Does Diabetes Distress Influence Clinical Response to an mHealth Diabetes Self-Management Education and Support Intervention?
Does Diabetes Distress Influence Clinical Response to an mHealth Diabetes Self-Management Education and Support Intervention?
复制标题
糖尿病的困扰会影响对MHealth糖尿病自我管理教育和支持干预的临床反应吗？
DOI：
10.1177/0145721720913276
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发表时间：
2020-06
期刊：
影响因子：
--
通讯作者：
Fortmann A
中科院分区：
文献类型：
--
作者：
Clark TL;Gallo L;Euyoque JA;Philis-Tsimikas A;Fortmann A
The purpose of this study was to examine whether baseline levels of DD impacted clinical benefit from a mobile health diabetes self-management education and support (DSME/S) intervention (“Dulce Digital”). This secondary analysis included the full sample of N = 126 Hispanic adults (M age = 48.43 years, SD = 9.80) with type 2 diabetes and glycosylated hemoglobin A1C > 7.5% enrolled from a Federally Qualified Health Center in a randomized, non-blinded clinical trial that compared Dulce Digital to usual care. Dulce Digital participants received educational/motivational, medication reminders, and blood glucose monitoring prompt text messages over six months. Baseline levels of DD prospectively moderated the effect of Dulce Digital (versus usual care) on glycemic control over six months, such that Dulce Digital participants with higher DD experienced relatively greater benefit from the intervention. The effect of the intervention on A1C change was 178% larger among individuals experiencing moderate/high versus no/low DD. Although research has found DD to be associated with poorer self-management and clinical outcomes, individuals already distressed about their diabetes may benefit from a lower-burden mHealth DSME/S approach. ClinicalTrials.gov Identifier: NCT01749176
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影响因子：
39.2
作者：
Heisler M;Choi H;Palmisano G;Mase R;Richardson C;Fagerlin A;Montori VM;Spencer M;An LC
通讯作者：
An LC
影响因子：
4.2
作者：
Casagrande, Sarah Stark;Aviles-Santa, Larissa;Cowie, Catherine C.
通讯作者：
Cowie, Catherine C.
影响因子：
16.2
作者：
Fortmann, Addie L.;Gallo, Linda C.;Philis-Tsimikas, Athena
通讯作者：
Philis-Tsimikas, Athena
影响因子：
16.2
作者：
Fisher L;Glasgow RE;Strycker LA
通讯作者：
Strycker LA
影响因子：
16.2
作者：
Young-Hyman D;de Groot M;Hill-Briggs F;Gonzalez JS;Hood K;Peyrot M
通讯作者：
Peyrot M