Online diabetes self-management program: A randomized study

Kate Lorig, Philip L. Ritter, Diana D. Laurent, Kathryn Plant, Maurice Green, Valarie Blue Bird Jernigan, Siobhan Case

Research output: Contribution to journalArticle

203 Scopus citations

Abstract

OBJECTIVE - We hypothesized that people with type 2 diabetes in an online diabetes self-management program, compared with usual-care control subjects, would 1) demonstrate reduced A1C at 6 and 18 months, 2) have fewer symptoms, 3) demonstrate increased exercise, and 4) have improved self-efficacy and patient activation. In addition, participants randomized to listserve reinforcement would have better 18-month outcomes than participants receiving no reinforcement. RESEARCH DESIGN AND METHODS- A total of 761 participants were randomized to 1) the program, 2) the program with e-mail reinforcement, or 3) were usual-care control subjects (no treatment). This sample included 110 American Indians/Alaska Natives (AI/ANs). Analyses of covariance models were used at the 6- and 18-month follow-up to compare groups. RESULTS- At 6 months, A1C, patient activation, and self-efficacy were improved for program participants compared with usual care control subjects (P < 0.05). There were no changes in other health or behavioral indicators. The AI/AN program participants demonstrated improvements in health distress and activity limitation compared with usual-care control subjects. The subgroup with initial A1C >7% demonstrated stronger improvement in A1C (P = 0.01). At 18 months, self-efficacy and patient activation were improved for program participants. A1C was not measured. Reinforcement showed no improvement. CONCLUSIONS- An online diabetes self-management program is acceptable for people with type 2 diabetes. Although the results were mixed they suggest 1) that the program may have beneficial effects in reducing A1C, 2) AI/AN populations can be engaged in and benefit from online interventions, and 3) our follow-up reinforcement appeared to have no value.

Original languageEnglish
Pages (from-to)1275-1281
Number of pages7
JournalDiabetes Care
Volume33
Issue number6
DOIs
StatePublished - 1 Jun 2010
Externally publishedYes

Fingerprint Dive into the research topics of 'Online diabetes self-management program: A randomized study'. Together they form a unique fingerprint.

  • Cite this

    Lorig, K., Ritter, P. L., Laurent, D. D., Plant, K., Green, M., Jernigan, V. B. B., & Case, S. (2010). Online diabetes self-management program: A randomized study. Diabetes Care, 33(6), 1275-1281. https://doi.org/10.2337/dc09-2153