Miyong T Kim1, Kim Byeng Kim2, Tam H Nguyen3, Jisook Ko1, Jim Zabora4, Elizabeth Jacobs5, David Levine6. 1. School of Nursing, University of Texas at Austin, Austin, TX, United States. 2. Korean Resource Center, 3454 Ellicott Center Dr. Suite 104, Ellicott City, MD 21043, United States. Electronic address: kbkim@ikorean.org. 3. Connell School of Nursing, Boston College, Chestnut Hill, MA, United States. 4. Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, United States. 5. Department of Medicine, Dell Medical School, University of Texas at Austin, TX, United States. 6. School of Medicine, Johns Hopkins University, Baltimore, MD, United States.
Abstract
OBJECTIVE: To test the efficacy of a hybrid model of the self-help intervention program (hSHIP), which combines a mobile version of SHIP (mSHIP) and personal coaching, to address unique cultural and motivational factors for optimal self-management of type 2 diabetes and prediabetes among Korean Americans (KAs). METHODS: A single-group feasibility study design was used. The hSHIP utilizes texts and motivational counseling based on well-tested intervention content for KAs. To facilitate the dissemination of hSHIP, we developed a web application adopting the principles of persuasive technology to motivate behavior changes. RESULTS: Feasibility assessment found that hSHIP was well accepted by both participants and community health workers who delivered the intervention. An average of 1.3% A1C reduction (from 7.8% to 6.5%) was achieved by KAs with diabetes (n = 165), 51.5% of whom lowered their A1C below 6.5% in 6-months. No one with prediabetes (n = 50) progressed to diabetes. Other clinical outcomes (e.g., weight, depression, and blood pressure) also improved significantly; 41.2% were able to reduce or discontinue antidiabetic drugs. CONCLUSION: The feasibility and initial efficacy of hSHIP were demonstrated. PRACTICE IMPLICATION: This hybrid diabetes self-management model is a viable tool for traditionally underserved groups with diabetes or prediabetes.
OBJECTIVE: To test the efficacy of a hybrid model of the self-help intervention program (hSHIP), which combines a mobile version of SHIP (mSHIP) and personal coaching, to address unique cultural and motivational factors for optimal self-management of type 2 diabetes and prediabetes among Korean Americans (KAs). METHODS: A single-group feasibility study design was used. The hSHIP utilizes texts and motivational counseling based on well-tested intervention content for KAs. To facilitate the dissemination of hSHIP, we developed a web application adopting the principles of persuasive technology to motivate behavior changes. RESULTS: Feasibility assessment found that hSHIP was well accepted by both participants and community health workers who delivered the intervention. An average of 1.3% A1C reduction (from 7.8% to 6.5%) was achieved by KAs with diabetes (n = 165), 51.5% of whom lowered their A1C below 6.5% in 6-months. No one with prediabetes (n = 50) progressed to diabetes. Other clinical outcomes (e.g., weight, depression, and blood pressure) also improved significantly; 41.2% were able to reduce or discontinue antidiabetic drugs. CONCLUSION: The feasibility and initial efficacy of hSHIP were demonstrated. PRACTICE IMPLICATION: This hybrid diabetes self-management model is a viable tool for traditionally underserved groups with diabetes or prediabetes.
Authors: Joni Beck; Deborah A Greenwood; Lori Blanton; Sandra T Bollinger; Marcene K Butcher; Jo Ellen Condon; Marjorie Cypress; Priscilla Faulkner; Amy Hess Fischl; Theresa Francis; Leslie E Kolb; Jodi M Lavin-Tompkins; Janice MacLeod; Melinda Maryniuk; Carolé Mensing; Eric A Orzeck; David D Pope; Jodi L Pulizzi; Ardis A Reed; Andrew S Rhinehart; Linda Siminerio; Jing Wang Journal: Diabetes Care Date: 2017-07-28 Impact factor: 19.112
Authors: L Guariguata; D R Whiting; I Hambleton; J Beagley; U Linnenkamp; J E Shaw Journal: Diabetes Res Clin Pract Date: 2013-12-01 Impact factor: 5.602
Authors: Miyong T Kim; Kim B Kim; Boyun Huh; Tam Nguyen; Hae-Ra Han; Lee R Bone; David Levine Journal: Am J Prev Med Date: 2015-07-14 Impact factor: 5.043
Authors: Kim B Kim; Miyong T Kim; Hochang B Lee; Tam Nguyen; Lee R Bone; David Levine Journal: Am J Public Health Date: 2016-03-17 Impact factor: 9.308
Authors: A Geirhos; M Stephan; M Wehrle; C Mack; E-M Messner; A Schmitt; H Baumeister; Y Terhorst; L B Sander Journal: Sci Rep Date: 2022-03-07 Impact factor: 4.996