Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes

Heather M Young, Sheridan Miyamoto, Deborah Ward, Madan Dharmar, Yajarayma Tang-Feldman, Lars Berglund

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highest-ranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p<0.05) and the difference in difference estimation (0.42; p<0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

Original languageEnglish (US)
Pages (from-to)828-834
Number of pages7
JournalTelemedicine and e-Health
Volume20
Issue number9
DOIs
StatePublished - Sep 1 2014

Fingerprint

Telemedicine
Health Behavior
Rural Population
Nurses
Motivational Interviewing
Self Care
Control Groups
Self Efficacy
Chronic Disease
Research Design
Students
Mentoring
Health
Power (Psychology)

Keywords

  • behavioral health
  • diabetes
  • technology
  • telehealth
  • telemedicine
  • telenursing

ASJC Scopus subject areas

  • Medicine(all)
  • Health Informatics
  • Health Information Management

Cite this

Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes. / Young, Heather M; Miyamoto, Sheridan; Ward, Deborah; Dharmar, Madan; Tang-Feldman, Yajarayma; Berglund, Lars.

In: Telemedicine and e-Health, Vol. 20, No. 9, 01.09.2014, p. 828-834.

Research output: Contribution to journalArticle

@article{d23b00a25ade4bfc9b7a863073618865,
title = "Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes",
abstract = "Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highest-ranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p<0.05) and the difference in difference estimation (0.42; p<0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.",
keywords = "behavioral health, diabetes, technology, telehealth, telemedicine, telenursing",
author = "Young, {Heather M} and Sheridan Miyamoto and Deborah Ward and Madan Dharmar and Yajarayma Tang-Feldman and Lars Berglund",
year = "2014",
month = "9",
day = "1",
doi = "10.1089/tmj.2013.0326",
language = "English (US)",
volume = "20",
pages = "828--834",
journal = "Telemedicine and e-Health",
issn = "1530-5627",
publisher = "Mary Ann Liebert Inc.",
number = "9",

}

TY - JOUR

T1 - Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes

AU - Young, Heather M

AU - Miyamoto, Sheridan

AU - Ward, Deborah

AU - Dharmar, Madan

AU - Tang-Feldman, Yajarayma

AU - Berglund, Lars

PY - 2014/9/1

Y1 - 2014/9/1

N2 - Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highest-ranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p<0.05) and the difference in difference estimation (0.42; p<0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

AB - Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highest-ranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p<0.05) and the difference in difference estimation (0.42; p<0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

KW - behavioral health

KW - diabetes

KW - technology

KW - telehealth

KW - telemedicine

KW - telenursing

UR - http://www.scopus.com/inward/record.url?scp=84906893465&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84906893465&partnerID=8YFLogxK

U2 - 10.1089/tmj.2013.0326

DO - 10.1089/tmj.2013.0326

M3 - Article

VL - 20

SP - 828

EP - 834

JO - Telemedicine and e-Health

JF - Telemedicine and e-Health

SN - 1530-5627

IS - 9

ER -