The Effects of a Web-Based Intervention on Psychosocial Well-Being Among Adults Aged 60 and Older With Diabetes

Purpose The purpose of this study is to investigate the impact of a 6-month Web-based intervention on the psychosocial well-being of older adults with diabetes. Methods This study was a randomized controlled trial (N = 62) comparing the effects of a 6-month Web-based intervention plus usual care with usual care alone among adults aged 60 years or older with diabetes. The outcomes included quality of life, depression, social support, and self-efficacy. Results The intervention group showed significant improvement, F(4.48) = 4.03 P = .007, when compared with the control group on measures of depression, quality of life, social support, and self-efficacy when controlling for all baseline outcome variables (age, gender, and number of years with diabetes). Conclusions These findings provide support for the conclusion that a Web-based intervention is effective in improving the psychosocial well-being of participants at a 6-month follow-up. Future research needs to investigate the long-term effectiveness of Web-based interventions for sustaining psychosocial well-being, including factors that may affect quality of life, such as diabetes-specific beliefs, attitudes, social support, and disease-specific coping skills.

[1]  W A Hargreaves,et al.  Efficacy of nurse telehealth care and peer support in augmenting treatment of depression in primary care. , 2000, Archives of family medicine.

[2]  Seth Wolpin,et al.  Randomized Controlled Trial of an Internet-Based Versus Face-to-Face Dyspnea Self-Management Program for Patients With Chronic Obstructive Pulmonary Disease: Pilot Study , 2008, Journal of medical Internet research.

[3]  R. Glasgow,et al.  Do Internet-Based Support Interventions Change Perceptions of Social Support?: An Experimental Trial of Approaches for Supporting Diabetes Self-Management , 2002, American journal of community psychology.

[4]  R. Rubin,et al.  Physician and Nurse Use of Psychosocial Strategies in Diabetes Care , 2006, Diabetes Care.

[5]  K. Lorig,et al.  Can a Back Pain E-mail Discussion Group improve health status and lower health care costs?: A randomized study. , 2002, Archives of internal medicine.

[6]  R. Carney,et al.  Depression and poor glycemic control: a meta-analytic review of the literature. , 2000, Diabetes care.

[7]  R. Glasgow,et al.  Internet-Based Diabetes Self-Management and Support: Initial Outcomes From the Diabetes Network Project , 2002 .

[8]  R. Weinstock,et al.  Family Environment, Glycemic Control, and the Psychosocial Adaptation of Adults With Diabetes , 1998, Diabetes Care.

[9]  M. Funnell,et al.  The challenges of diabetes and older adults. , 1993, The Nursing clinics of North America.

[10]  J. Staszewski.  Breast cancer and body build. , 1977, Preventive medicine.

[11]  R. Rubin,et al.  Quality of life and diabetes , 1999, Diabetes/metabolism research and reviews.

[12]  H Garth McKay,et al.  The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results. , 2003, Preventive medicine.

[13]  L. Teri,et al.  Behavioral treatment of depression in dementia patients , 1997 .

[14]  J. Leahy,et al.  Insulin therapy for type 2 diabetes , 2003, Current diabetes reports.

[15]  Garry Welch,et al.  Assessment of Diabetes-Related Distress , 1995, Diabetes Care.

[16]  U. Josefsson,et al.  Patients creating self-help on the internet -lessons for future design of internet based healthcare resources , 2004, 37th Annual Hawaii International Conference on System Sciences, 2004. Proceedings of the.

[17]  Manuel Barrera,et al.  Social Support, Self-Management, and Quality of Life Among Participants in an Internet-Based Diabetes Support Program: A Multi-Dimensional Investigation , 1999, Cyberpsychology Behav. Soc. Netw..

[18]  J. Powell,et al.  Primary care Health related virtual communities and electronic support groups : systematic review of the effects of online peer to peer interactions , 2004 .

[19]  W. Katon,et al.  Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. , 2000, Archives of internal medicine.

