title: The effects of a web-based intervention on psychosocial well-being among adults aged 60 and older with diabetes: a randomized trial.
abstract: 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.
  
  
  
  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.
  
  
  
  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).
  
  
  
  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.
authors.affiliation: The College of Nursing, Seattle University, Seattle, Washington (Dr Bond, Dr Feldt)
authors.forename: Gail E
authors.initials: GE
authors.lastname: Bond
authors.affiliation: Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle (Dr Burr)
authors.forename: Robert L
authors.initials: RL
authors.lastname: Burr
authors.affiliation: Department of Biomedical and Health Informatics, University of Washington, Seattle (Dr Wolf)
authors.forename: Fredric M
authors.initials: FM
authors.lastname: Wolf
authors.affiliation: The College of Nursing, Seattle University, Seattle, Washington (Dr Bond, Dr Feldt)
authors.forename: Karen
authors.initials: K
authors.lastname: Feldt
mesh_terms: D000368:Aged; D003863:Depression / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000097:blood / Q000523:psychology* / Q000534:rehabilitation*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D020407:Internet; D008875:Middle Aged; D018579:Patient Selection; D011788:Quality of Life; D018401:Sample Size; D012648:Self Care; D012649:Self Concept; D012944:Social Support; D016896:Treatment Outcome; D014505:Urban Population; D014861:Washington
chemical_list: D006442:Glycated Hemoglobin