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Utility of a Web-based intervention for individuals with type 2 diabetes: the impact on physical activity levels and glycemic control.

Kim, CJ; Kang, DH
Computers, informatics, nursing : CIN, 24(6):337-345, 2006
Journal Title
Computers, informatics, nursing : CIN
Despite the numerous benefits of physical activity for patients with diabetes, most healthcare providers in busy clinical settings rarely find time to counsel their patients about it. A Web-based program for healthcare providers can be used as an effective counseling tool, when strategies are outlined for specific stages of readiness for physical activity. Seventy-three adults with type 2 diabetes were randomly assigned to Web-based intervention, printed-material intervention, or usual care. After 12 weeks, the effects of the interventions on physical activity, fasting blood sugar, and glycosylated hemoglobin were evaluated. Both Web-based and printed material intervention, compared with usual care, were effective in increasing physical activity (P < .001) and decreasing fasting blood sugar (P<.01) and glycosylated hemoglobin (P < .01). Post hoc analysis for change scores indicated significant differences between Web-based intervention and usual care and between printed material intervention and usual care, but not between web-based and printed material intervention. The findings of this study support the value of Web-based and printed material interventions in healthcare counseling. With increasing Web access, the effectiveness of Web-based programs offered directly to patients needs to be tested.
MeSH terms
Analysis of VarianceBlood Glucose/metabolismChi-Square DistributionComputer-Assisted Instruction/methods*Counseling/organization & administration*Diabetes Mellitus, Type 2/metabolismDiabetes Mellitus, Type 2/prevention & control*Diabetes Mellitus, Type 2/psychologyExercise/psychologyFastingFemaleHemoglobin A, Glycosylated/metabolismHumansInternet/organization & administration*KoreaMaleMiddle AgedModels, PsychologicalMotivationNursing Evaluation ResearchPamphletsPatient Education as Topic/organization & administration*Program EvaluationQuestionnairesSelf EfficacyTeaching Materials/standards
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Journal Papers > College of Nursing Science > Nursing Science
AJOU Authors
김, 춘자
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