Does Diabetes Distress Influence Clinical Response to an mHealth Diabetes Self-Management Education and Support Intervention?

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2020-06-01 Epub Date: 2020-03-31 DOI:10.1177/0145721720913276

Taylor L Clark, Linda Gallo, Johanna A Euyoque, Athena Philis-Tsimikas, Addie Fortmann

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引用次数: 5

Abstract

Purpose: The purpose of this study was to examine whether baseline levels of diabetes distress (DD) impacted clinical benefit from a mobile health (mHealth) diabetes self-management education and support (DSME/S) intervention ("Dulce Digital").

Methods: This secondary analysis included the full sample of 126 Hispanic adults (mean age = 48.43 years, SD = 9.80) with type 2 diabetes and glycosylated hemoglobin A1C >7.5% enrolled from a Federally Qualified Health Center in a randomized, nonblinded clinical trial that compared Dulce Digital to usual care. Dulce Digital participants received educational/motivational, medication reminders, and blood glucose monitoring prompt text messages over 6 months.

Results: Baseline levels of DD prospectively moderated the effect of Dulce Digital (vs usual care) on glycemic control over 6 months, such that Dulce Digital participants with higher DD experienced relatively greater benefit from the intervention. The effect of the intervention on A1C change was 178% larger among individuals experiencing moderate/high versus no/low DD.

Conclusions: Although research has found DD to be associated with poorer self-management and clinical outcomes, individuals already distressed about their diabetes may benefit from a lower-burden mHealth DSME/S approach.

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糖尿病困扰是否影响移动健康糖尿病自我管理教育和支持干预的临床反应?

目的:本研究的目的是检查糖尿病窘迫(DD)的基线水平是否会影响移动健康(mHealth)糖尿病自我管理教育和支持(DSME/S)干预(“Dulce Digital”)的临床效益。方法:这项二级分析包括126名西班牙裔成人(平均年龄48.43岁，SD = 9.80)，他们患有2型糖尿病，糖化血红蛋白A1C >7.5%，来自联邦合格的健康中心，在一项随机、非盲临床试验中，将Dulce Digital与常规护理进行比较。Dulce Digital的参与者在6个月内收到教育/激励、药物提醒和血糖监测提示短信。结果:在6个月的时间里，基线DD水平预期地减缓了Dulce Digital(与常规护理相比)对血糖控制的影响，因此，具有较高DD的Dulce Digital参与者从干预中获得了相对更大的益处。在中度/高DD患者中，干预对A1C变化的影响比无/低DD患者大178%。结论:尽管研究发现DD与较差的自我管理和临床结果相关，但已经对糖尿病感到困扰的患者可能会从负担较低的移动健康DSME/S方法中受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.

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