The Effects of a Web-Based Intervention on Psychosocial Well-Being Among Adults Aged 60 and Older With Diabetes A Randomized Trial
The Effects of a Web-Based Intervention on Psychosocial Well-Being Among Adults Aged 60 and Older With Diabetes A Randomized Trial
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DOI：
10.1177/0145721710366758
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发表时间：
2010-05-01
影响因子：
3.9
通讯作者：
Feldt, Karen
中科院分区：
文献类型：
--
作者：
Bond, Gail E.;Burr, Robert L.;Feldt, Karen
目的本研究的目的是调查6个月的网络干预对老年糖尿病患者心理社会健康的影响。方法：本研究是一项随机对照试验（N = 62），比较6个月网络干预加常规护理与单独常规护理对60岁及以上成人糖尿病患者的影响。结果包括生活质量、抑郁、社会支持和自我效能。结果干预组在控制了所有基线结果变量（年龄、性别和糖尿病发病年数）后，在抑郁、生活质量、社会支持和自我效能方面与对照组相比有显著改善，F(4.48) = 4.03 P = .007。这些发现支持了基于网络的干预在6个月的随访中对改善参与者的社会心理健康是有效的。未来的研究需要调查基于网络的干预措施对维持社会心理健康的长期有效性，包括可能影响生活质量的因素，如糖尿病特有的信仰、态度、社会支持和疾病特有的应对技能。
PurposeThe purpose of this study is to investigate the impact of a 6-month Web-based intervention on the psychosocial well-being of older adults with diabetes.MethodsThis study was a randomized controlled trial (N = 62) comparing the effects of a 6-month Web-based intervention plus usual care with usual care alone among adults aged 60 years or older with diabetes. The outcomes included quality of life, depression, social support, and self-efficacy.ResultsThe intervention group showed significant improvement, F(4.48) = 4.03 P = .007, when compared with the control group on measures of depression, quality of life, social support, and self-efficacy when controlling for all baseline outcome variables (age, gender, and number of years with diabetes).ConclusionsThese findings provide support for the conclusion that a Web-based intervention is effective in improving the psychosocial well-being of participants at a 6-month follow-up. Future research needs to investigate the long-term effectiveness of Web-based interventions for sustaining psychosocial well-being, including factors that may affect quality of life, such as diabetes-specific beliefs, attitudes, social support, and disease-specific coping skills.