title: Utility of a Web-based intervention for individuals with type 2 diabetes: the impact on physical activity levels and glycemic control.
abstract: Despite the numerous benefits of physical activity for patients with diabetes, most healthcare providers in busy clinical settings rarely find time to counsel their patients about it. A Web-based program for healthcare providers can be used as an effective counseling tool, when strategies are outlined for specific stages of readiness for physical activity. Seventy-three adults with type 2 diabetes were randomly assigned to Web-based intervention, printed-material intervention, or usual care. After 12 weeks, the effects of the interventions on physical activity, fasting blood sugar, and glycosylated hemoglobin were evaluated. Both Web-based and printed material intervention, compared with usual care, were effective in increasing physical activity (P < .001) and decreasing fasting blood sugar (P<.01) and glycosylated hemoglobin (P < .01). Post hoc analysis for change scores indicated significant differences between Web-based intervention and usual care and between printed material intervention and usual care, but not between web-based and printed material intervention. The findings of this study support the value of Web-based and printed material interventions in healthcare counseling. With increasing Web access, the effectiveness of Web-based programs offered directly to patients needs to be tested.
authors.affiliation: Ajou University College of Nursing, Suwon, South Korea. ckimha@ajou.ac.kr
authors.forename: Chun-Ja
authors.initials: CJ
authors.lastname: Kim
authors.forename: Duck-Hee
authors.initials: DH
authors.lastname: Kang
mesh_terms: D000704:Analysis of Variance; D001786:Blood Glucose / Q000378:metabolism; D016009:Chi-Square Distribution; D003194:Computer-Assisted Instruction / Q000379:methods*; D003376:Counseling / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism / Q000517:prevention & control* / Q000523:psychology; D015444:Exercise / Q000523:psychology; D005215:Fasting; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D020407:Internet / Q000458:organization & administration*; D007723:Korea; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D015403:Nursing Evaluation Research; D010174:Pamphlets; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013664:Teaching Materials / Q000592:standards
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin