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Prev Med. 2003 Apr;36(4):410-9.

The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results.

Author information

1
Kaiser Permanente Colorado and AMC Cancer Research Center, Denver, CO 80237-8066, USA. russg@ris.net

Abstract

BACKGROUND:

A prerequisite to translating research findings into practice is information on consistency of implementation, maintenance of results, and generalization of effects. This follow-up report is one of the few experimental studies to provide such information on Internet-based health education.

METHODS:

We present follow-up data 10 months following randomization on the "Diabetes Network (D-Net)" Internet-based self-management project, a randomized trial evaluating the incremental effects of adding (1) tailored self-management training or (2) peer support components to a basic Internet-based, information-focused comparison intervention. Participants were 320 adult type 2 diabetes patients from participating primary care offices, mean age 59 (SD = 9.2), who were relatively novice Internet users.

RESULTS:

All intervention components were consistently implemented by staff, but participant website usage decreased over time. All conditions were significantly improved from baseline on behavioral, psychosocial, and some biological outcomes; and there were few differences between conditions. Results were robust across on-line coaches, patient characteristics, and participating clinics.

CONCLUSIONS:

The basic D-Net intervention was implemented well and improvements were observed across a variety of patients, interventionists, and clinics. There were, however, difficulties in maintaining usage over time and additions of tailored self-management and peer support components generally did not significantly improve results.

PMID:
12649049
DOI:
10.1016/s0091-7435(02)00056-7
[Indexed for MEDLINE]

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