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Related Experiment Videos

The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results.

Russell E Glasgow1, Shawn M Boles, H Garth McKay

  • 1Kaiser Permanente Colorado and AMC Cancer Research Center, Denver, CO 80237-8066, USA. russg@ris.net

Preventive Medicine
|March 22, 2003
PubMed
Summary

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The Diabetes Network (D-Net) project showed that a basic internet-based intervention for diabetes self-management was well-implemented. However, maintaining patient engagement over time proved challenging, with added components offering limited additional benefits.

Area of Science:

  • Digital Health
  • Health Services Research
  • Chronic Disease Management

Background:

  • Translating research into practice requires understanding implementation, maintenance, and generalization.
  • Internet-based health education studies often lack this crucial follow-up data.
  • This study addresses this gap by providing follow-up results for an internet-based health education intervention.

Purpose of the Study:

  • To evaluate the long-term effects of an internet-based diabetes self-management program.
  • To assess the incremental benefits of adding tailored self-management training or peer support to a basic intervention.
  • To examine the consistency of implementation, maintenance of results, and generalization of effects.

Main Methods:

  • A 10-month follow-up randomized trial of the "Diabetes Network (D-Net)" project.

Related Experiment Videos

  • Involved 320 adult type 2 diabetes patients, novice internet users, from primary care offices.
  • Compared a basic internet intervention with added tailored training or peer support.

    • Main Results:

    • Intervention components were consistently implemented by staff.
    • Participant website usage declined over the 10-month period.
    • Significant improvements from baseline were observed across all groups in behavioral, psychosocial, and some biological outcomes, with few differences between conditions.

    Conclusions:

    • The basic D-Net intervention demonstrated effective implementation and yielded improvements across diverse patient and clinic settings.
    • Sustaining participant engagement with the online platform over time was a significant challenge.
    • Adding tailored self-management training or peer support components did not substantially enhance the observed outcomes compared to the basic intervention.