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. 2011;22(4 Suppl):146-64.
doi: 10.1353/hpu.2011.0162.

Socio-demographic psychosocial and clinical characteristics of participants in e-HealthyStrides©: an interactive ehealth program to improve diabetes self-management skills

Priscilla E Pemu  1 , Alexander Q Quarshie, R Josiah-Willock, Folake O Ojutalayo, Ernest Alema-Mensah, Elizabeth O Ofili
Affiliations

Socio-demographic psychosocial and clinical characteristics of participants in e-HealthyStrides©: an interactive ehealth program to improve diabetes self-management skills

Priscilla E Pemu et al. J Health Care Poor Underserved. 2011.

Abstract

Diabetes self-management (DSM) training helps prevent diabetic complications. eHealth approaches may improve its optimal use. The aims were to determine a) acceptability of e-HealthyStrides© (an interactive, Internet-based, patient-driven, diabetes self-management support and social networking program) among Morehouse Community Physicians' Network diabetics; b) efficacy for DSM behavior change c) success factors for use of e-HealthyStrides©. Baseline characteristics of pilot study participants are reported. Of those approached, 13.8% agreed to participate. Among participants, 96% were Black, 77% female; age 56±9.2 years; education: 44% college or higher and 15% less than 12th grade; 92.5% with home computers. Over half (51%) failed the Diabetes Knowledge Test. Nearly half (47%) were at goal A1C; 24% at goal blood pressure; 3% at goal LDL cholesterol level. Median (SD) Diabetes Empowerment Scale score = 3.93 (0.72) but managing psychosocial aspects = 3.89 (0.89) scored lower than other domains. There was low overall confidence for DSM behaviors. Assistance with healthy eating was the most frequently requested service. Requestors were more obese with worse A1C than others. Chronic care delivery scored average with high scores for counseling and problem solving but low scores for care coordination and follow up.

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Figures

Figure 1
Figure 1
1 = Poorest attitude 5 = Best attitude
Figure 2
Figure 2
Median (SD) = 3.93 (0.72) 1 = Lowest score for diabetes empowerment 5 = Highest lscore for diabetes empowerment
Figure 3
Figure 3
Median (SD) = 4 (0.69) 1 = Lowest level of dissatisfaction and readiness to change 5 = Highest level of dissatisfaction and readiness to change
Figure 4
Figure 4
Median (SD) = 3.89 (0.89) 1 = Lowest level of confidence with managing psychosocial aspects of diabetes 5 = Highest level of confidence with managing psychosocial aspects of diabetes
Figure 5
Figure 5
Median (SD) = 3.3 (1.1) 1 = Lowest score for patient assessment of chronic illness care at the practice 5 = Highest score for patient assessment of chronic illness care at the practice
Figure 6
Figure 6
Median (SD) = 4 (1.27) 1 = Lowest score for practice support for contextual counseling and problem solving 5 = Highest score for practice support for contextual counseling and problem solving
Figure 7
Figure 7
Median (SD) = 3.67 (1.09) 1 = Lowest score for delivery system design/decision support 5 = Highest score for delivery system design/decision support
Figure 8
Figure 8
Median (SD) = 3 (1.2) 1 = Lowest score for practice in the area of follow up and care coordination 5 = Highest score for practice in the area of follow up and care coordination
Figure 9
Figure 9
Figure 10
Figure 10
Flow chart of study participants from each practice.
See this image and copyright information in PMC

References

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