Web-based self-management with and without coaching for type 2 diabetes patients in primary care: design of a randomized controlled trial

BMC Endocrine Disorders

Frank J Snoek²  Henk JG Bilo³  Yvonne Roelofsen¹  Steven H Hendriks¹  Maartje de Wit²  Michael van Vugt² 

[1]Diabetes Centre, Isala Clinic Sophia, Zwolle, The Netherlands

[2]EMGO + Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands

[3]Department of internal medicine, University Medical Center Groningen, Groningen, The Netherlands

关键词: Asynchronized coaching;    Web-based;    Self-management;    Type 2 diabetes mellitus;   

Others  :  1085500
DOI  :  10.1186/1472-6823-13-53

 received in 2013-11-11, accepted in 2013-11-14,  发布年份 2013

【 摘 要 】

Background

Self-management is recognized as the cornerstone of overall diabetes management. Web-based self-management programs have the potential of supporting type 2 diabetes patients with managing their diabetes and reducing the workload for the care provider, where the addition of online coaching could improve patient motivation and reduce program attrition. This study aims to test the hypothesis that a web-based self-management program with coaching will prove more effective on improving patient self-management behavior and clinical outcome measures than a web-based self-management program without coaching.

Methods

The effects of a web-based self-management program with and without coaching will be tested with a nested randomized controlled trial within a healthcare group in the Netherlands. In one year 220 type 2 diabetes patients will be randomized into an intervention group (n = 110) or a control group (n = 110). The control group will receive only the online self-management program. The intervention group will receive the online self-management program and additional online coaching. Participants will be followed for one year, with follow-up measurements at 6 and 12 months.

Discussion

The intervention being tested is set to support type 2 diabetes patients with their diabetes self-management and is expected to have beneficial effects on self-care activities, well being and clinical outcomes. When proven effective this self-management support program could be offered to other health care groups and their type 2 diabetes patients in the Netherlands.

