PMID- 34901926
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211215
IS  - 2673-253X (Electronic)
IS  - 2673-253X (Linking)
VI  - 3
DP  - 2021
TI  - Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of 
      Healthy at Home.
PG  - 764735
LID - 10.3389/fdgth.2021.764735 [doi]
LID - 764735
AB  - Digital health coaching is an intervention for type 2 diabetes mellitus (T2DM) 
      that has potential to improve the quality of care for patients. Previous research 
      has established the efficacy of digital interventions for behavior change. This 
      pilot study addresses a research gap in finding effective and accessible 
      behavioral interventions for under-resourced individuals with T2DM. We examined 
      the impact of Healthy at Home, a 12-week phone and SMS-based (short message 
      service) digital health coaching program, on insulin resistance which is an 
      upstream marker for T2DM progression. We compared this intervention to usual 
      diabetic care in a family medicine residency clinic in a randomized controlled 
      trial. Digital health coaching significantly improved participants' calculated 
      Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR) by -0.9 +/- 0.4 
      compared with the control group (p = 0.029). This significance remained after 
      controlling for years diagnosed with T2DM, enrollment in Medicaid, access to 
      food, baseline stage of change, and race (p = 0.027). Increasing access to 
      digital health coaching may lead to more effective control of diabetes for 
      under-resourced patients. This study demonstrates the potential to implement a 
      personalized, scalable, and effective digital health intervention to treat and 
      manage T2DM through a lifestyle and behavioral approach to improve clinical 
      outcomes (http://clinicaltrials.gov, NCT04872647).
CI  - Copyright (c) 2021 Azelton, Crowley, Vence, Underwood, Morris, Kelly and Landry.
FAU - Azelton, Kimberly R
AU  - Azelton KR
AD  - Beacon Health System, E. Blair Warner Family Medicine Residency, South Bend, IN, 
      United States.
FAU - Crowley, Aidan P
AU  - Crowley AP
AD  - Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 
      United States.
FAU - Vence, Nicholas
AU  - Vence N
AD  - Independent Contractor, South Bend, IN, United States.
FAU - Underwood, Karin
AU  - Underwood K
AD  - CoachMe Health, San Francisco, CA, United States.
FAU - Morris, Gerald
AU  - Morris G
AD  - Beacon Health System, E. Blair Warner Family Medicine Residency, South Bend, IN, 
      United States.
FAU - Kelly, John
AU  - Kelly J
AD  - Preventive Medicine, School of Medicine, Loma Linda University, Loma Linda, CA, 
      United States.
FAU - Landry, Matthew J
AU  - Landry MJ
AD  - Stanford Prevention Research Center, School of Medicine, Stanford University, 
      Palo Alto, CA, United States.
LA  - eng
SI  - ClinicalTrials.gov/NCT04872647
PT  - Journal Article
DEP - 20211125
PL  - Switzerland
TA  - Front Digit Health
JT  - Frontiers in digital health
JID - 101771889
PMC - PMC8655126
OTO - NOTNLM
OT  - SMS-based
OT  - digital health
OT  - health coaching
OT  - lifestyle medicine
OT  - m-health
OT  - social determinants of health
OT  - stage-matched intervention
OT  - type 2 diabetes
COIS- KU is a founder of the non-profit organization CoachMe Health, which administers 
      the digital health coaching program Healthy at Home. The remaining authors 
      declare that the research was conducted in the absence of any commercial or 
      financial relationships that could be construed as a potential conflict of 
      interest.
EDAT- 2021/12/14 06:00
MHDA- 2021/12/14 06:01
PMCR- 2021/11/25
CRDT- 2021/12/13 18:20
PHST- 2021/08/25 00:00 [received]
PHST- 2021/10/28 00:00 [accepted]
PHST- 2021/12/13 18:20 [entrez]
PHST- 2021/12/14 06:00 [pubmed]
PHST- 2021/12/14 06:01 [medline]
PHST- 2021/11/25 00:00 [pmc-release]
AID - 10.3389/fdgth.2021.764735 [doi]
PST - epublish
SO  - Front Digit Health. 2021 Nov 25;3:764735. doi: 10.3389/fdgth.2021.764735. 
      eCollection 2021.