Social Support for Diabetes Self-Management via eHealth Interventions
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eHealth interventions have been increasingly used to provide social support for self-management of type 2 diabetes. In this review, we discuss social support interventions, types of support provided, sources or providers of support, outcomes of the support interventions (clinical, behavioral, psychosocial), and logistical and clinical considerations for support interventions using eHealth technologies. Many types of eHealth interventions demonstrated improvements in self-management behaviors, psychosocial outcomes, and clinical measures, particularly HbA1c. Important factors to consider in clinical application of eHealth support interventions include participant preferences, usability of eHealth technology, and availability of personnel to orient or assist participants. Overall, eHealth is a promising adjunct to clinical care as it addresses the need for ongoing support in chronic disease management.
KeywordseHealth Social support Type 2 diabetes mellitus Self-management
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
The authors can attest that for the one study reviewed that was performed by two authors (Johnson, et al., 2014): All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 2.Powers MA et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet. 2015;115(8):1323–34.CrossRefPubMedGoogle Scholar
- 8.•Chen L et al. Evaluating self-management behaviors of diabetic patients in a telehealthcare program: longitudinal study over 18 months. J Med Internet Res. 2013;15(12):e266. This study evaluates the impact of a telehealth intervention on self-management as well as HbA1c. Participant use of the various support aspects of the intervention are reported, which enhances its generalizability and translation.CrossRefPubMedPubMedCentralGoogle Scholar
- 11.•Nagrebetsky A et al. Stepwise self-titration of oral glucose-lowering medication using a mobile telephone-based telehealth platform in type 2 diabetes: a feasibility trial in primary care. J Diabetes Sci Technol. 2013;7(1):123–34. This clinical study demonstrates that a mobile health platform can be utilized to titrate or intensify oral glucose lowering medications between clinic visits. Although prior studies had demonstrated this for insulin therapy, this is relevant to addressing clinical inertia in intensification of oral agents.CrossRefPubMedPubMedCentralGoogle Scholar
- 16.Heisler M et al. Comparison of community health worker-led diabetes medication decision-making support for low-income Latino and African American adults with diabetes using e-health tools versus print materials: a randomized, controlled trial. Ann Intern Med. 2014;161(10 Suppl):S13–22.CrossRefPubMedPubMedCentralGoogle Scholar
- 17.•Ruggiero L et al. Medical assistant coaching to support diabetes self-care among low-income racial/ethnic minority populations: randomized controlled trial. West J Nurs Res. 2014;36(9):1052–73. Findings from this study indicate that medical assistants, when educated on participant-centered care techniques and behavioral counseling strategies, provide effective self-management support. Additionally, the findings indicated the benefit was enhanced when supporters were of the same race/ethnicity and community as the participants.CrossRefPubMedPubMedCentralGoogle Scholar
- 42.Heaney C, Israel B. Social networks and social support. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. San Francisco, CA: Jossey-Bass; 2008.Google Scholar
- 43.House J. Work stress and social support. Reading, MA: Addison-Wesley; 1981.Google Scholar