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Cited by 240

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Online disease management of diabetes: Engaging and Motivating Patients Online With Enhanced Resources-Diabetes (EMPOWER-D), a randomized controlled trial

Open access
Tang, P. C., Overhage, J. M., Chan, A. S., Brown, N. L., Aghighi, B., Entwistle, M. P., Hui, S. L., Hyde, S. M., Klieman, L. H., Mitchell, C. J., Perkins, A. J., Qureshi, L. S., Waltimyer, T. A., Winters, L. J., Young, C. Y.·2013·Journal of the American Medical Informatics Association

Abstract

OBJECTIVE: To evaluate an online disease management system supporting patients with uncontrolled type 2 diabetes. MATERIALS AND METHODS: Engaging and Motivating Patients Online With Enhanced Resources for Diabetes was a 12-month parallel randomized controlled trial of 415 patients with type 2 diabetes with baseline glycosylated hemoglobin (A1C) values ≥7.5% from primary care sites sharing an electronic health record. The intervention included: (1) wirelessly uploaded home glucometer readings with graphical feedback; (2) comprehensive patient-specific diabetes summary status report; (3) nutrition and exercise logs; (4) insulin record; (5) online messaging with the patient's health team; (6) nurse care manager and dietitian providing advice and medication management; and (7) personalized text and video educational 'nuggets' dispensed electronically by the care team. A1C was the primary outcome variable. RESULTS: Compared with usual care (UC, n=189), patients in the intervention (INT, n=193) group had significantly reduced A1C at 6 months (-1.32% INT vs -0.66% UC; p<0.001). At 12 months, the differences were not significant (-1.14% INT vs -0.95% UC; p=0.133). In post hoc analysis, significantly more INT patients had improved diabetes control (>0.5% reduction in A1C) than UC patients at 12 months (69.9 (95% CI 63.2 to 76.5) vs 55.4 (95% CI 48.4 to 62.5); p=0.006). CONCLUSIONS: A nurse-led, multidisciplinary health team can manage a population of diabetic patients in an online disease management program. INT patients achieved greater decreases in A1C at 6 months than UC patients, but the differences were not sustained at 12 months. More INT than UC patients achieved improvement in A1C (>0.5% decrease). Trial registered in clinical trials.gov: #NCT00542204.

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Cites

Show all 7 references

Research works printed but not linked: 17

  1. Cheung, 2009, The American journal of medicine, 122, 443, 10.1016/j.amjmed.2008.09.047 · DOI · Paper page
  2. Engelgau, 2004, Annals of Internal Medicine, 140, 945, 10.7326/0003-4819-140-11-200406010-00035 · DOI · Paper page
  3. 2008, Diabetes Care, 31, 81, 10.2337/dc07-1572 · DOI · Paper page
  4. Wagner, 2000, BMJ, 320, 569, 10.1136/bmj.320.7234.569 · DOI · Paper page
  5. 2006, Journal of the American Medical Informatics Association, 13, 121, 10.1197/jamia.M2025 · DOI · Paper page
  6. Tang, 2005, Health Affairs, 24, 1290, 10.1377/hlthaff.24.5.1290 · DOI · Paper page
  7. 2008, Journal of the American Medical Informatics Association, 15, 1, 10.1197/jamia.M2562 · DOI · Paper page
  8. Grimshaw, 2001, Medical care, 39, II2, 10.1097/00005650-200108002-00002 · DOI · Paper page
  9. Funnell, 2012, Diabetes Care, 35, S101, 10.2337/dc12-s101 · DOI · Paper page
  10. Polonsky, 1995, Diabetes Care, 18, 754, 10.2337/diacare.18.6.754 · DOI · Paper page
  11. Cebul, 2011, New England Journal of Medicine, 365, 825, 10.1056/NEJMsa1102519 · DOI · Paper page
  12. Seitz, 2011, Diabetes, obesity & metabolism, 13, 479, 10.1111/j.1463-1326.2010.01347.x · DOI
  13. Franc, 2011, Diabetes & metabolism, 37, 463, 10.1016/j.diabet.2011.06.006 · DOI
  14. 2006, Journal of the American Medical Informatics Association, 13, 40, 10.1197/jamia.M1917 · DOI · Paper page
  15. 2009, Journal of the American Medical Informatics Association, 16, 446, 10.1197/jamia.M3157 · DOI · Paper page
  16. 2009, Diabetes Care, 32, 234, 10.2337/dc08-1220 · DOI · Paper page
  17. McMahon, 2005, Diabetes Care, 28, 1624, 10.2337/diacare.28.7.1624 · DOI · Paper page

Cited by

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Metadata

Authors
Tang, P. C., Overhage, J. M., Chan, A. S., Brown, N. L., Aghighi, B., Entwistle, M. P., Hui, S. L., Hyde, S. M., Klieman, L. H., Mitchell, C. J., Perkins, A. J., Qureshi, L. S., Waltimyer, T. A., Winters, L. J., & Young, C. Y.
Venue
Journal of the American Medical Informatics Association
Published
2013-05-01
Volume
20
Issue
3
Pages
526-534
ISSN
  • 1067-5027 (ISSN-L)
  • 1527-974X
OpenAlex
W2166573478
Cited by
240
References
7
FWCI
10.12
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Online disease management of diabetes: Engaging and Motivating Patients Online With Enhanced Resources-Diabetes (EMPOWER-D), a randomized controlled trial. https://app.cochat.ai/papers/10.1136/amiajnl-2012-001263
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Tang, P. C., Overhage, J. M., Chan, A. S., Brown, N. L., Aghighi, B., Entwistle, M. P., Hui, S. L., Hyde, S. M., Klieman, L. H., Mitchell, C. J., Perkins, A. J., Qureshi, L. S., Waltimyer, T. A., Winters, L. J., & Young, C. Y. (2013). Online disease management of diabetes: Engaging and Motivating Patients Online With Enhanced Resources-Diabetes (EMPOWER-D), a randomized controlled trial. Journal of the American Medical Informatics Association. https://doi.org/10.1136/amiajnl-2012-001263

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.