Diabetes Mellitus, Type 2
Conditions
Keywords
: Type 2 Diabetes Mellitus, Web-based intervention, medication adherence, lifestyle changes
Brief summary
Diabetic patients need to manage their glucose level, physical activity and food intake to successfully cope with their disease. Previous work has shown that reminders of the disease, be they informational or about ones' condition, can improve management of disease in diabetes. This trial focuses on delivering these reminders, via email, in attempt to improve the patients glycemic control (measured in Hemoglobin A1C)
Detailed description
The study initially included 50 patients (men and women, over 18 years of age) who were prior diagnosed with DM2 and unbalanced in their glycemic values (HbA1c above 7%). The patient were sent via email , once every other week, a link to web-based pages which provides information on changing DM2 related such as general DM2 information, the importance of keeping a well-balanced diet, benefits of exercising regularly, drug related information and more. Furthermore, the patients were sent a questionnaire every other week which they were asked to actively reply to. Each participating patient was monitored for 6 months, during this time he/she was sent 12 web-based information pages. During the course of the study, information regarding the patients' glycemic control (in the form of HgA1c levels) was collected. Additional variables (age, sex, BMI, time passed since diagnosed with DM2) were collected and used for statistical comparison.
Interventions
BEHAVIORALweb-based DM2 information pages
Each email will include information on one of the following topics: 1. The importance of physical activity 2. Correct nutrition 3. The importance of adhering to medication regimens. Emails will be either positive (e.g., the importance of good nutrition, and what constitutes good nutrition) or negative (e.g., the risks of not adhering to medications). The information will be provided by different approaches: medical research results, practical tips, patient testimonies.…
Sponsors
Rambam Health Care Campus
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Previous diabetes specialist follow 2. Age over 18. 3. Diagnosis of diabetes type 2. 4. HbA1c over 7% 5. Self-admitted less than optimal adherence to physical activity, diet or medications or computer-recorded less than 80% adherence to medication purchase. 6. Able to read Hebrew 7. Uses Email account that is actively read at least twice weekly.
Exclusion criteria
* Patients who did not the inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HbA1C values of patients after 6 months | 6 months follow up | HbA1C values |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| percentage of messages opened and read | 10-12 messages in 6 months | reading of each message will be recorded |
Outcome results
None listed