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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Personalized Digital Health Solutions to Increasing Diabetes-Related Knowledge and Behavioral Outcomes: Results from

Marcia Ory^1,2, Christi H Esquivel¹, Gang Han^3,4

¹Center for Community Health and Aging, School of Public Health, Texas A&M University, 212 Adriance Lab Rd, College Station, US.

|April 8, 2026

Summary

Digital interventions improved diabetes self-care for adults with type 2 diabetes. All methods showed benefits in confidence, distress, and behaviors, with no single modality being superior.

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Area of Science:

Digital Health
Diabetes Self-Management
Health Technology

Background:

Rising type 2 diabetes prevalence in the US demands accessible, adaptable technology for self-management.
Digital content interventions are crucial for diabetes self-care activities.

Purpose of the Study:

To compare the effectiveness of two digital diabetes self-care education programs, individually and combined, in adults with type 2 diabetes in Texas.

Main Methods:

A randomized control trial (RCT) involving 188 adults with type 2 diabetes (T2DM) in Texas.
Assessed interventions: vMMWD alone, TBES alone, or vMMWD followed by TBES.
Utilized generalized estimating equations (GEE) for simultaneous factor analysis.

Main Results:

All digital intervention modalities significantly improved diabetes-related confidence, distress, and self-care behaviors (p<.05).
Improvements were sustained from baseline through 6 months with moderate to strong effect sizes.
No significant difference in effectiveness was found between intervention modalities. Higher self-care correlated with higher baseline confidence and lower distress. Disadvantaged populations showed greater self-care improvements.

Conclusions:

Digital interventions offer significant benefits for type 2 diabetes self-management.
Future research should focus on developing personalized, cost-effective digital content for T2DM management.