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

Area of Science:

• Gerontology
• Internal Medicine
• Psychology

Background:

• Self-management is crucial for improving blood glucose control and cognitive function.
• Current self-management research lacks personalization and focuses on individual diseases.
• Diabetes-mellitus with mild cognitive impairment (DM-MCI) presents a significant challenge.

Purpose of the Study:

• To evaluate the effectiveness of Stratified Support Pattern-based Internet-assisted Self-management Therapy (SISMT) on patients with DM-MCI.
• To assess the impact of SISMT on cognitive function, metabolic control, and psychological well-being.
• To explore the potential of personalized, internet-assisted interventions in chronic disease management.

Main Methods:

• A 12-week randomized controlled trial involving 68 participants with DM-MCI.
• Participants were assigned to either the SISMT intervention group or a control group.
• Intervention involved a stratified support pattern delivered via an internet-assisted platform.

Main Results:

• SISMT significantly improved cognitive functions assessed by Montreal Cognitive Assessment (MoCa), Auditory Verbal Learning Test (AVLT), and Symbol Digit Modalities Test (SDMT).
• Significant improvements were observed in psychological outcomes including anxiety (SAS), self-efficacy (GSES, SES), and happiness (MUNSH).
• Quality of Life (QoL-AD), Diabetes Self-care Scale (DSCS), and Health Literacy (HLS) also showed significant positive effects; however, HbA1C and PPG did not significantly change.

Conclusions:

• SISMT is effective in enhancing cognitive function, reducing anxiety, and improving quality of life and subjective well-being in patients with DM-MCI.
• The intervention shows promise for improving fasting blood glucose and overall self-management capabilities.
• Internet-assisted, personalized self-management therapies offer a viable approach for managing complex chronic conditions like DM-MCI.