Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home

Digital health coaching is an intervention for type 2 diabetes mellitus (T2DM) that has potential to improve the quality of care for patients. Previous research has established the efficacy of digital interventions for behavior change. This pilot study addresses a research gap in finding effective a...

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Autores principales:	Kimberly R. Azelton, Aidan P. Crowley, Nicholas Vence, Karin Underwood, Gerald Morris, John Kelly, Matthew J. Landry
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	health coaching social determinants of health digital health stage-matched intervention m-health lifestyle medicine Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95
Acceso en línea:	https://doaj.org/article/9b8080bb24a94fe1a2f2194113b54f5a
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spelling	oai:doaj.org-article:9b8080bb24a94fe1a2f2194113b54f5a2021-11-30T22:31:01ZDigital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home2673-253X10.3389/fdgth.2021.764735https://doaj.org/article/9b8080bb24a94fe1a2f2194113b54f5a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fdgth.2021.764735/fullhttps://doaj.org/toc/2673-253XDigital health coaching is an intervention for type 2 diabetes mellitus (T2DM) that has potential to improve the quality of care for patients. Previous research has established the efficacy of digital interventions for behavior change. This pilot study addresses a research gap in finding effective and accessible behavioral interventions for under-resourced individuals with T2DM. We examined the impact of Healthy at Home, a 12-week phone and SMS-based (short message service) digital health coaching program, on insulin resistance which is an upstream marker for T2DM progression. We compared this intervention to usual diabetic care in a family medicine residency clinic in a randomized controlled trial. Digital health coaching significantly improved participants' calculated Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR) by −0.9 ± 0.4 compared with the control group (p = 0.029). This significance remained after controlling for years diagnosed with T2DM, enrollment in Medicaid, access to food, baseline stage of change, and race (p = 0.027). Increasing access to digital health coaching may lead to more effective control of diabetes for under-resourced patients. This study demonstrates the potential to implement a personalized, scalable, and effective digital health intervention to treat and manage T2DM through a lifestyle and behavioral approach to improve clinical outcomes (http://clinicaltrials.gov, NCT04872647).Kimberly R. AzeltonAidan P. CrowleyNicholas VenceKarin UnderwoodGerald MorrisJohn KellyMatthew J. LandryFrontiers Media S.A.articlehealth coachingsocial determinants of healthdigital healthstage-matched interventionm-healthlifestyle medicineMedicineRPublic aspects of medicineRA1-1270Electronic computers. Computer scienceQA75.5-76.95ENFrontiers in Digital Health, Vol 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health coaching social determinants of health digital health stage-matched intervention m-health lifestyle medicine Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95
spellingShingle	health coaching social determinants of health digital health stage-matched intervention m-health lifestyle medicine Medicine R Public aspects of medicine RA1-1270 Electronic computers. Computer science QA75.5-76.95 Kimberly R. Azelton Aidan P. Crowley Nicholas Vence Karin Underwood Gerald Morris John Kelly Matthew J. Landry Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
description	Digital health coaching is an intervention for type 2 diabetes mellitus (T2DM) that has potential to improve the quality of care for patients. Previous research has established the efficacy of digital interventions for behavior change. This pilot study addresses a research gap in finding effective and accessible behavioral interventions for under-resourced individuals with T2DM. We examined the impact of Healthy at Home, a 12-week phone and SMS-based (short message service) digital health coaching program, on insulin resistance which is an upstream marker for T2DM progression. We compared this intervention to usual diabetic care in a family medicine residency clinic in a randomized controlled trial. Digital health coaching significantly improved participants' calculated Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR) by −0.9 ± 0.4 compared with the control group (p = 0.029). This significance remained after controlling for years diagnosed with T2DM, enrollment in Medicaid, access to food, baseline stage of change, and race (p = 0.027). Increasing access to digital health coaching may lead to more effective control of diabetes for under-resourced patients. This study demonstrates the potential to implement a personalized, scalable, and effective digital health intervention to treat and manage T2DM through a lifestyle and behavioral approach to improve clinical outcomes (http://clinicaltrials.gov, NCT04872647).
format	article
author	Kimberly R. Azelton Aidan P. Crowley Nicholas Vence Karin Underwood Gerald Morris John Kelly Matthew J. Landry
author_facet	Kimberly R. Azelton Aidan P. Crowley Nicholas Vence Karin Underwood Gerald Morris John Kelly Matthew J. Landry
author_sort	Kimberly R. Azelton
title	Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
title_short	Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
title_full	Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
title_fullStr	Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
title_full_unstemmed	Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
title_sort	digital health coaching for type 2 diabetes: randomized controlled trial of healthy at home
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/9b8080bb24a94fe1a2f2194113b54f5a
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Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home

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