A web-based intervention to support self-management of patients with type 2 diabetes mellitus: Effect on self-efficacy, self-care and diabetes distress (Canada)
posted by WM Admin on 2014-12-16 08:34:48.598
The objective of this study was to determine the effect of a web-based patient self-management intervention on psychological (self-efficacy, quality of life, self-care) and clinical (blood pressure, cholesterol, glycemic control, weight) outcomes.
The authors invited patients with type 2 diabetes to use a self-management website and asked them to complete questionnaires assessing self-efficacy (primary outcome) every three weeks for nine months before and nine months after they received access to the website. They also collected clinical outcomes at three-month intervals over the same period and conducted in-depth interviews at study conclusion.
Eighty-one participants (mean age 57.2 years) were included in the analysis. The self-efficacy score did not improve significantly more than expected after nine months, nor did clinical outcomes. Website usage was limited (average 0.7 logins/month). Analysis of the interviews (n=21) revealed four themes: mediators of website use; patterns of website use, including role of the blog in driving site traffic; feedback on website; and potential mechanisms for website effect.
The authors conclude that this self-management website for patients with type 2 diabetes did not improve self-efficacy. Website use was limited. Although its perceived reliability, availability of a blog and emailed reminders drew people to the website, participants' struggles with type 2 diabetes, competing priorities in their lives, and website accessibility were barriers to its use. Future interventions should aim to integrate the intervention seamlessly into the daily routine of end users such that it is not seen as yet another chore.
This is an open access article and can be downloaded and read in free full text at: http://dx.doi.org/10.1186/s12911-014-0117-3
Yu, C. H., et al. (2014). A web-based intervention to support self-management of patients with type 2 diabetes mellitus: Effect on self-efficacy, self-care and diabetes distress. BMC Medical Informatics and Decision Making, 14:117.