Premium
Development and clinical trial of an eHealth program for pre‐diabetics (1035.12)
Author(s) -
Block Gladys,
Azar Kristen,
Block Torin,
Block Clifford,
Palaniappan Latha
Publication year - 2014
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.28.1_supplement.1035.12
Subject(s) - ehealth , infographic , coaching , behavior change , health coaching , social media , medicine , social support , phone , randomized controlled trial , health care , medical education , psychology , gerontology , computer science , world wide web , social psychology , surgery , economics , psychotherapist , data mining , economic growth , linguistics , philosophy
One‐third of American adults have pre‐diabetes (PD), and each year 5‐10% progress to Type 2 diabetes. Our health care system needs strategies to reach those 79 million people with assistance in changing their health behaviors. Alive‐Pre‐Diabetes is a scalable one‐year multimedia email‐web‐smartphone program to help pre‐diabetics improve their physical activity, eating habits and weight. The objective of the clinical trial is to assess the effectiveness of Alive‐PD in changing glucose and A1c. To be effective, technology‐based behavior‐change programs need to move beyond simply using tailoring and health behavior‐change principles: they must overcome the common problem of low engagement and dropout. In creating Alive‐PD from NutritionQuest's previously‐proven Alive! wellness program, we focused on features to increase and sustain engagement. Different learning styles are engaged through infographics, quizzes, automated phone‐based coaching and printed newsletters. Sharing with social media is enabled, and other features facilitate active social support by friends and family. A team system promotes competition between and support within teams. A points system may be used for monetary rewards or contributions to charity. These engagement features support a program of long‐ and short‐term goal‐setting, a user‐defined activity plan, diabetes‐focused health information, and motivational messaging. The trial is assessing change in glucose/A1c in 300 persons, and change in lipids and weight. Participants are being randomized to the Alive‐PD program or delayed control, and are re‐assessed at 3 and 6 months. Grant Funding Source : NIH, National Institute for Nursing Research