A virtual clinic for diabetes self-management: pilot study.

摘要: Background: Internet-based interventions to assist in diabetes management have the potential provide patients with information and support they need become effective self-managers. Objective: To assess feasibility, acceptability, effectiveness of an virtual clinic designed facilitate self-management who used insulin pumps manage their diabetes. Methods: For a period 6 months, 17 joined clinic. The system allowed communicate health professionals, interact peers access information. HbA1c, quality life, self-efficacy were monitored at baseline after months. Questionnaires qualitative interviews examined patient experiences. Results: Participants found easy use positively rated its design. Peer was most valued aspect discussion boards component. All participants highly terms improving communication peers, but few agreed it had improved care professionals. No significant improvements physiological psychological measurements found. Regarding HbA1c measurements, there no difference between pre- post-test results (P = .53). Mean ADDQoL scores (Table 1) -2.1 (SD 1.1, range -3.4 -0.5) compared -2.0 1.2, range, -4.6 -0.4) (n 12), .62). Surprisingly, patients’ confidence ability perform self-care tasks be significantly reduced from follow up .045). Conclusions: An aid appears feasible well accepted by patients. pilot study did not identify evidence impact on life or pump therapy. [J Med Internet Res 2009;11(1):e10]