than HF‐fed rats on weeks 16 and 20. GHF‐fed rats display improved insulin sensitivity in oral glucose and insulin tolerance tests. Compared with HF‐fed rats, glycated hemoglobin and triglycerides in GHF‐fed rats are lower and high‐density lipoprotein level is higher. AMP‐activated protein kinase activation (AMPK) in the liver and skeletal muscle is higher in GHF rats than HF rats. Phosphoenolpyruvate carboxykinase and glucose 6‐phosphatase protein levels in the liver are lower and hexokinase 2 protein level in the skeletal muscle is higher in GHF rats compared with HF rats.ConclusionGoat milk consumption can ameliorate abnormalities in glucose metabolism, and AMPK pathway in the liver and skeletal muscle plays an important role in the process.

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Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control

Cited by 53 publications

References 51 publications

Web-Based Interventions for Dietary Behavior in Adults With Type 2 Diabetes: Systematic Review of Randomized Controlled Trials

Web-Based Interventions for Dietary Behavior in Adults With Type 2 Diabetes: Systematic Review of Randomized Controlled Trials

What Matters When Exploring Fidelity in Interventions Using Health It to Reduce Disparities in Language-diverse Populations?”

Goat Milk Consumption Ameliorates Abnormalities in Glucose Metabolism and Enhances Hepatic and Skeletal Muscle AMP‐Activated Protein Kinase Activation in Rats Fed with High‐Fat Diets

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