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Diabetes Educ. 2010 May-Jun;36(3):446-56. doi: 10.1177/0145721710366758. Epub 2010 Apr 7.

The effects of a web-based intervention on psychosocial well-being among adults aged 60 and older with diabetes: a randomized trial.

Author information

The College of Nursing, Seattle University, Seattle, Washington (Dr Bond, Dr Feldt)
Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle (Dr Burr)
Department of Biomedical and Health Informatics, University of Washington, Seattle (Dr Wolf)



The purpose of this study is to investigate the impact of a 6-month Web-based intervention on the psychosocial well-being of older adults with diabetes.


This study was a randomized controlled trial (N - 62) comparing the effects of a 6-month Web-based intervention plus usual care with usual care alone among adults aged 60 years or older with diabetes. The outcomes included quality of life, depression, social support, and self-efficacy.


The intervention group showed significant improvement, F(4.48) - 4.03 P - .007, when compared with the control group on measures of depression, quality of life, social support, and self-efficacy when controlling for all baseline outcome variables (age, gender, and number of years with diabetes).


These findings provide support for the conclusion that a Web-based intervention is effective in improving the psychosocial well-being of participants at a 6-month follow-up. Future research needs to investigate the long-term effectiveness of Web-based interventions for sustaining psychosocial well-being, including factors that may affect quality of life, such as diabetes-specific beliefs, attitudes, social support, and disease-specific coping skills.

[Indexed for MEDLINE]

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