Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
Digital health coaching is an intervention for type 2 diabetes mellitus (T2DM) that has potential to improve the quality of care for patients. Previous research has established the efficacy of digital interventions for behavior change. This pilot study addresses a research gap in finding effective a...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-11-01
|
| Series: | Frontiers in Digital Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fdgth.2021.764735/full |
| _version_ | 1819130233773621248 |
|---|---|
| author | Kimberly R. Azelton Aidan P. Crowley Nicholas Vence Karin Underwood Gerald Morris John Kelly Matthew J. Landry |
| author_facet | Kimberly R. Azelton Aidan P. Crowley Nicholas Vence Karin Underwood Gerald Morris John Kelly Matthew J. Landry |
| author_sort | Kimberly R. Azelton |
| collection | DOAJ |
| description | Digital health coaching is an intervention for type 2 diabetes mellitus (T2DM) that has potential to improve the quality of care for patients. Previous research has established the efficacy of digital interventions for behavior change. This pilot study addresses a research gap in finding effective and accessible behavioral interventions for under-resourced individuals with T2DM. We examined the impact of Healthy at Home, a 12-week phone and SMS-based (short message service) digital health coaching program, on insulin resistance which is an upstream marker for T2DM progression. We compared this intervention to usual diabetic care in a family medicine residency clinic in a randomized controlled trial. Digital health coaching significantly improved participants' calculated Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR) by −0.9 ± 0.4 compared with the control group (p = 0.029). This significance remained after controlling for years diagnosed with T2DM, enrollment in Medicaid, access to food, baseline stage of change, and race (p = 0.027). Increasing access to digital health coaching may lead to more effective control of diabetes for under-resourced patients. This study demonstrates the potential to implement a personalized, scalable, and effective digital health intervention to treat and manage T2DM through a lifestyle and behavioral approach to improve clinical outcomes (http://clinicaltrials.gov, NCT04872647). |
| first_indexed | 2024-12-22T08:56:22Z |
| format | Article |
| id | doaj.art-9b8080bb24a94fe1a2f2194113b54f5a |
| institution | Directory Open Access Journal |
| issn | 2673-253X |
| language | English |
| last_indexed | 2024-12-22T08:56:22Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Digital Health |
| spelling | doaj.art-9b8080bb24a94fe1a2f2194113b54f5a2022-12-21T18:31:50ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2021-11-01310.3389/fdgth.2021.764735764735Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at HomeKimberly R. Azelton0Aidan P. Crowley1Nicholas Vence2Karin Underwood3Gerald Morris4John Kelly5Matthew J. Landry6Beacon Health System, E. Blair Warner Family Medicine Residency, South Bend, IN, United StatesPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United StatesIndependent Contractor, South Bend, IN, United StatesCoachMe Health, San Francisco, CA, United StatesBeacon Health System, E. Blair Warner Family Medicine Residency, South Bend, IN, United StatesPreventive Medicine, School of Medicine, Loma Linda University, Loma Linda, CA, United StatesStanford Prevention Research Center, School of Medicine, Stanford University, Palo Alto, CA, United StatesDigital health coaching is an intervention for type 2 diabetes mellitus (T2DM) that has potential to improve the quality of care for patients. Previous research has established the efficacy of digital interventions for behavior change. This pilot study addresses a research gap in finding effective and accessible behavioral interventions for under-resourced individuals with T2DM. We examined the impact of Healthy at Home, a 12-week phone and SMS-based (short message service) digital health coaching program, on insulin resistance which is an upstream marker for T2DM progression. We compared this intervention to usual diabetic care in a family medicine residency clinic in a randomized controlled trial. Digital health coaching significantly improved participants' calculated Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR) by −0.9 ± 0.4 compared with the control group (p = 0.029). This significance remained after controlling for years diagnosed with T2DM, enrollment in Medicaid, access to food, baseline stage of change, and race (p = 0.027). Increasing access to digital health coaching may lead to more effective control of diabetes for under-resourced patients. This study demonstrates the potential to implement a personalized, scalable, and effective digital health intervention to treat and manage T2DM through a lifestyle and behavioral approach to improve clinical outcomes (http://clinicaltrials.gov, NCT04872647).https://www.frontiersin.org/articles/10.3389/fdgth.2021.764735/fullhealth coachingsocial determinants of healthdigital healthstage-matched interventionm-healthlifestyle medicine |
| spellingShingle | Kimberly R. Azelton Aidan P. Crowley Nicholas Vence Karin Underwood Gerald Morris John Kelly Matthew J. Landry Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home Frontiers in Digital Health health coaching social determinants of health digital health stage-matched intervention m-health lifestyle medicine |
| title | Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home |
| title_full | Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home |
| title_fullStr | Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home |
| title_full_unstemmed | Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home |
| title_short | Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home |
| title_sort | digital health coaching for type 2 diabetes randomized controlled trial of healthy at home |
| topic | health coaching social determinants of health digital health stage-matched intervention m-health lifestyle medicine |
| url | https://www.frontiersin.org/articles/10.3389/fdgth.2021.764735/full |
| work_keys_str_mv | AT kimberlyrazelton digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome AT aidanpcrowley digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome AT nicholasvence digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome AT karinunderwood digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome AT geraldmorris digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome AT johnkelly digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome AT matthewjlandry digitalhealthcoachingfortype2diabetesrandomizedcontrolledtrialofhealthyathome |