Russell E. Glasgow|Deanna Kurz|Diane K. King|Jennifer M. Dickman|Andrew J. Faber|Eve Halterman|Tim Wooley|Deborah J. Toobert|Lisa A. Strycker|Paul A. Estabrooks|Diego Osuna|Debra P. Ritzwoller
Outcomes of Minimal and Moderate Support Versions 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
internet interactive technologybased programs offer great potential practical effective costefficient diabetes selfmanagement dsm programs capable reaching large numbers patients study evaluated minimal moderate support versions internetbased diabetes selfmanagement program compared enhanced usual care conditiona threearm practical randomized trial conducted evaluate minimal contact moderate contact versions internetbased diabetes selfmanagement program offered english spanish compared enhanced usual care heterogeneous sample 463 type 2 patients randomized 825 completed 4month followup primary outcomes behavior changes healthy eating physical activity medication taking secondary outcomes included hemoglobin a1c body mass index lipids blood pressurethe internetbased intervention produced significantly greater improvements enhanced usual care condition three four behavioral outcomes effect sizes healthy eating 032 fat intake 028 physical activity 019 intenttotreat completecases analyses changes translate differential improvements biological outcomes 4month study period added contact enhance outcomes beyond minimal contact interventionthe internet intervention meets several reaim criteria potential public health impact including reaching large number persons practical feasible engaging participants mixed effectiveness improving outcomes consistent results across different subgroups additional research needed evaluate longerterm outcomes enhance effectiveness costeffectiveness understand linkages intervention processes outcomes