Trial registration

Nederlands Trial Register NTR4064

【 授权许可】

   
2013 van Vugt et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Gerich JE, Smith TS: b-cell defects and pancreatic abnormalities in type 2 diabetes. In Textbook of diabetes. 3rd edition. Edited by Pickup JC, Williams G. Oxford: Blackwell Publishing; 2003:23.1-23.11.
• [2]Cruickshank K, Beith C: Mechanisms in chronic diabetes. In Textbook of diabetes. 3rd edition. Edited by Pickup JC, Williams G. Oxford: Blackwell Publishing; 2003:46. 1–47.1
• [3]International Diabetes Federation: IDF Diabetes Atlas. 5th edition. Brussels, Belgium: International Diabetes Federation; 2011. http://www.idf.org/diabetesatlas webcite
• [4]Baan CA, van Baal PHM, Jacobs-van der Bruggen M, Verkley H, Poos MJJC, Hoogenveen RT, Schoemaker CG: Diabetes mellitus in the Netherlands: estimate of the current disease burden and prognosis for 2025. Ned Tijdschr Geneeskd 2009, 153:A580.
• [5]Bilo HJ, Houweling ST: Toename van het aantal mensen met diabetes mellitus: noodzaak van een deltaplan. Ned Tijdschr Geneeskd 2009, 153:1048.
• [6]Clement S: Diabetes self-management education. Diabetes Care 1995, 18:1204-1214.
• [7]Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM: Self-Management education for adults with type 2 Diabetes A meta-analysis of the effect on glycemic control. Diabetes Care 2002, 25:1159-1171.
• [8]Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, Maryniuk M, Peyrot M, Piette JD, Reader D: National standards for diabetes self-management education. Diabetes care 2009, 32:S87-S94.
• [9]Deakin T, McShane CE, Cade JE, Williams RD: Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev 2005., 2CD003417
• [10]Heinrich E, Schaper NC, de Vries NK: Self management interventions for type 2 diabetes: a systematic review. Eur Diab Nurs 2010, 7:71-76.
• [11]Norris SL, Engelgau MM, Narayan KV: Effectiveness of self-management training in type 2 diabetes a systematic review of randomized controlled trials. Diabetes Care 2001, 24:561-587.
• [12]Steinsbekk A, Rygg LO, Lisulo M, Rise MB, Fretheim A: Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res 2012, 12:213. BioMed Central Full Text
• [13]Brown LL, Lustria ML, Rankins J: A review of web-assisted interventions for diabetes management: maximizing the potential for improving health outcomes. J Diabetes Sci Technol 2007, 1:892-902.
• [14]Glasgow RE, Bull SS, Piette JD, Steiner JF: Interactive behavior change technology. Am J Prevent Med 2004, 27:80-87.
• [15]Pal K, Eastwood SV, Michie S, Farmer AJ, Barnard ML, Peacock R, Murray E: Computer–based diabetes self–management interventions for adults with type 2 diabetes mellitus. The Cochrane Library 2013.
• [16]Ramadas A, Quek KF, Chan CKY, Oldenburg B: Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence. Int J Med Inform 2011, 80:389-405.
• [17]Barrera M Jr, Glasgow RE, Mckay HG, Boles SM, Feil EG: Do Internet-based support interventions change perceptions of social support?: An experimental trial of approaches for supporting diabetes self-management. Am J Comm Psychol 2002, 30:637-654.
• [18]Joseph DH, Griffin M, Hall RF, Sullivan ED: Peer coaching: an intervention for individuals struggling with diabetes. Diabetes Educ 2001, 27:703-710.
• [19]Mckay HG, Glasgow RE, Feil EG, Boles SM, Barrera M: Internet-based diabetes self-management and support: initial outcomes from the diabetes network project. Rehabil Psychol 2002, 47:31-48.
• [20]Ruggiero L, Moadsiri A, Butler P, Oros SM, Berbaum ML, Whitman S, Cintron D: Supporting diabetes self-care in underserved populations a randomized pilot study using medical assistant coaches. Diabetes Educ 2010, 36:127-131.
• [21]van Bastelaar KM, Pouwer F, Cuijpers P, Riper H, Snoek FJ: Web-based depression treatment for type 1 and type 2 diabetic patients a randomized, controlled trial. Diabetes Care 2011, 34:320-325.
• [22]Whittemore R, Melkus GD, Sullivan A, Grey M: A nurse-coaching intervention for women with type 2 diabetes. Diabetes Educ 2004, 30:795.
• [23]Wolever RQ, Dreusicke M, Fikkan J, Hawkins TV, Yeung S, Wakefield J, Duda L, Flowers P, Cook C, Skinner E: Integrative health coaching for patients with type 2 diabetes a randomized clinical trial. Diabetes Educ 2010, 36:629-639.
• [24]Glasgow RE, Toobert DJ: Brief, computer-assisted diabetes dietary self-management counseling: effects on behavior, physiologic outcomes, and quality of life. Medical care 2000, 38:1062-1073.
• [25]Glasgow RE, Boles SM, Mckay HG, Feil EG, Barrera M Jr: The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results. Prevent Med 2003, 36:410-419.
• [26]McTigue KM, Conroy MB, Hess R, Bryce CL, Fiorillo AB, Fischer GS, Milas NC, Simkin-Silverman LR: Using the internet to translate an evidence-based lifestyle intervention into practice. Telemed e-Health 2009, 15:851-858.
