Contribution of an Intelligent Virtual Assistant to Healthy Ageing in Adults With Type 2 Diabetes

2020 ◽  
pp. 194-230
Author(s):  
Mara Pereira Guerreiro ◽  
Isa Brito Félix ◽  
João Balsa ◽  
Maria Beatriz Carmo ◽  
Maria Adriana Henriques ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Healthy Aging ◽  
Self Care ◽  
Care Plan ◽  
Web Based ◽  
Software Application ◽  
Individual Care ◽  
The Individual

This chapter describes the development of a theory-driven and evidence-based digital intervention to facilitate self-care in older adults with Type 2 Diabetes (T2D) and, additionally, its contribution to healthy aging and the individual care plan. T2D is highly prevalent in older adults. Difficulties in adopting and maintaining desirable self-care behaviors is associated with lack of glycemic control and subsequent complications, which significantly burden patients, their families, and the health system. The VASelfCare (Virtual Assistant Self-Care) intervention is a software application that provides an interface with a 3D anthropomorphic virtual assistant targeting three key self-care behaviors: medication-taking, physical activity, and a healthy diet. Other VASelfCare elements are intended for nurses providing diabetes consultations, including a web-based back-office with a patient data dashboard, which streamlines integration of care. The application prototype has been co-produced with older adults with T2D, primary care health professionals, and other stakeholders.

scholarly journals Web-based self-care management program of patients with type 2 diabetes mellitus

2019 ◽  
pp. 28
Author(s):  
Maraeh Angela Mancha ◽  
B.R.G. Marie ◽  
E.C. Ela Shyr ◽  
Racquel Tayor ◽  
Cruz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Care Management ◽  
Self Care ◽  
Management Program ◽  
Web Based ◽  
Significant Difference ◽  
Care Management Program

Background: The purpose of the study is to determine the effectiveness of web-based self-care management program for type 2 diabetes mellitus through sharing evidenced-based information about Diabetes through the use of a web-based module. Materials and methods: The study used the quasi-experimental pre and posttest design to determine the effectiveness of a web-based self-care management program in the management of patients with type 2 Diabetes mellitus (DM). The study was conducted in three phases and acquired 30 purposively selected type 2 DM adult patients. The study used a web-based self-care management program that included basic information about Type 2 Diabetes mellitus using three designed modules specifically for diet, exercise and drug management. Results: The patient status during the pre and post-intervention phase is an FBS reading of 152 mg/dl or diabetes stage to pre-diabetes stage (119 mg/dl), normal BMI (22), low risk for obesity WHR and barely satisfactory to satisfactory level of knowledge to diabetes and DM management. There is very significant difference (p=<000) in the pre and post FBS reading of patients and the level of knowledge to diabetes and DM management after the web based DSME while there is no significant difference in the BMI and WHR. There is very significant difference (p=<000) in the RBS readings of the patients during the 1st, 2nd and 3rd phases of the intervention of .web based DSME (p=<000) post hoc analysis with Wilcoxon Signed Rank Test revealed that there is very significant difference (p=<000) between groups. Conclusion: The use of web-based self-care management program is effective in improving FBS/RBS and level of knowledge to diabetes and DM management of patients with type 2 diabetes mellitus but needed longer intervention to improve BMI and WHR .Nurses as part of the DSME group and as health educator may use technology in giving health education to patients to improve patients self-management to diabetes.

scholarly journals Effectiveness of individual and group interventions for people with type 2 diabetes

2015 ◽  
Vol 23 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Maria Fernanda Manoel Imazu ◽  
Barbara Nascimento Faria ◽  
Guilherme Oliveira de Arruda ◽  
Catarina Aparecida Sales ◽  
Sonia Silva Marcon
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Group Intervention ◽  
Statistical Significance ◽  
Self Care ◽  
Educational Interventions ◽  
The Individual ◽  
The Impact

