Testing New Models of Diabetes Self-Management to Improve Population Health

Testing New Models of Diabetes Self-Management to Improve Population Health

Aim 1.1 To understand if diabetes self-management education and support (DSMES) improves diabetes-related outcomes among those with Type 2 diabetes living in Texas.

Aim 1.2 To examine how rurality affects study participation, engagement in, and effectiveness of different education interventions.

These aims are based on a randomized controlled trial of different evidence-based diabetes self-management interventions.

A randomized controlled trial (RCT) was conducted to assess the outcomes associated with different technological intervention approaches. This 3-arm RCT assessed independent and combined interventions:

Inclusion Criteria:

• Type 2 diabetes mellitus (T2DM) - self-reported diagnosis by a health care provider
• HbA1c value greater than or equal to 7.5%
• Adults ages 25 years and older
• All genders
• Have access to device (smartphone/tablet which meets iOS 13 or above or similar system requirements/iPhone 7 and above or Android 6 and above) and internet in order to view online diabetes education content
• Ability to read and speak English
• Resides in Texas

Exclusion Criteria:

• Pregnant women
• Participation in ADA-recognized or AADE-accredited diabetes self-management education program lasting at least eight hours within previous six months
• Engagement with ADA-recognized or AADE-accredited smartphone application with certified diabetes educators providing tracking and health coaching within the previous six months
• Those diagnosed with any conditions listed below (determined by self-report): Liver failure, End-stage renal disease (stage 4 or 5), Congestive heart failure (grade C or D), Organ transplant or bone marrow transplant, Cystic fibrosis, Malignant neoplasm or bone marrow transplant
• Criteria excludes individuals based on language. Participants must be able to read and speak English. Technology-based education and support (TBES) is available only in English.