Abstract
Background and Aims
Studies showed that improvements in self-management and self-efficacy directly influence self-care behavior which has proven to be the most important human factor in diabetes treatment when it comes to improving glycemic control. Nevertheless, many people struggle to manage their disease. Digital devices in combination with personal telephone coaching can support patients with type 2 diabetes (T2DM) and improve self-management, self-efficacy, clinical and economic outcomes.
Methods
In cooperation with a private health insurance company, a 2-arm randomized telemedically assisted lifestyle intervention study has been set up. 113 patients with T2DM, divided into an intervention group and a control group, have participated in the study so far. Participants of the control group receive care as usual. Participants of the intervention group additionally receive a blood glucose meter, a pedometer and a tablet in combination with individual telephone coaching from diabetes specialists. All recorded values from the devices (e.g. fasting blood glucose, hypo- and hyperglycaemia, steps) are automatically transferred daily to the Personal Coach. After 3, 6 and 12 months as well as one year after the end of the intervention, changes in self-management, self-efficacy, health-related quality of life as well as economic parameters are recorded in addition to parameters such as the HbA1c value, the body mass index (BMI) and the steps taken.
Results
First results after three months already showed promising improvements in glycemic control, physical activity and diabetes self-management.
Conclusions
At the ATTD 2020 we will present the first results of the 12-month data.
