Achieving Health Equity with e-Healthystrides ©: Patient Perspectives of a Consumer Health Information Technology Application.

We describe the implementation, clinical outcomes and participant perspectives for e-Healthystrides©. Setting: Three independent ambulatory clinics and an historic African American (AA) church. Participants: Adults with diagnosed diabetes mellitus type 2. Intervention: e-Healthystrides© health coach facilitated intervention. Primary outcome: Acquisition of three new self-management behaviors. Secondary outcomes: Blood pressure, blood glucose, A1c, attrition rate and participant perspectives of e-Healthystrides©. Methods: A convergent parallel mixed method design was used in both pilot studies. Results: Two hundred and sixty-four participants, aged ~62±16 years, enrolled. Attrition at 52 weeks varied 50%-90% by site. Low engagement users were defined mainly by anxiety with putting health information online. The primary outcome was achieved in 36% of our participants, with the top 3 self-management behaviors acquired being: reducing risk (24.5%); healthy eating (23.7%); and monitoring (16.4%). Problem solving had the lowest rate of achievement (.91%). Blood pressure improved significantly at all sites at 12 weeks and at clinics A,B,C at 52 weeks. Blood glucose improved at 12 weeks: clinic A (P=.0001), B (P=.003), C (P=.001) and D (P=.03); but, at 52 weeks, only clinics A (P=
Source: Ethnicity and Disease - Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

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ConclusionsPatients with DM are prone to the early development of CAD, and psychological factors were associated with early development of CAD. Therefore, the findings of the current study can be utilized in designing preventive and therapeutic interventions, and implementing and integrating these factors in health-promotion programs for patients with DM can be useful.
Source: Clinical Epidemiology and Global Health - Category: Epidemiology Source Type: research
AbstractObjectiveType 2 diabetes mellitus (T2DM) has been associated with osteoarthritis (OA). T2DM may be associated with generalized OA (GOA  ≥ 3 joints) rather than localized OA (LOA 
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
Nature Reviews Endocrinology, Published online: 30 July 2019; doi:10.1038/s41574-019-0244-0Psychological problems such as depression and anxiety can hamper self-management in patients with type 2 diabetes mellitus (T2DM). A new prospective study reported that adults with T2DM and diagnosed anxiety disorder had a higher number of emergency visits and a higher cost status, but not total hospitalization costs, than those without diagnosed anxiety disorder.
Source: Nature Reviews Endocrinology - Category: Endocrinology Authors: Source Type: research
This study will examine the efficacy of interventions in a population with pre-diabetes. Qualitative components provide rich description of views on the interventions. When combined with the economic analysis, the study will provide insights into how to translate the interventions into practice.Trial registrationAustralian New Zealand Clinical Trials Registry,ACTRN12617000990325. Prospectively registered on 10 July 2017.
Source: Trials - Category: Research Source Type: clinical trials
Type 2 diabetes mellitus (T2DM) is a prevalent health problem, not only globally, but also in Saudi Arabia. A growing body of literature suggests a bi-directional association between T2DM and various mental he...
Source: International Journal of Mental Health Systems - Category: Psychiatry Authors: Tags: Research Source Type: research
ConclusionsPractices to improve provider coordination within and across primary care and specialty care services may improve patient experiences of care coordination. Improvements in these areas may improve care efficiency and effectiveness.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
ConclusionsResults suggest that VA may be adequately addressing coordination needs related to cardiovascular conditions, but more attention could be placed on coordination for mental health conditions. While specialized programs for more severe conditions (e.g., heart failure and serious mental illness) are important, coordination is also needed for more common, less severe conditions (e.g., hypertension, depression, anxiety). Strengthening coordination for common, less severe conditions is particularly important as VA develops alternative models (e.g., community care) that may negatively impact the degree to which care is coordinated.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
ConclusionResults indicate that SKY can be potentially beneficial for treating anxiety, insomnia, and depression associated in people with T2DM and in improving the quality of life in people with T2DM.
Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews - Category: Endocrinology Source Type: research
This study was conducted to assess the depression among T2DM patients attending diabetic clinics, primary healthcare centers (PHC), Dubai Health Authority (DHA). Depressive symptoms were assessed by using both Arabic and English version of the Beck Depression Inventory. Results: Out of 1,050 diabetic patients approached, 559 were within our inclusion criteria and agreed to participate in this study (Response rate of 53%). The mainstream of the participants had T2DM for
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
ConclusionResults indicate that SKY can be potentially beneficial for treating anxiety, insomnia, and depression associated in people with T2DM and in improving the quality of life in people with T2DM.
Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews - Category: Endocrinology Source Type: research
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