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A phased online support program improves self-efficacy and reduces distress in type 2 diabetes patients using mixed
Shuping Xing1,2, Wen Tu1,3, Yan Lin1
1School of Nursing, Hainan Medical University, Haikou, China.
Scientific Reports
|August 13, 2025
Summary
A phased online support program for diabetes patients is feasible and acceptable. This digital intervention showed significant improvements in clinical indicators and patient well-being.
Area of Science:
- Digital Health
- Chronic Disease Management
- Patient Support Programs
Background:
- Traditional diabetes interventions are often offline, lack continuous support, and focus narrowly on knowledge enhancement.
- Online support programs offer a potential solution to overcome limitations of traditional interventions.
Purpose of the Study:
- To explore the feasibility, acceptability, and preliminary effects of a phased online support program for patients with diabetes.
- To assess the impact of a digital intervention on clinical and psychosocial indicators in diabetes management.
Main Methods:
- A mixed-methods design was employed with 27 diabetes patients from a tertiary hospital.
- Feasibility was evaluated via recruitment, participation, and retention rates (all >80%).
- Acceptability was assessed through semi-structured interviews, and preliminary effects were measured by clinical and psychosocial indicators at 12-month follow-up.
Main Results:
- The online support program demonstrated high feasibility and acceptability among participants.
- Significant improvements were observed in HbA1c, fasting blood glucose, blood pressure, and lipid profiles.
- Positive changes were noted in weight, BMI, self-efficacy, diabetes distress, knowledge, self-management behaviors, and resource utilization.
Conclusions:
- A phased online support program is a feasible and acceptable intervention for diabetes patients.
- The digital program shows promising preliminary results for improving both clinical outcomes and psychosocial well-being in diabetes management.
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