1. Comparison of an online versus conventional multidisciplinary collaborative weight loss programme in type 2 diabetes mellitus: A randomized controlled trial.
- Author
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Han, Yun, Ye, Xinhua, Li, Xiaona, Yang, Ping, Wu, Yan, Chen, Liye, Wu, Haili, and He, Wenxia
- Subjects
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GLYCOSYLATED hemoglobin , *DIET in disease , *BODY composition , *EVALUATION of human services programs , *ANALYSIS of variance , *INTERNET , *BLOOD sugar monitoring , *FOOD consumption , *RESEARCH methodology , *MULTIVARIATE analysis , *MEDICAL care , *FOOT care , *TYPE 2 diabetes , *RANDOMIZED controlled trials , *COMPARATIVE studies , *DIET therapy , *CRONBACH'S alpha , *HEALTH care teams , *INTERPROFESSIONAL relations , *WEIGHT loss , *RESEARCH funding , *QUALITY of life , *DESCRIPTIVE statistics , *SCALE analysis (Psychology) , *CHI-squared test , *DATA analysis software , *BODY mass index , *HEALTH promotion , *HEALTH self-care - Abstract
Aim: The aim of this study was to examine the effect of an online multidisciplinary weight loss management programme. Methods: Between July 2016 and July 2017 this randomized controlled trial recruited patients in Nanjing, China who were living with type 2 diabetes mellitus and who were obese or overweight and randomized them to online versus conventional groups. All participants were managed by a multidisciplinary team. The experimental group was managed using the Why Wait WeChat Platform for Weight Reduction Management. Results: There were 55 and 52 participants in the online and conventional groups, respectively. The decreases in fasting blood glucose (−4.26 vs. −2.99 mmol/L), 2‐h postprandial blood glucose (−4.48 vs. −2.68 mmol/L) and glycated haemoglobin (−22.11 vs. −6.21 mmol/mol) were more pronounced in the online compared to conventional group (all P < 0.05). After the intervention, self‐management ability parameters, including diet control, foot care and total score, were improved in the online group compared with the conventional group, as well as all indexes of quality of life (all P < 0.05). Conclusion: The online multidisciplinary weight loss management programme improved blood glucose in obese or overweight patients living with type 2 diabetes mellitus. Self‐management ability parameters (including diet control, foot care and total score) and quality of life were improved in the online group compared with the conventional group. Summary statement: What is already known about this topic?: Multidisciplinary approaches have been introduced into weight loss management models for patients with type 2 diabetes mellitus and obese or overweight in outpatient clinics of third‐level hospitals, but their effects have not been clearly described. What this paper adds?: The online multidisciplinary weight loss management programme improved blood glucose in obese or overweight patients living with type 2 diabetes mellitus.Self‐management ability parameters (including diet control, foot care and total score) and quality of life were improved in the online group compared with the conventional group. The implications of this paper: This is the first trial of an online programme in the management of type 2 diabetes mellitus in China.Trial findings might have international applicability in the management of type 2 diabetes mellitus and could lead to improvement of prognosis. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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