Abstract:
BACKGROUND:Ethnic minority populations exhibit disproportionately high rates of type 2 diabetes mellitus (T2DM). Electronic health tools have the potential to facilitate the cultural adaptation and tailoring of T2DM education to improve the knowledge and management of diabetes mellitus (DM). OBJECTIVE:This study aimed (1) to develop an adaptable Interactive Lifestyle Assessment, Counseling, and Education (I-ACE) software to support dietitian-delivered lifestyle counseling among low-socioeconomic status (SES) ethnic minority patients with T2DM and (2) to evaluate its effect on DM-related dietary knowledge and management compared with standard lifestyle advice (SLA) in a randomized controlled trial (RCT). METHODS:The I-ACE software, developed in consultation with clinical dieticians, incorporates evidence-based dietary and physical activity (PA) recommendations and educational materials. The features and behavioral change techniques include quantitative lifestyle (dietary intake and PA) assessment and simulation, individually tailored education and recommendations, motivational interviewing, and goal setting. For the unblinded pilot RCT, 50 overweight or obese Arab adults (aged 40-62 years) with poorly controlled T2DM were recruited from primary care clinics and randomly assigned to receive 4 in-person, dietician-delivered counseling sessions over 6 months using either (1) the I-ACE tool (experimental arm) or (2) the SLA methods (comparison arm). All outcome assessments were face-to-face. DM-related dietary knowledge (primary outcome) was measured at baseline, 3, 6, and 12 months. Lifestyle and other parameters were measured before, during, and after the intervention. Multiple linear regression and repeated measures linear mixed models were used to compare the changes in study outcomes and explore time trends in between-group and within-group changes. RESULTS:A total of 25 participants were enrolled in each arm, of whom 24 and 21 completed the final assessment of the primary outcome in the I-ACE and SLA arms, respectively. DM-related lifestyle knowledge increased more rapidly in the I-ACE arm than in the SLA arm (P value for study arm×time interaction=.02). Within the I-ACE arm, the mean (SE) differences in added sugar and dietary fiber intakes from baseline to 12 months were -2.6% (SE 1.0%) of total energy (P=.03) and 2.7 (SE 0.0) g/1000 kcal (P=.003), respectively. The odds of engaging in any leisure PA at 12 months tended to be higher in the I-ACE arm versus SLA arm, but did not reach statistical significance (odds ratio 2.8; 95% CI 0.7-11.6; P=.16). Both arms exhibited significant reductions in HbA1c (P value for change over time <.001). CONCLUSIONS:The use of the I-ACE software in a 6-month, 4-session dietician-delivered lifestyle counseling intervention improved the efficiency of lifestyle education, compared with SLA, among low-SES, ethnic minority patients with T2DM. This pilot trial provides justification for conducting a large-scale trial to evaluate its effectiveness and applicability in routine clinical care among ethnically diverse populations. TRIAL REGISTRATION:ClinicalTrials.gov NCT01858506; https://clinicaltrials.gov/ct2/show/NCT01858506.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Abu-Saad K,Murad H,Barid R,Olmer L,Ziv A,Younis-Zeidan N,Kaufman-Shriqui V,Gillon-Keren M,Rigler S,Berchenko Y,Kalter-Leibovici Odoi
10.2196/13674subject
Has Abstractpub_date
2019-10-16 00:00:00pages
e13674issue
10eissn
1439-4456issn
1438-8871pii
v21i10e13674journal_volume
21pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Since 2000, the Centre for Online Health (COH) at The University of Queensland has offered a range of online eHealth courses at the undergraduate and postgraduate level. While online learning has a number of advantages, in some domains, it can present some challenges to the development of practical skills an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2029
更新日期:2012-12-18 00:00:00
abstract:BACKGROUND:The ability to identify, screen, and enroll potential research participants in an efficient and timely manner is crucial to the success of clinical trials. In the age of the internet, researchers can be confronted with large numbers of people contacting the program, overwhelming study staff and frustrating p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11049
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Web-based technology has recently become an important source for sharing health information with patients after an acute cardiac event. Therefore, consideration of patients' perceived electronic health (eHealth) literacy skills is crucial for improving the delivery of patient-centered health information. OB...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17312
更新日期:2020-07-28 00:00:00
abstract:BACKGROUND:In addition to the aging process, risk factors for hearing loss in adults include, among others, exposure to noise, use of ototoxic drugs, genetics, and limited access to medical care. Differences in exposure to these factors are bound to be reflected in the prevalence of hearing loss. Assessment of hearing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17238
