| Literature DB >> 25098253 |
Charlene C Quinn1, Michelle D Shardell2, Michael L Terrin2, Erik A Barr2, DoHwan Park3, Faraz Shaikh3, Jack M Guralnik2, Ann L Gruber-Baldini2.
Abstract
The purpose of this study was to assess effects of a mobile coaching system on glycated hemoglobin (HbA1c) levels in younger versus older patients over 1 year. Participants (n = 118) included adult patients with Type 2 diabetes cared for by community physicians. Intervention patients received mobile phone coaching and individualized web portal. Control patients received usual care. Patients were stratified into two age groups: younger (<55 years) and older (≥ 55 years). The intervention resulted in greater 12-month declines in HbA1c, compared with usual care, for patients in both age groups (p < .0001). Among older patients, HbA1c changed by -1.8% (95% confidence interval [CI] = [-2.4, -1.1]) in the intervention group and -0.3% (95% CI = [-0.9, +0.3]) in the control group. Among younger patients, HbA1c changed by -2.0% (95% CI = [-2.5, -1.5]) in the intervention group and -1.0% (95% CI = [-1.6, -0.4]) in the control group. The mobile health intervention was as effective at managing Type 2 diabetes in older adults as younger persons.Entities:
Keywords: diabetes; glycemic control; mobile health; older adults; telehealth
Mesh：
Substances：
Year: 2014 PMID： 25098253 DOI： 10.1177/0733464814542611
Source DB: PubMed Journal: J Appl Gerontol ISSN： 0733-4648