Health Impact of a Mobile-Delivered Diabetes Intervention to Control Blood Pressure in Older Adults

Koren S. Goodman, Elizabeth Locke

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Patient education is an effective modality to reinforce self-care practices for chronic disease management. The purpose of this study was twofold: (1) to assess the health impact of a phone-delivered diabetes intervention and (2) to identify predictors of telehealth message use among adults aged 18–65 years with diabetes in a primary care setting using the Technology Acceptance Model theoretical framework. Methods: A pretest–posttest experimental study design was employed. Participants were randomized to receive 7 weeks of telehealth self-care messages or to the routine care group. Outcome measures included (1) telehealth use among patients who received weekly telehealth messages, (2) self-care behavior management derived from the Behavior Score Instrument, and (3) clinical outcomes measures. Results: The study team enrolled 150 patients, and of these, 138 (aged 18–65 years) completed the study. Participants aged 53±9.6 (mean±SD) years were mainly females (n=93; 76%), and the majority received government-sponsored health insurance (n=75; 54%). Age was a strong predictor of telehealth use (p<0.001). Among patients who received telehealth messages, systolic and diastolic blood pressure measures (140/78 mmHg vs 134/74 mmHg) were statistically significant at follow-up (p=0.001 and p=0.007, respectively). Conclusions: Digital support tools can play a valuable role in supporting lifestyle modification changes and reinforcing good diabetes self-care practices in older adults. Providing accessible tools and resources empowers adults to take an active role in their own health.

Original languageEnglish
Article number100244
JournalAJPM Focus
Volume3
Issue number4
DOIs
StatePublished - Aug 2024

Keywords

  • Self-care management
  • Technology Acceptance Model
  • diabetes
  • surveillance
  • telehealth

Fingerprint

Dive into the research topics of 'Health Impact of a Mobile-Delivered Diabetes Intervention to Control Blood Pressure in Older Adults'. Together they form a unique fingerprint.

Cite this