The effects of a computer-tailored message on secondary prevention in type 2 diabetes

A randomized trial

Sandra Y. Adams, Albert G. Crawford, Rajiv N. Rimal, Joyce S. Lee, Laura M. Janneck, Christopher Sciamanna

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The purpose of this study was to test the effect of computer-generated, tailored feedback on the quality of chronic disease management for type 2 diabetes when provided to a patient prior to a scheduled physician visit. A stand-alone computer application was developed to provide tailored feedback aimed at empowering patients to engage more actively in their diabetes management. Adults with type 2 diabetes (n=203) were randomly assigned to groups receiving either efficacy (positive) messages (n=68), risk (negative) messages (n=67), or to a delayed treatment control group (n=68). The intervention was delivered prior to a patient's visit with his or her physician so that patients would have the opportunity to discuss the messages at the clinical appointment. Although there were no significant differences in the percentage of participants who received intensified care or routine tests between the control and intervention groups, we learned that more directive messaging may be needed to help patients effectively manage their diabetes. Patients may benefit from directive feedback, providing them with specific questions to ask their physician that can lead to improved care, rather than receiving general and educational informational messages.

Original languageEnglish (US)
Pages (from-to)197-204
Number of pages8
JournalPopulation Health Management
Volume12
Issue number4
DOIs
StatePublished - Aug 1 2009

Fingerprint

Secondary Prevention
Type 2 Diabetes Mellitus
Physicians
Control Groups
Disease Management
Appointments and Schedules
Chronic Disease

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Adams, Sandra Y. ; Crawford, Albert G. ; Rimal, Rajiv N. ; Lee, Joyce S. ; Janneck, Laura M. ; Sciamanna, Christopher. / The effects of a computer-tailored message on secondary prevention in type 2 diabetes : A randomized trial. In: Population Health Management. 2009 ; Vol. 12, No. 4. pp. 197-204.
@article{061011d0eba04550b77a86b412a61faf,
title = "The effects of a computer-tailored message on secondary prevention in type 2 diabetes: A randomized trial",
abstract = "The purpose of this study was to test the effect of computer-generated, tailored feedback on the quality of chronic disease management for type 2 diabetes when provided to a patient prior to a scheduled physician visit. A stand-alone computer application was developed to provide tailored feedback aimed at empowering patients to engage more actively in their diabetes management. Adults with type 2 diabetes (n=203) were randomly assigned to groups receiving either efficacy (positive) messages (n=68), risk (negative) messages (n=67), or to a delayed treatment control group (n=68). The intervention was delivered prior to a patient's visit with his or her physician so that patients would have the opportunity to discuss the messages at the clinical appointment. Although there were no significant differences in the percentage of participants who received intensified care or routine tests between the control and intervention groups, we learned that more directive messaging may be needed to help patients effectively manage their diabetes. Patients may benefit from directive feedback, providing them with specific questions to ask their physician that can lead to improved care, rather than receiving general and educational informational messages.",
author = "Adams, {Sandra Y.} and Crawford, {Albert G.} and Rimal, {Rajiv N.} and Lee, {Joyce S.} and Janneck, {Laura M.} and Christopher Sciamanna",
year = "2009",
month = "8",
day = "1",
doi = "10.1089/pop.2008.0041",
language = "English (US)",
volume = "12",
pages = "197--204",
journal = "Population Health Management",
issn = "1942-7891",
publisher = "Mary Ann Liebert Inc.",
number = "4",

}

The effects of a computer-tailored message on secondary prevention in type 2 diabetes : A randomized trial. / Adams, Sandra Y.; Crawford, Albert G.; Rimal, Rajiv N.; Lee, Joyce S.; Janneck, Laura M.; Sciamanna, Christopher.

In: Population Health Management, Vol. 12, No. 4, 01.08.2009, p. 197-204.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The effects of a computer-tailored message on secondary prevention in type 2 diabetes

T2 - A randomized trial

AU - Adams, Sandra Y.

AU - Crawford, Albert G.

AU - Rimal, Rajiv N.

AU - Lee, Joyce S.

AU - Janneck, Laura M.

AU - Sciamanna, Christopher

PY - 2009/8/1

Y1 - 2009/8/1

N2 - The purpose of this study was to test the effect of computer-generated, tailored feedback on the quality of chronic disease management for type 2 diabetes when provided to a patient prior to a scheduled physician visit. A stand-alone computer application was developed to provide tailored feedback aimed at empowering patients to engage more actively in their diabetes management. Adults with type 2 diabetes (n=203) were randomly assigned to groups receiving either efficacy (positive) messages (n=68), risk (negative) messages (n=67), or to a delayed treatment control group (n=68). The intervention was delivered prior to a patient's visit with his or her physician so that patients would have the opportunity to discuss the messages at the clinical appointment. Although there were no significant differences in the percentage of participants who received intensified care or routine tests between the control and intervention groups, we learned that more directive messaging may be needed to help patients effectively manage their diabetes. Patients may benefit from directive feedback, providing them with specific questions to ask their physician that can lead to improved care, rather than receiving general and educational informational messages.

AB - The purpose of this study was to test the effect of computer-generated, tailored feedback on the quality of chronic disease management for type 2 diabetes when provided to a patient prior to a scheduled physician visit. A stand-alone computer application was developed to provide tailored feedback aimed at empowering patients to engage more actively in their diabetes management. Adults with type 2 diabetes (n=203) were randomly assigned to groups receiving either efficacy (positive) messages (n=68), risk (negative) messages (n=67), or to a delayed treatment control group (n=68). The intervention was delivered prior to a patient's visit with his or her physician so that patients would have the opportunity to discuss the messages at the clinical appointment. Although there were no significant differences in the percentage of participants who received intensified care or routine tests between the control and intervention groups, we learned that more directive messaging may be needed to help patients effectively manage their diabetes. Patients may benefit from directive feedback, providing them with specific questions to ask their physician that can lead to improved care, rather than receiving general and educational informational messages.

UR - http://www.scopus.com/inward/record.url?scp=68949218839&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68949218839&partnerID=8YFLogxK

U2 - 10.1089/pop.2008.0041

DO - 10.1089/pop.2008.0041

M3 - Article

VL - 12

SP - 197

EP - 204

JO - Population Health Management

JF - Population Health Management

SN - 1942-7891

IS - 4

ER -