Russell E. Glasgow|Deanna Kurz|Diane K. King|Jennifer M. Dickman|Andrew J. Faber|Eve Halterman|Tim Woolley|Deborah J. Toobert|Lisa A. Strycker|Paul A. Estabrooks|Diego Osuna|Debra P. Ritzwoller
Twelve-month outcomes of an Internet-based diabetes self-management support program
Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|InterVision Media (United States)|Oregon Research Institute|Oregon Research Institute|Virginia Tech|Kaiser Permanente|Kaiser Permanente
internetbased programs offer potential practical costeffective chronic illness selfmanagement programswe report 12month results internetbased diabetes selfmanagement program without additional support compared enhanced usual care 3arm practical randomized trial patients n463 randomized 773 completed 12month followup primary outcomes changes health behaviors healthy eating physical activity medication taking secondary outcomes hemoglobin a1c body mass index lipids blood pressure psychosocial factorsinternet conditions improved health behaviors significantly vs usual care 12month period effect size0916 conditions improved moderately biological psychosocial outcomes latinos lower literacy higher cardiovascular disease risk patients improved much participantsthe internet intervention meets reach feasibility criteria potentially broad public health impact however 12month magnitude effects small suggesting different intensive approaches necessary support longterm outcomes research needed understand linkages intervention maintenance processes downstream outcomesautomated selfmanagement interventions tailored integrated primary care maintenance patient selfmanagement enhanced links community resources