A Stepped Care mHealth-Based Approach for Promoting Patient Engagement in Chronic Care Management of Obesity with Type 2 Diabetes

2017 ◽  
pp. 192-214
Author(s):  
Gianluca Castelnuovo ◽  
Giada Pietrabissa ◽  
Gian Mauro Manzoni ◽  
Stefania Corti ◽  
Margherita Novelli ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Care Management ◽  
Chronic Care ◽  
Stepped Care ◽  
Patient Treatment ◽  
Care Model ◽  
Global Epidemic ◽  
Chronic Care Management ◽  
Care Systems

Diabesity could be defined as a new global epidemic of obesity and being overweight with many complications and chronic conditions. The financial direct and indirect burden of diabesity is a real challenge in many Western health-care systems. Even if multidisciplinary protocols have been implemented, significant limitations in the chronic care management of obesity with type 2 diabetes concern costs and long-term adherence and efficacy. mHealth approach could overcome limitations linked with the traditional, restricted and highly expensive in-patient treatment of diabesity. The mHealth approach could help clinicians by motivating patients in remote settings to develop healthier lifestyles and could be implemented in the Chronic Care Model. A practical stepped-care model for diabesity, including mhealth approach and psychological treatments with different intensity, is discussed.

A Stepped Care mHealth-Based Approach for Promoting Patient Engagement in Chronic Care Management of Obesity With Type 2 Diabetes

2017 ◽  
pp. 1258-1275
Author(s):  
Gianluca Castelnuovo ◽  
Giada Pietrabissa ◽  
Gian Mauro Manzoni ◽  
Stefania Corti ◽  
Margherita Novelli ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Care Management ◽  
Chronic Care ◽  
Stepped Care ◽  
Patient Treatment ◽  
Care Model ◽  
Global Epidemic ◽  
Chronic Care Management ◽  
Care Systems

Diabesity could be defined as a new global epidemic of obesity and being overweight with many complications and chronic conditions. The financial direct and indirect burden of diabesity is a real challenge in many Western health-care systems. Even if multidisciplinary protocols have been implemented, significant limitations in the chronic care management of obesity with type 2 diabetes concern costs and long-term adherence and efficacy. mHealth approach could overcome limitations linked with the traditional, restricted and highly expensive in-patient treatment of diabesity. The mHealth approach could help clinicians by motivating patients in remote settings to develop healthier lifestyles and could be implemented in the Chronic Care Model. A practical stepped-care model for diabesity, including mhealth approach and psychological treatments with different intensity, is discussed.

scholarly journals Preliminary outcomes of the development of an Active Ageing with Type 2 Diabetes Chronic Care Management Model in Europe

2015 ◽  
Vol 15 (5) ◽  
Author(s):  
George E. Dafoulas ◽  
Caroline Lang ◽  
Johan Wens ◽  
Konstantinos Makrilakis ◽  
Stavros Liatis ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Care Management ◽  
Chronic Care ◽  
Management Model ◽  
Active Ageing ◽  
Chronic Care Management

scholarly journals The chronic care model for type 2 diabetes: a systematic review

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Deise Regina Baptista ◽  
Astrid Wiens ◽  
Roberto Pontarolo ◽  
Lara Regis ◽  
Walleri Christine Torelli Reis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Type 2 Diabetes ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model

scholarly journals Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Jing-Xia Kong ◽  
Lin Zhu ◽  
Hong-Mei Wang ◽  
Ying Li ◽  
An-Ying Guo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Health Behaviors ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Intervention Group ◽  
Care Model ◽  
Model Based

Objective. The Chronic Care Model, based on core elements of team-centered care in chronic diseases, has widely been accepted. This study was aimed at evaluating the effectiveness of the Chronic Care Model in type 2 diabetes management. Methods. A group randomized experimental study was conducted. Twelve communities of the Zhaohui Community Health Service Center in Hangzhou, China, were randomly assigned into an intervention group (n=6) receiving the Chronic Care Model-based intervention and a control group (n=6) receiving conventional care. A total of three hundred patients, twenty-five for each community, aged ≥18 years with type 2 diabetes for at least 1-year duration, were recruited. Data of health behaviors, clinical outcomes, and health-related quality of life (Short-Form 36-item questionnaire) were collected before and after a 9-month intervention and analyzed using descriptive statistics, t-test, chi-square test, binary logistic regression, and linear mixed regression. A total of 258 patients (134 in intervention and 124 in control) who completed the baseline and follow-up evaluations and the entire intervention were included in the final analyses. Results. Health behaviors such as drinking habit (OR=0.07, 95% CI: 0.01, 0.75), physical activity (OR=2.92, 95% CI: 1.18, 7.25), and diet habit (OR=4.30, 95% CI: 1.49, 12.43) were improved. The intervention group had a remarkable reduction in glycated hemoglobin (from 7.17% to 6.60%, P<0.001). The quality of life score changes of the role limitation due to physical problems (mean=9.97, 95% CI: 3.33, 16.60), social functioning (mean=6.50, 95% CI: 2.37, 10.64), role limitation due to emotional problems (mean=8.06, 95% CI: 2.15, 13.96), and physical component summary score (mean=3.31, 95% CI: 1.22, 5.39) were improved in the intervention group compared to the control group. Conclusion. The Chronic Care Model-based intervention helped improve some health behaviors, clinical outcomes, and quality of life of type 2 diabetes patients in China in a short term.

Sign in / Sign up

Export Citation Format

Share Document