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dc.contributor.authorRosal, Milagros C.
dc.contributor.authorHeyden, Robin
dc.contributor.authorMejilla, Roanne
dc.contributor.authorCapelson, Roberta
dc.contributor.authorChalmers, Karen A.
dc.contributor.authorRizzo DePaoli, Maria
dc.contributor.authorVeerappa, Chetty
dc.contributor.authorWiecha, John M.
dc.date2022-08-11T08:10:21.000
dc.date.accessioned2022-08-23T17:05:40Z
dc.date.available2022-08-23T17:05:40Z
dc.date.issued2014-10-24
dc.date.submitted2015-04-03
dc.identifier.citationJMIR Res Protoc. 2014 Oct 24;3(4):e54. doi: 10.2196/resprot.3412. <a href="http://dx.doi.org/10.2196/resprot.3412">Link to article on publisher's site</a>
dc.identifier.issn1929-0748 (Linking)
dc.identifier.doi10.2196/resprot.3412
dc.identifier.pmid25344620
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44908
dc.description.abstractBACKGROUND: 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 < US $30,000, and computer experience was variable. Overall session attendance was similar across the groups (6.8/8 sessions, P = .90). Compared to face-to-face, virtual world was slightly superior for total activity, light activity, and inactivity (P = .05, P = .07, and P = .025, respectively). HbA1c reduction was significant within face-to-face (-0.46, P = 02) but not within virtual world (-0.31, P = .19), although there were no significant between group differences in HbA1c (P = .52). In both groups, 14% fewer patients had post-intervention HbA1c > /=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. TRIAL REGISTRATION: ClinicalTrials.gov NCT01340079; http://clinicaltrials.gov/show/NCT01340079 (Archived by WebCite at http://www.webcitation.org/6T2aSvmka).
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25344620&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.2196/resprot.3412
dc.rights<p><a href="http://www.ncbi.nlm.nih.gov/pmc/about/copyright.html">Copyright</a> ©Milagros C Rosal, Robin Heyden, Roanne Mejilla, Roberta Capelson, Karen A Chalmers, Maria Rizzo DePaoli, Chetty Veerappa, John M Wiecha. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 24.10.2014. This is an open-access article distributed under the terms of the Creative Commons Attribution License (<a href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</a>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on <a href="http://www.researchprotocols.org,">http://www.researchprotocols.org,</a> as well as this copyright and license information must be included.</p>
dc.subjectAfrican Americans
dc.subjectclinical trials
dc.subjectfeasibility
dc.subjecthealth behavior
dc.subjecthealth disparities
dc.subjectminority health
dc.subjectrandomized clinical trial
dc.subjecttechnology
dc.subjecttype 2 diabetes
dc.subjectvirtual systems
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titleA Virtual World Versus Face-to-Face Intervention Format to Promote Diabetes Self-Management Among African American Women: A Pilot Randomized Clinical Trial
dc.typeJournal Article
dc.source.journaltitleJMIR research protocols
dc.source.volume3
dc.source.issue4
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1342&amp;context=prevbeh_pp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/343
dc.identifier.contextkey6942235
refterms.dateFOA2022-08-23T17:05:40Z
html.description.abstract<p>BACKGROUND: Virtual world environments have the potential to increase access to diabetes self-management interventions and may lower cost.</p> <p>OBJECTIVE: We tested the feasibility and comparative effectiveness of a virtual world versus a face-to-face diabetes self-management group intervention.</p> <p>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).</p> <p>RESULTS: Participants (N = 89) were an average of 52 years old (SD 10), 60% had < /=high school, 82% had household incomes < US $30,000, and computer experience was variable. Overall session attendance was similar across the groups (6.8/8 sessions, P = .90). Compared to face-to-face, virtual world was slightly superior for total activity, light activity, and inactivity (P = .05, P = .07, and P = .025, respectively). HbA1c reduction was significant within face-to-face (-0.46, P = 02) but not within virtual world (-0.31, P = .19), although there were no significant between group differences in HbA1c (P = .52). In both groups, 14% fewer patients had post-intervention HbA1c > /=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.</p> <p>TRIAL REGISTRATION: ClinicalTrials.gov NCT01340079; http://clinicaltrials.gov/show/NCT01340079 (Archived by WebCite at http://www.webcitation.org/6T2aSvmka).</p>
dc.identifier.submissionpathprevbeh_pp/343
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pagese54


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