This project will employ a technologically sophisticated, accessible telecommunications approach to provide diabetes self-management counseling and support for adult patients with non-insulin dependent diabetes (NIDDM). A home-based computer network via the Internet will provide information, feedback and emotional support to participants to help improve self-management and glycemic control and reduce cardiovascular risk. Such a system is technically feasible and has been shown to be attractive and used by patients with other chronic diseases, and is currently being piloted. Following a year of formative and qualitative evaluation to ensure that the system is user friendly and stable, 300 heterogeneous participants will receive basic information on diabetes and will complete assessment instruments via computer. Two important factors will be investigated within a 2 (peer social support group) X 2 (personalized self-management skills training with feedback) randomized clinical trial. The impact of these interventions on network use, self-management behaviors, physiological outcomes, quality of life, medical utilization, and patient satisfaction will be assessed. Process measures will include changes in perceived social support, diabetes problem-solving skills, and several program implementation variables, the latter of which will be automatically tracked by the computer network system. This study builds upon prior work that has developed and partly validated a model of diabetes self-management. Results from this project should have implications not only for diabetes management, but also for similar self-management issues for other chronic diseases.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK051581-03
Application #
2900326
Study Section
Behavioral Medicine Study Section (BEM)
Program Officer
Garfield, Sanford A
Project Start
1997-04-15
Project End
2001-03-31
Budget Start
1999-04-01
Budget End
2000-03-31
Support Year
3
Fiscal Year
1999
Total Cost
Indirect Cost
Name
Oregon Research Institute
Department
Type
DUNS #
053615423
City
Eugene
State
OR
Country
United States
Zip Code
97403
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Barrera Jr, Manuel; Glasgow, Russell E; McKay, H Garth et al. (2002) Do Internet-based support interventions change perceptions of social support?: An experimental trial of approaches for supporting diabetes self-management. Am J Community Psychol 30:637-54
McKay, H G; King, D; Eakin, E G et al. (2001) The diabetes network internet-based physical activity intervention: a randomized pilot study. Diabetes Care 24:1328-34
Glasgow, R E; McKay, H G; Piette, J D et al. (2001) The RE-AIM framework for evaluating interventions: what can it tell us about approaches to chronic illness management? Patient Educ Couns 44:119-27
Glasgow, R E; Strycker, L A (2000) Preventive care practices for diabetes management in two primary care samples. Am J Prev Med 19:14-Sep
Feil, E G; Glasgow, R E; Boles, S et al. (2000) Who participates in Internet-based self-management programs? A study among novice computer users in a primary care setting. Diabetes Educ 26:806-11
Glasgow, R E; Vogt, T M; Boles, S M (1999) Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 89:1322-7