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:The peer-led, social media-delivered intervention is an emerging method in sexual health promotion. However, no research has yet investigated its effectiveness as compared with other online channels or in an Asian population. OBJECTIVE:The objective of this study is to compare a peer-led, social media-deliv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.7403
更新日期:2017-08-09 00:00:00
abstract:BACKGROUND:Health behavior interventions using periodic prompts have utilized technology, such as the Internet, that allows messages to be sent to participants in cost-effective ways. To our knowledge, no comprehensive evidence review has been performed specifically to evaluate the effectiveness of communicating regula...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1138
更新日期:2009-05-14 00:00:00
abstract:BACKGROUND:An increasing number of people have access to the Internet, and more people are seeking tobacco cessation resources online every year. Despite the proliferation of various online interventions and their evident acceptance and reach, little research has addressed their impact in the real world. Typically, low...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.4.e28
更新日期:2007-09-30 00:00:00
abstract::This paper concerns the use of the Internet in the research process, from identifying research issues through qualitative research, through using the Web for surveys and clinical trials, to pre-publishing and publishing research results. Material published on the Internet may be a valuable resource for researchers des...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.4.2.e13
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Mobile mental-health trackers are mobile phone apps that gather self-reported mental-health ratings from users. They have received great attention from clinicians as tools to screen for depression in individual patients. While several apps that ask simple questions using face emoticons have been developed, t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5598
更新日期:2016-08-04 00:00:00
abstract:BACKGROUND:The use of eHealth has increased tremendously in recent years. eHealth is generally considered to have a positive effect on health care quality and to be a promising alternative to face-to-face health care contacts. Surprisingly little is known about possible adverse effects of eHealth apps. OBJECTIVE:We co...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Behavioral interventions can meaningfully improve cardiometabolic conditions. Digital therapeutics (DTxs) delivering these interventions may provide benefits comparable to pharmacologic therapies, displacing medications for some patients. OBJECTIVE:Our objective was to estimate the economic impact of a digi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-10-09 00:00:00
abstract:BACKGROUND:The broad availability of smartphones and the number of health apps in app stores have risen in recent years. Health apps have benefits for individuals (eg, the ability to monitor one's health) as well as for researchers (eg, the ability to collect data in population-based, clinical, and observational studie...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2021-01-22 00:00:00
abstract:BACKGROUND:Patients who suffer from different diseases may use different electronic health (eHealth) resources. Thus, those who plan eHealth interventions should take into account which eHealth resources are used most frequently by patients that suffer from different diseases. OBJECTIVE:The aim of this study was to un...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2020-03-05 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2009-09-30 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-12-19 00:00:00
abstract:BACKGROUND:Background: Chronic low back pain is the most prevalent chronic pain condition worldwide and access to behavioral pain treatment is limited. Virtual reality (VR) is an immersive technology that may provide effective behavioral therapeutics for chronic pain. OBJECTIVE:Objective: To conduct a double-blind, pa...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:Relapse is a common experience for people diagnosed with psychosis, which is associated with increased service costs and profound personal and familial distress. EMPOWER (Early signs Monitoring to Prevent relapse in psychosis and prOmote Well-being, Engagement, and Recovery) is a peer worker-supported digita...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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更新日期:2005-07-01 00:00:00
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journal_title:Journal of medical Internet research
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pub_type: 杂志文章,评审
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更新日期:2013-05-21 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2017-09-29 00:00:00
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journal_title:Journal of medical Internet research
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abstract:BACKGROUND:Men who use the Internet to seek sex with other men (MISM) are increasingly using the Internet to find sexual health information and to seek sexual partners, with some research suggesting HIV transmission is associated with sexual partnering online. Aiming to "meet men where they are at," some AIDS service o...
journal_title:Journal of medical Internet research
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更新日期:2015-12-09 00:00:00
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