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- W2188421079 abstract "OBJECTIVE—To test whether adding mobile application coaching and patient/provider webportalstocommunityprimarycarecomparedwithstandarddiabetesmanagementwouldreduceglycated hemoglobin levels in patients with type 2 diabetes.RESEARCHDESIGNANDMETHODS—Acluster-randomizedclinicaltrial,theMobileDiabetesInterventionStudy,randomlyassigned26primarycarepracticestooneofthreesteppedtreatment groups or a control group (usual care). A total of 163 patients were enrolled andincluded in analysis. The primary outcome was change in glycated hemoglobin levels over a1-year treatment period. Secondary outcomes were changes in patient-reported diabetes symp-toms, diabetes distress, depression, and other clinical (blood pressure) and laboratory (lipid)values. Maximal treatment was a mobile- and web-based self-management patient coachingsystem and provider decision support. Patients received automated, real-time educational andbehavioral messaging in response to individually analyzed blood glucose values, diabetes med-ications, and lifestyle behaviors communicated by mobile phone. Providers received quarterlyreports summarizing patient’s glycemic control, diabetes medication management, lifestylebehaviors, and evidence-based treatment options.RESULTS—The mean declines in glycated hemoglobin were 1.9% in the maximal treatmentgroup and 0.7% in the usual care group, a difference of 1.2% (P , 0.001) over 12 months.Appreciabledifferenceswerenotobservedbetweengroupsforpatient-reporteddiabetesdistress,depression, diabetes symptoms, or blood pressure and lipid levels (all P . 0.05).CONCLUSIONS—Thecombinationof behavioralmobile coachingwithbloodglucosedata,lifestyle behaviors, and patient self-management data individually analyzed and presented withevidence-based guidelines to providers substantially reduced glycated hemoglobin levels over1year.Diabetes Care 34:1934–1942, 2011" @default.
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- W2188421079 date "2011-01-01" @default.
- W2188421079 modified "2023-09-27" @default.
- W2188421079 title "ed Trial of a Mobile Phone Personalized Behavioral Intervention for Blood Glucose Control" @default.
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