[20]  P. Odegard,et al.  Medication Taking and Diabetes , 2007, The Diabetes educator.

[21]  R. Glasgow,et al.  Quality of Life and Associated Characteristics in a Large National Sample of Adults With Diabetes , 1997, Diabetes Care.

[22]  Cde,et al.  The Diabetes Empowerment Scale A measure of psychosocial self-efficacy , 2022 .

[23]  R. Klein,et al.  Self-Rated Health and Diabetes of Long Duration: The Wisconsin Epidemiologic Study of Diabetic Retinopathy , 1998, Diabetes Care.

[24]  C. Bogardus,et al.  The natural history of insulin secretory dysfunction and insulin resistance in the pathogenesis of type 2 diabetes mellitus. , 1999, The Journal of clinical investigation.

[25]  Carol Carr,et al.  Health Behavior Changes after Colon Cancer: A Comparison of Findings from Face‐to‐Face and On‐Line Focus Groups , 2001, Family & community health.

[26]  D. Gustafson,et al.  Impact of a patient-centered, computer-based health information/support system. , 1999, American journal of preventive medicine.

[27]  W. Manning,et al.  Starting insulin therapy in patients with type 2 diabetes: effectiveness, complications, and resource utilization. , 1997, JAMA.

[28]  D. Porte,et al.  beta-cell dysfunction and failure in type 2 diabetes: potential mechanisms. , 2001, Diabetes.

[29]  W. Polonsky,et al.  The Problem Areas in Diabetes Scale: An evaluation of its clinical utility , 1997, Diabetes Care.

[30]  C Weinert,et al.  Telecommunication Support for Rural Women With Diabetes , 2000, The Diabetes educator.

[31]  L. Radloff.  The CES-D Scale , 1977 .

[32]  R. Collins.  The Problem Areas in Diabetes scale: A follow-up study , 2000 .

[33]  L. Egede,et al.  Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes. , 2002, Diabetes care.

[34]  J. Morley,et al.  Hospitalization and Mortality of Diabetes in Older Adults: A 3-year prospective study , 1998, Diabetes Care.

[35]  P. Cryer.  Hypoglycemia is the limiting factor in the management of diabetes , 1999, Diabetes/metabolism research and reviews.

[36]  P. Brennan,et al.  Computer network home care demonstration: a randomized trial in persons living with AIDS , 1998, Comput. Biol. Medicine.

[37]  F. Griffiths,et al.  Why Are Health Care Interventions Delivered Over the Internet? A Systematic Review of the Published Literature , 2006, Journal of medical Internet research.

[38]  Susan M McCurry,et al.  The effects of a web-based intervention on the physical outcomes associated with diabetes among adults age 60 and older: a randomized trial. , 2007, Diabetes technology & therapeutics.

[39]  R. Rubin,et al.  Levels and Risks of Depression and Anxiety Symptomatology Among Diabetic Adults , 1997, Diabetes Care.

[40]  John Powell,et al.  Cross-sectional survey of users of Internet depression communities. , 2003, BMC psychiatry.

[41]  Pim Cuijpers,et al.  Web-based cognitive behavioural therapy (W-CBT) for diabetes patients with co-morbid depression: Design of a randomised controlled trial , 2008, BMC psychiatry.

[42]  Linda Teri,et al.  6/Use of the Center for Epidemiological Studies-Depression Scale with Older Adults , 1986 .

[43]  Marie Clark,et al.  Diabetes self-management education: a review of published studies. , 2008, Primary care diabetes.

[44]  Irl B Hirsch,et al.  The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetes. , 2003, General hospital psychiatry.

[45]  K. Freedland,et al.  The prevalence of comorbid depression in adults with diabetes: a meta-analysis. , 2001, Diabetes care.

[46]  Reinier Akkermans,et al.  Web-Based Targeted Nutrition Counselling and Social Support for Patients at Increased Cardiovascular Risk in General Practice: Randomized Controlled Trial , 2004, Journal of medical Internet research.