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Cited by 38Diabetes Management and EducationMobile Health and mHealth ApplicationsHealth Literacy and Information Accessibility

Interactive media for diabetes self-management: issues in maximizing public health impact

Glasgow, Russell E.·2010·Medical Decision Making
DOI 10.1177/0272989x10385845
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Abstract

Background . Diabetes self-management presents a series of challenging tasks, and primary care, where the majority of cases of adult diabetes are treated, is hard-pressed to address these issues given competing demands. This article discusses how interactive media (IM) can be used to support diabetes self-management. Methods . Following a brief review of the literature, the 5 As framework for enhancing the effectiveness of health behavior counseling and the RE-AIM model for estimating and enhancing public health impact are used to frame discussion of the strengths and limitations of IM for diabetes shared decision making and self-management support. Results . Data and lessons learned from a series of randomized trials of IM for diabetes self-management education are summarized around 2 key issues. The first is enhancing patient engagement in decision making and includes enhancing user experience and engagement, improving quality of care, and promoting collaborative action planning and follow-up. The second is getting such resources into place and sustaining them in real-world primary care settings and involves enhancing participation at patient, clinician, and health care system levels and enhancing the generalizability of results. Conclusions . Key opportunities for IM to support diabetes self-management include assessment of information for shared decision making, assistance with problem-solving self-management challenges, and provision of follow-up support. A key current challenge is the linkage of IM supports to the rest of the patient’s care, and collection of cost-effectiveness data is a key need for future research.

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  • Interventions to improve health literacy have included using simple language, presenting information in audio-visual formats, tailoring content to individual needs, and other forms of interactivity.

    “Interventions to improve health literacy have included using simple language, presenting information in audio-visual formats, tailoring content to individual needs, and other forms of interactivity.[45][46][47]”

    From Understanding and Promoting Effective Engagement With Digital Behavior Change Interventions (2016) · cites this paper as [47]

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Authors
Glasgow, R. E.
Affiliations
Kaiser Permanente (US)
Corresponding author
Glasgow, Russell E.
ORCID
Glasgow, Russell E.
Venue
Medical Decision Making
Publisher
SAGE Publications
Published
2010-11
Volume
30
Issue
6
Pages
745-758
ISSN
  • 0272-989X (ISSN-L)
  • 1552-681X
DOI
10.1177/0272989x10385845
OpenAlex
W2010009875
Cited by
38
References
50
Citations by year
2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 5
FWCI
0.50
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Medical Decision Making (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (R01DK035524, R01 DK-35524)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Keywords
diabetes self-management, interactive media, shared decision-making, self-management support, primary care, RE-AIM framework, patient engagement, diabetes self-management education, follow-up support, cost-effectiveness, generalizability
MeSH terms
Cooperative Behavior, Decision Making, Decision Support Techniques, Diabetes Mellitus, Health Education, Humans, Patient Education as Topic, Peer Group, Public Health, Self Care, Health Behavior, Patient-Centered Care

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