@Article{info:doi/10.2196/25295,
author="Wilson-Anumudu, Folasade
and Quan, Ryan
and Castro Sweet, Cynthia
and Cerrada, Christian
and Juusola, Jessie
and Turken, Michael
and Bradner Jasik, Carolyn",
title="Early Insights From a Digitally Enhanced Diabetes Self-Management Education and Support Program: Single-Arm Nonrandomized Trial",
journal="JMIR Diabetes",
year="2021",
month="Feb",
day="22",
volume="6",
number="1",
pages="e25295",
keywords="diabetes education; digital health; remote monitoring; type 2 diabetes",
abstract="Background: Translation of diabetes self-management education and support (DSMES) into a digital format can improve access, but few digital programs have demonstrated outcomes using rigorous evaluation metrics. Objective: The aim of this study was to evaluate the impact of a digital DSMES program on hemoglobin A1c (HbA1c) for people with type 2 diabetes. Methods: A single-arm, nonrandomized trial was performed to evaluate a digital DSMES program that includes remote monitoring and lifestyle change, in addition to comprehensive diabetes education staffed by a diabetes specialist. A sample of 195 participants were recruited using an online research platform (Achievement Studies, Evidation Health Inc). The primary outcome was change in laboratory-tested HbA1c from baseline to 4 months, and secondary outcomes included change in lipids, diabetes distress, and medication adherence. Results: At baseline, participants had a mean HbA1c of 8.9{\%} (SD 1.9) and mean BMI of 37.5 kg/m2 (SD 8.3). The average age was 45.1 years (SD 8.9), 70{\%} were women, and 67{\%} were White. At 4-month follow up, the HbA1c decreased by 0.8{\%} (P<.001, 95{\%} CI --1.1 to --0.5) for the total population and decreased by 1.4{\%} (P<.001, 95{\%} CI --1.8 to --0.9) for those with an HbA1c of >9.0{\%} at baseline. Diabetes distress and medication adherence were also significantly improved between baseline and follow up. Conclusions: This study provides early evidence that a digitally enhanced DSMES program improves HbA1c and disease self-management outcomes. ",
issn="2371-4379",
doi="10.2196/25295",
url="https://diabetes.jmir.org/2021/1/e25295",
url="https://doi.org/10.2196/25295",
url="http://www.ncbi.nlm.nih.gov/pubmed/33616533"
}