• [27]Dale JR, Williams SM, Bowyer V: What is the effect of peer support on diabetes outcomes in adults? A systematic review. Diabet Med 2012, 29:1361-1377.
• [28]Glasgow RE, Christiansen SM, Kurz D, King DK, Woolley T, Faber AJ, Estabrooks PA, Strycker L, Toobert D, Dickman J: Engagement in a diabetes self-management website: usage patterns and generalizability of program use. J Med Internet Res 2011, 13:e9.
• [29]Roelofsen Y, Hendriks S, Sieverink F, van Vugt M, van Hateren KJJ, Snoek FJ, de Wit M, Gans ROB, Groenier KH, van Gemert-Pijnen JEWC, Kleefstra N, Bilo HJG: Use and effects of an interactive online care platform in patients with type 2 diabetes: design of the e-Vita diabetes mellitus study (e-VitaDM-1/ZODIAC-40). Bethesda (MD): National Library of Medicine (US); 2002. http://clinicaltrials.gov/show/NCT01570140 webcite
• [30]Greenhalgh T, Hinder S, Stramer K, Bratan T, Russell J: Adoption, non-adoption, and abandonment of a personal electronic health record: case study of HealthSpace. BMJ 2010, 341:C5814.
• [31]Osborn CY, Mayberry LS, Mulvaney SA, Hess R: Patient web portals to improve diabetes outcomes: a systematic review. Curr Diab Reports 2010, 10:422-435.
• [32]Snoek FJ, Van Der Ven NCW, Twisk JWR, Hogenelst MHE, Tromp–Wever AME, Van Der Ploeg HM, Heine RJ: Cognitive behavioural therapy (CBT) compared with blood glucose awareness training (BGAT) in poorly controlled Type 1 diabetic patients: long–term effects on HbA1c moderated by depression. A randomized controlled trial. Diabet Med 2008, 25:1337-1342.
• [33]van der Ven N, Snoek FJ: Diabetes de baas: ontwikkeling en toepassing van een groepsinterventie, gebaseerd op cognitieve-gedragstherapie voor patiënten met type-i-diabetes. Directieve therapie 2001, 21:87-96.
• [34]Schwarzer R: Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Appl Psychol 2008, 57:1-29.
• [35]Michie S, Ashford S, Sniehotta FF, Dombrowski SU, Bishop A, French DP: A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health 2011, 26:1479-1498.
• [36]Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, Dallosso HM, Daly H, Doherty Y, Eaton S: Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. Bmj 2008, 336:491-495.
• [37]Gillett M, Dallosso HM, Dixon S, Brennan A, Carey ME, Campbell MJ, Heller S, Khunti K, Skinner TC, Davies MJ: Delivering the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cost effectiveness analysis. BMJ 2010, 341:C4093.
• [38]Khunti K, Gray LJ, Skinner T, Carey ME, Realf K, Dallosso H, Fisher H, Campbell M, Heller S, Davies MJ: Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care. BMJ 2012, 344:e2333.
• [39]Leibbrandt AJ, Kiefte-de Jong JC, Hogenelst MH, Snoek FJ, Weijs PJ: Effects of the PRo-active Interdisciplinary Self-MAnagement (PRISMA, Dutch DESMOND) program on dietary intake in type 2 diabetes outpatients: a pilot study. Clin Nutr 2010, 29:199-205.
• [40]Skinner TC, Carey ME, Cradock S, Dallosso HM, Daly H, Davies MJ, Doherty Y, Heller S, Khunti K, Oliver L: “Educator talk” and patient change: some insights from the DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed) randomized controlled trial. Diabet Med 2008, 25:1117-1120.
• [41]Toobert DJ, Hampson SE, Glasgow aR: The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care 2000, 23:943-950.
• [42]McGuire BE, Morrison TG, Hermanns N, Skovlund S, Eldrup E, Gagliardino J, Kokoszka A, Matthews D, Pibernik-Okanovi-ç M, Rodriguez-Salda + ¦a J: Short-form measures of diabetes-related emotional distress: the Problem Areas in Diabetes Scale (PAID)-5 and PAID-1. Diabetologia 2010, 53:66-69.
• [43]Hajos TRS, Pouwer F, Skovlund SE, Den Oudsten BL, Geelhoed–Duijvestijn PHLM, Tack CJ, Snoek FJ: Psychometric and screening properties of the WHO–5 well-being index in adult outpatients with Type 1 or Type 2 diabetes mellitus. Diabet Med 2013, 30:e63-e69.
• [44]Bech P, Olsen LR, Kjoller M, Rasmussen NK: Measuring well-being rather than the absence of distress symptoms: a comparison of the SF–36 Mental Health subscale and the WHO–5 well-being scale. Int J Methods Psych Res 2003, 12:85-91.
• [45]Walters SJ, Brazier JE: Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res 2005, 14:1523-1532.
• [46]Herdman M, Gudex C, Lloyd A, Janssen MF, Kind P, Parkin D, Bonsel G, Badia X: Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5 L). Qual Life Res 2011, 20:1727-1736.
• [47]Thoolen BJ, Ridder D, Bensing J, Gorter K, Rutten G: Beyond good intentions: The role of proactive coping in achieving sustained behavioural change in the context of diabetes management. Psychol Health 2009, 24:237-254.
• [48]Eysenbach G: The law of attrition. J Med Internet Res 2005, 7:e11.