BACKGROUND: The emergence of the World Wide Web in the last decade has made it feasible for the Internet to be a vehicle for chronic disease management. METHODS: A randomized controlled trial (n = 62) testing the effects of a 6-month web-based intervention plus usual care, compared with usual care alone, among adults 60 years of age and older with diabetes. The outcomes were hemoglobinA1c (HbA1c), blood pressure, weight, cholesterol, and high-density lipoprotein (HDL) levels. RESULTS: A multivariate analysis of covariance controlling for all baseline outcome variables, age, gender, and number of years with diabetes showed significant (P = 0.001) reductions in HbA1c, weight, and cholesterol level and significant improvement in HDL levels in the intervention versus the control group. CONCLUSIONS: Findings show a web-based intervention was effective in improving HbA1c, weight, cholesterol, and HDL levels at a 6-month follow-up. Future research is needed to investigate the long-term effectiveness of web-based interventions.
RCT Entities:
BACKGROUND: The emergence of the World Wide Web in the last decade has made it feasible for the Internet to be a vehicle for chronic disease management. METHODS: A randomized controlled trial (n = 62) testing the effects of a 6-month web-based intervention plus usual care, compared with usual care alone, among adults 60 years of age and older with diabetes. The outcomes were hemoglobin A1c (HbA1c), blood pressure, weight, cholesterol, and high-density lipoprotein (HDL) levels. RESULTS: A multivariate analysis of covariance controlling for all baseline outcome variables, age, gender, and number of years with diabetes showed significant (P = 0.001) reductions in HbA1c, weight, and cholesterol level and significant improvement in HDL levels in the intervention versus the control group. CONCLUSIONS: Findings show a web-based intervention was effective in improving HbA1c, weight, cholesterol, and HDL levels at a 6-month follow-up. Future research is needed to investigate the long-term effectiveness of web-based interventions.
Authors: Roberto E Izquierdo; Paul E Knudson; Suzanne Meyer; Joann Kearns; Robert Ploutz-Snyder; Ruth S Weinstock Journal: Diabetes Care Date: 2003-04 Impact factor: 19.112
Authors: E J Gómez; M E Hernando; A García; F Del Pozo; J Cermeño; R Corcoy; E Brugués; A De Leiva Journal: Comput Methods Programs Biomed Date: 2002-08 Impact factor: 5.428
Authors: Victor M Montori; Pamela K Helgemoe; Gordon H Guyatt; Diana S Dean; Teresa W Leung; Steven A Smith; Yogish C Kudva Journal: Diabetes Care Date: 2004-05 Impact factor: 19.112
Authors: Robert C Block; Amir Abdolahi; Christopher P Niemiec; C Scott Rigby; Geoffrey C Williams Journal: Health Informatics J Date: 2015-08-21 Impact factor: 2.681
Authors: Maaike C M Ronda; Lioe-Ting Dijkhorst-Oei; Kees J Gorter; Joline W J Beulens; Guy E H M Rutten Journal: Diabetes Technol Ther Date: 2013-06-18 Impact factor: 6.118
Authors: James D Ralston; Irl B Hirsch; James Hoath; Mary Mullen; Allen Cheadle; Harold I Goldberg Journal: Diabetes Care Date: 2008-11-18 Impact factor: 17.152