OBJECTIVE: to compare the effectiveness of two educational interventions used by a healthcare provider in the monitoring of individuals with type 2 diabetes mellitus (T2DM), regarding knowledge of the disease, impact on quality of life and adoption of self-care actions. METHODS: comparative, longitudinal, prospective study performed with 150 subjects with type 2 diabetes, analyzed according to the type of participation in the program (individual and/or group). Participants of the individual intervention (II) received nursing consultations every six months and those of the group intervention (GI) took part in weekly meetings for three months. Data were collected through four questionnaires: Identification questionnaire, Problem Areas in Diabetes Questionnaire (PAID), Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) and the Diabetes Knowledge Scale (DKN-A). Data were analyzed using the Friedman and Mann Whitney tests, considering a statistical significance of p ≤ 0.05. RESULTS: there was an increase in knowledge about the disease in the II (p<0.003) and GI (p<0.007), with reduction of the impact on the quality of life in the II (p<0.007) and improvement in self-care actions in the GI (p<0.001). CONCLUSION: in both intervention models improvements were observed in the indicators, over the six month monitoring period.

667-P: Effect of the Diabetes BeHaS Program on Diabetes Self-Care, Diabetes Empowerment, and Physical Function in Older Adults with Type 2 Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 667-P
Author(s):  
KEUMOK PARK ◽  
BON JEONG KU ◽  
BOHYUN KIM ◽  
SOHYUN JIN ◽  
YOUNGSHIN SONG
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Physical Function ◽  
Self Care ◽  
Diabetes Empowerment

scholarly journals Digital Health Interventions for People With Type 2 Diabetes to Develop Self-Care Expertise, Adapt to Identity Changes, and Influence Other’s Perception: Qualitative Study

10.2196/21328 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e21328
Author(s):  
Sophie Turnbull ◽  
Patricia J Lucas ◽  
Alastair D Hay ◽  
Christie Cabral
Keyword(s):  
Type 2 Diabetes ◽  
Digital Health ◽  
Sense Of Self ◽  
Self Care ◽  
Health Technologies ◽  
Digital Interventions ◽  
Identity Changes ◽  
The Individual ◽  
Care Technology

Background A diagnosis of type 2 diabetes (T2D) results in widespread changes to a person’s life and can be experienced as an assault on their sense of self. The resources available to an individual influence how the individual adapts to their diabetic identity and subsequently engages in self-care. Digital interventions can be viewed as a resource that people can draw on to adapt to the diagnosis. However, there is an indication that people from disadvantaged groups find digital health technologies more challenging to access and use, which may increase health inequalities. Objective This study aims to gain insights into how and why people with T2D use digital self-care technology and how experiences vary between individuals and social groups. Methods A purposive sample of people who had used a digital intervention to help them self-care for their T2D were recruited for the study. Semistructured interviews were conducted, and data were analyzed thematically. Results A diverse sample of 21 participants were interviewed. Participants used digital interventions to help them to understand and feel more in control of their bodies. Digital interventions were used by participants to project their chosen identity to others. Participants selected technology that allowed them to confirm and enact their preferred positive identities, both by avoiding stigma and by becoming experts in their disease or treatment. Participants preferred using digital interventions that helped them conceal their diabetes, including by buying discrete blood glucose monitors. Some participants used technology to increase their sense of power in their interaction with clinicians, whereas others used technology to demonstrate their goodness. Conclusions The technology that people with T2D have access to shapes the way they are able to understand and control their bodies and support preferred social identities.

scholarly journals Factors Influencing the Use of a Web-Based Application for Supporting the Self-Care of Patients with Type 2 Diabetes: A Longitudinal Study

2011 ◽  
Vol 13 (3) ◽  
pp. e71 ◽  
Author(s):  
Nicol Nijland ◽  
Julia EWC van Gemert-Pijnen ◽  
Saskia M Kelders ◽  
Bart J Brandenburg ◽  
Erwin R Seydel
Keyword(s):  
Type 2 Diabetes ◽  
Longitudinal Study ◽  
Self Care ◽  
The Self ◽  
Web Based ◽  
Factors Influencing
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