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dc.contributor.authorMitchell, Suzanne E
dc.contributor.authorGardiner, Paula
dc.contributor.authorWeigel, G.
dc.contributor.authorRosal, Milagros C
dc.date2022-08-11T08:08:06.000
dc.date.accessioned2022-08-23T15:42:25Z
dc.date.available2022-08-23T15:42:25Z
dc.date.issued2016-06-28
dc.date.submitted2019-02-25
dc.identifier.citation<p>Mitchell S, Gardiner P, Weigel G, Rosal M (2016) Women in Control: Pioneering Diabetes Self-Management Medical Group Visits in the Virtual World. J Clin Trials 6:272. doi:10.4172/2167-0870.1000272.</p>
dc.identifier.doi10.4172/2167-0870.1000272
dc.identifier.urihttp://hdl.handle.net/20.500.14038/26842
dc.description<p>At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School.</p>
dc.description.abstractBackground: The current state of diabetes self-management (DSM) education and support for diabetic patients is inadequate, especially for minority women who experience disproportionately high rates of diabetes mellitus (DM) in the US. While DSM education and support enables individuals with diabetes to make positive lifestyle choices and achieve clinical goals, this type of support is difficult to deliver in medical practice settings. Virtual reality can assist DM patients and their clinical teams by providing effective educational tools in an engaging, learner-centered environment that fosters self-efficacy and skill proficiency. Methods: Our prior research demonstrated that virtual worlds are suitable for supporting DSM education. Building upon this success, we are now investigating whether DSM virtual world medical group visits lead to similarly effective health and educational outcomes compared to face-to-face medical group visits. Currently in year one of a five year randomized controlled trial, we aim to compare the effectiveness of a virtual world DSM medical group visit format versus a face-to-face DSM medical group visit format to increase physical activity and improve glucose control (HbA1c) among Black/African American and Hispanic women with uncontrolled DM. We will also conduct a qualitative study of participant engagement with the virtual world platform to characterize learners’ interactions with the technology and assess its correlation with DSM behaviors and diabetes control. Discussion: Novel methods to promote diabetes self-management are critically needed, and the use of virtual world technology to conduct medical group visits offers a unique approach to such issue. If successful, our intervention will increase access to culturally-sensitive diabetes care and improve patient engagement in online DSM learning, leading to higher uptake of DSM behaviors and better diabetes control. Importantly, the program can be easily expanded to other chronic disease areas and scaled for widespread use.
dc.language.isoen_US
dc.rightsCopyright: © 2016 Mitchell S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectType 2 Diabetes
dc.subjectVirtual world
dc.subjectMedical group visits
dc.subjectDiabetes self-management
dc.subjectRCT
dc.subjectBehavioral Medicine
dc.subjectCommunity Health and Preventive Medicine
dc.subjectEndocrine System Diseases
dc.subjectEndocrinology, Diabetes, and Metabolism
dc.subjectHealth Information Technology
dc.subjectHealth Psychology
dc.subjectHealth Services Administration
dc.subjectNutritional and Metabolic Diseases
dc.subjectPublic Health Education and Promotion
dc.subjectWomen's Health
dc.titleWomen in Control: Pioneering Diabetes Self-Management Medical Group Visits in the Virtual World
dc.typeJournal Article
dc.source.journaltitleJournal of clinical trials
dc.source.volume6
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1081&amp;context=cipc&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/cipc/82
dc.identifier.contextkey13893777
refterms.dateFOA2022-08-23T15:42:25Z
html.description.abstract<p><strong>Background: </strong>The current state of diabetes self-management (DSM) education and support for diabetic patients is inadequate, especially for minority women who experience disproportionately high rates of diabetes mellitus (DM) in the US. While DSM education and support enables individuals with diabetes to make positive lifestyle choices and achieve clinical goals, this type of support is difficult to deliver in medical practice settings. Virtual reality can assist DM patients and their clinical teams by providing effective educational tools in an engaging, learner-centered environment that fosters self-efficacy and skill proficiency.</p> <p><strong>Methods: </strong>Our prior research demonstrated that virtual worlds are suitable for supporting DSM education. Building upon this success, we are now investigating whether DSM virtual world medical group visits lead to similarly effective health and educational outcomes compared to face-to-face medical group visits. Currently in year one of a five year randomized controlled trial, we aim to compare the effectiveness of a virtual world DSM medical group visit format versus a face-to-face DSM medical group visit format to increase physical activity and improve glucose control (HbA1c) among Black/African American and Hispanic women with uncontrolled DM. We will also conduct a qualitative study of participant engagement with the virtual world platform to characterize learners’ interactions with the technology and assess its correlation with DSM behaviors and diabetes control.</p> <p><strong>Discussion: </strong>Novel methods to promote diabetes self-management are critically needed, and the use of virtual world technology to conduct medical group visits offers a unique approach to such issue. If successful, our intervention will increase access to culturally-sensitive diabetes care and improve patient engagement in online DSM learning, leading to higher uptake of DSM behaviors and better diabetes control. Importantly, the program can be easily expanded to other chronic disease areas and scaled for widespread use.</p>
dc.identifier.submissionpathcipc/82
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentDepartment of Medicine, Division of Preventative and Behavioral Medicine
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentCenter for Integrated Primary Care
dc.source.pages272


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Copyright: © 2016 Mitchell S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Except where otherwise noted, this item's license is described as Copyright: © 2016 Mitchell S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.