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Examining a Remote Group-Based Type 2 Diabetes Self-Management Education Program in the COVID-19 Era Using the ORBIT
Madison S Hiemstra1, Sonja M Reichert2, Marc S Mitchell1
1School of Kinesiology, Western University, London, ON, Canada.
JMIR Formative Research
|January 29, 2024
Summary
This study refined a remote diabetes self-management education program for type 2 diabetes (T2D). Findings suggest feasibility and acceptability, guiding future remote T2D care development.
Area of Science:
- Diabetes management
- Digital health interventions
- Behavioral interventions
Background:
- Most type 2 diabetes (T2D) self-management education (DSME) is in-person.
- The COVID-19 pandemic accelerated the need for remote care solutions.
- This study evaluated a novel remote DSME program.
Purpose of the Study:
- To refine the delivery and evaluation of a multicomponent remote DSME program for adults with T2D.
- To assess feasibility outcomes including recruitment, retention, and adherence.
- To examine program acceptability through technology use and participant feedback.
Main Methods:
- A 6-week, single-cohort feasibility study (ORBIT phase 1b) was conducted.
- Participants received live video education, individualized physical activity (PA) counseling, and remote monitoring (glucose and PA).
- Feasibility was assessed via recruitment/retention rates, adherence, and technology issues.
Main Results:
- Ten adults with T2D were recruited; 80% were retained.
- High adherence was observed for education classes (83%) and PA counseling (93%).
- Most participants (89%) were satisfied, despite some data transfer technology issues.
Conclusions:
- The remote DSME program demonstrated feasibility and acceptability.
- Recommendations include automating data upload and purposeful sampling for future studies.
- Further proof-of-concept testing (ORBIT phase 2) is warranted.
Keywords:
HbA1cT2Dactivity monitordiabetes self-management educationflash glucose monitorglycated hemoglobingroup educationtype 2 diabetesvirtual carewearablesMore Related Videos
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