Changes in Patient-Reported Outcome Measures With a Technology-Supported Behavioral Lifestyle Intervention Among Patients With Type 2 Diabetes: Pilot Randomized Controlled Clinical Trial
| العنوان: | Changes in Patient-Reported Outcome Measures With a Technology-Supported Behavioral Lifestyle Intervention Among Patients With Type 2 Diabetes: Pilot Randomized Controlled Clinical Trial |
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| المؤلفون: | Rozmin Jiwani, Sara E. Espinoza, Jisook Ko, Yan Du, Andrea Berndt, Nitha Mathew Joseph, Jing Wang, Padmavathy Ramaswamy |
| المصدر: | JMIR Diabetes JMIR Diabetes, Vol 5, Iss 3, p e19268 (2020) |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, self-management, Patient-Reported Outcome Measurement Information System, 020205 medical informatics, Endocrinology, Diabetes and Metabolism, Population, Biomedical Engineering, Health Informatics, 02 engineering and technology, Overweight, Standard score, lcsh:Diseases of the endocrine glands. Clinical endocrinology, 03 medical and health sciences, 0302 clinical medicine, Health Information Management, 0202 electrical engineering, electronic engineering, information engineering, Medicine, 030212 general & internal medicine, education, mHealth, Depression (differential diagnoses), patient-reported outcome measures, education.field_of_study, Original Paper, lcsh:RC648-665, Self-management, business.industry, self-monitoring, Computer Science Applications, Clinical trial, patient-reported outcomes, Physical therapy, Anxiety, behavioral lifestyle interventions, type 2 diabetes, medicine.symptom, business |
| الوصف: | Background In the United States, more than one-third of the adult population is obese, and approximately 25.2% of those aged ≥65 years have type 2 diabetes (T2D), which is the seventh leading cause of death. It is important to measure patient-reported outcomes and monitor progress or challenges over time when managing T2D to understand patients’ perception of health and quantify the impact of disease processes or intervention effects. The evaluation of patient-reported outcome measures (PROMs) is especially important among patients with multiple chronic conditions in which clinical measures do not provide a complete picture of health. Objective This study examined the feasibility of collecting Patient-Reported Outcome Measurement Information System (PROMIS) measures, and preliminarily evaluated changes in PROMIS scores and compared the scores with standard scores of the general US population. The parent study is a pilot randomized controlled clinical trial testing three different modes (mobile health [mHealth], paper diary, and control) of self-monitoring in a behavioral lifestyle intervention among overweight or obese patients with T2D. Methods Patients with comorbid overweight or obesity and a diagnosis of T2D for at least 6 months were recruited from a diabetes education program. Participants were randomized to the following three groups: mHealth, paper diary, and control (standard of care) groups. Paper diary and mHealth experimental groups received additional behavioral lifestyle intervention education sessions, as well as tools to self-monitor weight, physical activity, diet, and blood glucose. All participants completed PROMIS-57 and PROMIS-Global Health (GH) version 1.0 questionnaires during visits at baseline, 3 months, and 6 months. The PROMIS-57 includes the following seven domains: anxiety, depression, fatigue, pain interference, physical function, satisfaction with participation in social roles, and sleep disturbance. The PROMIS-GH is composed of the following two domains: global mental health and global physical health. Results A total of 26 patients (mHealth, 11; paper diary, 9; control, 6) were included in our analysis. The study sample was predominantly African American (68%) and female (57%), with a mean age of 54.7 years and a mean BMI of 37.5 kg/m2. All patients completed the PROMIS-57 and PROMIS-GH questionnaires, and we compared the mean scores of the three groups to investigate potential differences. No relevant differences were noted across the groups. However, positive trends were noted in both intervention (mHealth and paper diary) groups in the middle (month 3) and end (month 6) of the study. Conclusions Our pilot study provides evidence for the feasibility of using PROMIS questionnaires to record important components of T2D-related symptoms among overweight or obese individuals. The results from our study support the use of PROMIS questionnaires to provide clinicians and researchers with a benchmark for assessing the overall need for symptom management and determining the success or challenges of an intervention. Trial Registration ClinicalTrials.gov NCT02858648; https://clinicaltrials.gov/ct2/show/NCT02858648 |
| تدمد: | 2371-4379 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::376365ceaef9bfffd045e3261a389f71 https://pubmed.ncbi.nlm.nih.gov/32706652 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....376365ceaef9bfffd045e3261a389f71 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23714379 |
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