title: Mobile Diabetes Intervention for Glycemic Control in 45- to 64-Year-Old Persons With Type 2 Diabetes.
abstract: The purpose of this study was to assess effects of a mobile coaching system on glycated hemoglobin (HbA1c) levels in younger versus older patients over 1 year. Participants (n = 118) included adult patients with Type 2 diabetes cared for by community physicians. Intervention patients received mobile phone coaching and individualized web portal. Control patients received usual care. Patients were stratified into two age groups: younger (<55 years) and older (≥ 55 years). The intervention resulted in greater 12-month declines in HbA1c, compared with usual care, for patients in both age groups (p < .0001). Among older patients, HbA1c changed by -1.8% (95% confidence interval [CI] = [-2.4, -1.1]) in the intervention group and -0.3% (95% CI = [-0.9, +0.3]) in the control group. Among younger patients, HbA1c changed by -2.0% (95% CI = [-2.5, -1.5]) in the intervention group and -1.0% (95% CI = [-1.6, -0.4]) in the control group. The mobile health intervention was as effective at managing Type 2 diabetes in older adults as younger persons.
authors.affiliation: University of Maryland School of Medicine, Baltimore, USA cquinn@epi.umaryland.edu.
authors.forename: Charlene C
authors.initials: CC
authors.lastname: Quinn
authors.affiliation: University of Maryland School of Medicine, Baltimore, USA.
authors.forename: Michelle D
authors.initials: MD
authors.lastname: Shardell
authors.affiliation: University of Maryland School of Medicine, Baltimore, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Terrin
authors.affiliation: University of Maryland School of Medicine, Baltimore, USA.
authors.forename: Erik A
authors.initials: EA
authors.lastname: Barr
authors.affiliation: University of Maryland Baltimore County, USA.
authors.forename: DoHwan
authors.initials: D
authors.lastname: Park
authors.affiliation: University of Maryland Baltimore County, USA.
authors.forename: Faraz
authors.initials: F
authors.lastname: Shaikh
authors.affiliation: University of Maryland School of Medicine, Baltimore, USA.
authors.forename: Jack M
authors.initials: JM
authors.lastname: Guralnik
authors.affiliation: University of Maryland School of Medicine, Baltimore, USA.
authors.forename: Ann L
authors.initials: AL
authors.lastname: Gruber-Baldini
mesh_terms: D000367:Age Factors; D040421:Cell Phone; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*
chemical_list: D006442:Glycated Hemoglobin
keywords: diabetes; glycemic control; mobile health; older adults; telehealth