期刊
JMIR RESEARCH PROTOCOLS
卷 3, 期 4, 页码 -出版社
JMIR PUBLICATIONS, INC
DOI: 10.2196/resprot.3412
关键词
African Americans; clinical trials; feasibility; health behavior; health disparities; minority health; technology; type 2 diabetes; virtual systems; randomized clinical trial
资金
- National Library of Medicine/National Institutes of Health [RC1 LM010412]
- National Institute on Minority Health and Health Disparities [1 P60 MD006912]
- Centers for Disease Control [U48 DP001933]
Background: Virtual world environments have the potential to increase access to diabetes self-management interventions and may lower cost. Objective: We tested the feasibility and comparative effectiveness of a virtual world versus a face-to-face diabetes self-management group intervention. Methods: We recruited African American women with type 2 diabetes to participate in an 8-week diabetes self-management program adapted from Power to Prevent, a behavior-change in-person group program for African Americans with diabetes or pre-diabetes. The program is social cognitive theory-guided, evidence-based, and culturally tailored. Participants were randomized to participate in the program via virtual world (Second Life) or face-to-face, both delivered by a single intervention team. Blinded assessors conducted in-person clinical (HbA1c), behavioral, and psychosocial measurements at baseline and 4-month follow-up. Pre-post differences within and between intervention groups were assessed using t tests and chi-square tests (two-sided and intention-to-treat analyses for all comparisons). Results: Participants (N=89) were an average of 52 years old (SD 10), 60% had <= high school, 82% had household incomes = 9% (virtual world P=.014; face-to-face P=.002), with no significant between group difference (P=.493). Compared to virtual world, face-to-face was marginally superior for reducing depression symptoms (P=.051). The virtual world intervention costs were US $1117 versus US $931 for face-to-face. Conclusions: It is feasible to deliver diabetes self-management interventions to inner city African American women via virtual worlds, and outcomes may be comparable to those of face-to-face interventions. Further effectiveness research is warranted.
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