The Effects of a Web-Based Intervention on the Physical Outcomes Associated with Diabetes Among Adults  Age 60 and Older: A Randomized Trial

Bond, Gail E.; Burr, Robert L.; Wolf, Fredric M.; Price, Martha J.; McCurry, Susan M.; Teri, Linda

doi:10.1089/dia.2006.0057

Cited by 110 publications

(126 citation statements)

References 21 publications

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“…In eight trials patients were randomized [20][21][22][23][24][25][26] ; one of them also corrected for clustering. 25 The other 12 trials had a cluster randomized design, 6,11,[13][14][15][16][17]19,[27][28][29][30][31][32][33][34] and 10 trials adjusted for clustering in the analysis.…”

Section: Methodological Validity Assessment (Table 1)mentioning

confidence: 99%

Computerized Decision Support Systems in Primary Care for Type 2 Diabetes Patients Only Improve Patients' Outcomes when Combined with Feedback on Performance and Case Management: A Systematic Review

Cleveringa

Gorter

Donk

et al. 2013

Diabetes Technology & Therapeutics

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Purpose: Computerized decision support systems (CDSSs) are often part of a multifaceted intervention to improve diabetes care. We reviewed the effects of CDSSs alone or in combination with other supportive tools in primary care for type 2 diabetes mellitus (T2DM). Materials and Methods: A systematic literature search was conducted for January 1990-July 2011 in PubMed, Embase, and the Cochrane Database and by consulting reference lists. Randomized controlled trials (RCTs) in general practice were selected if the interventions consisted of a CDSS alone or combined with a reminder system and/or feedback on performance and/or case management. The intervention had to be compared with usual care. Two pairs of reviewers independently abstracted all available data. The data were categorized by process of care and patient outcome measures.

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Section: Methodological Validity Assessment (Table 1)mentioning

confidence: 99%

Computerized Decision Support Systems in Primary Care for Type 2 Diabetes Patients Only Improve Patients' Outcomes when Combined with Feedback on Performance and Case Management: A Systematic Review

Cleveringa

Gorter

Donk

et al. 2013

Diabetes Technology & Therapeutics

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“…Some studies indicate no improvements in HbA1c 14,26 and LDL-cholesterol. 14,21 However, the use of web based interventions was associated with statistically significant improvements in HbA1c and lipid parameters, 18,19,33,34 although the improvement in HbA1c may be reduced by the presence of co-morbidities. 35 Barriers and facilitators to using IT in diabetes care…”

Section: Impact Of It In Diabetes Carementioning

confidence: 99%

The use of information technology to enhance diabetes management in primary care: a literature review

Adaji¹,

Schattner²,

Jones³

2008

Journal of Innovation in Health Informatics

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“…There was modest improvement in biological outcomes across conditions, but no between-condition differences. Admittedly, other Internet studies have produced larger impacts on biological outcomes, 41,42 but these have been much smaller studies utilizing less stringent comparison conditions. It is still incumbent on us to speculate about how to improve the magnitude of intervention effects.…”

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confidence: 99%

Outcomes of Minimal and Moderate Support Versions of an Internet-Based Diabetes Self-Management Support Program

et al. 2010

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OBJECTIVE: Internet and other interactive technologybased programs offer great potential for practical, effective, and cost-efficient diabetes self-management (DSM) programs capable of reaching large numbers of patients. This study evaluated minimal and moderate support versions of an Internet-based diabetes self-management program, compared to an enhanced usual care condition. RESEARCH DESIGN AND METHODS: A three-arm practical randomized trial was conducted to evaluate minimal contact and moderate contact versions of an Internet-based diabetes self-management program, offered in English and Spanish, compared to enhanced usual care. A heterogeneous sample of 463 type 2 patients was randomized and 82.5% completed a 4-month follow-up. Primary outcomes were behavior changes in healthy eating, physical activity, and medication taking. Secondary outcomes included hemoglobin A1c, body mass index, lipids, and blood pressure. RESULTS: The Internet-based intervention produced significantly greater improvements than the enhanced usual care condition on three of four behavioral outcomes (effect sizes [d] for healthy eating = 0.32; fat intake = 0.28; physical activity= 0.19) in both intent-totreat and complete-cases analyses. These changes did not translate into differential improvements in biological outcomes during the 4-month study period. Added contact did not further enhance outcomes beyond the minimal contact intervention. CONCLUSIONS: The Internet intervention meets several of the RE-AIM criteria for potential public health impact, including reaching a large number of persons, and being practical, feasible, and engaging for participants, but with mixed effectiveness in improving outcomes, and consistent results across different subgroups. Additional research is needed to evaluate longer-term outcomes, enhance effectiveness and cost-effectiveness, and understand the linkages between intervention processes and outcomes.

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The Effects of a Web-Based Intervention on the Physical Outcomes Associated with Diabetes Among Adults Age 60 and Older: A Randomized Trial

Abstract: Background-The emergence of the World Wide Web in the last decade has made it feasible for the Internet to be a vehicle for chronic disease management.

Cited by 110 publications

References 21 publications

Computerized Decision Support Systems in Primary Care for Type 2 Diabetes Patients Only Improve Patients' Outcomes when Combined with Feedback on Performance and Case Management: A Systematic Review

Computerized Decision Support Systems in Primary Care for Type 2 Diabetes Patients Only Improve Patients' Outcomes when Combined with Feedback on Performance and Case Management: A Systematic Review

The use of information technology to enhance diabetes management in primary care: a literature review

Outcomes of Minimal and Moderate Support Versions of an Internet-Based Diabetes Self-Management Support Program

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