Stratified support pattern-based internet-assisted self-management therapy for DM-MCI: A randomized controlled trial

Improving self-management ability can not only improve blood glucose control but also improve cognitive function. The current research on self-management only focuses on individual diseases, and the degree of personalization is insufficient.

A total of 68 participants were recruited and randomly assigned to a 12 week Stratified Support Pattern-based Internet-assisted Self-management Therapy (SISMT ) intervention group or control group.

The Montreal Cognitive Assessment (MoCa) and Fasting Blood Sugar (FBS) with mild cognitive impairment associated with diabetes-mellitus (DM-MCI) was statistically significant. For the Auditory Verbal Learning Test (AVLT) were statistically significant. The Symbol Digit Modalities Test (SDMT) that reflected attention of DM-MCI was also statistically significant. For the psychological outcomes, Self-Assessment Scale for Anxiety (SAS), General Self-Efficacy Scale (GSES) , Self-Efficacy Scale (SES) , Memorial University of Newfoundland Scale of Happiness (MUNSH) were statistically significant. The effect of SISMT on the Quality of Life Alzheimer's Disease (QoL-AD) , Diabetes Self-care Scale (DSCS) , Health Literacy Scale (HLS) were statistically significant. The effect of intervention on the Glycated Hemoglobin (HbA1C) , Postprandial Plasma Glucose (PPG) with DM-MCI were not statistically significant.

The SISMT can improve fasting blood glucose, cognitive function, anxiety, quality of life, subjective well-being, and other indicators in patients.