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A Virtual World Versus Face-to-Face Intervention Format to Promote Diabetes Self-Management Among African American Women: A Pilot Randomized Clinical Trial.

Rosal MC, Heyden R, Mejilla R, Capelson R, Chalmers KA, Rizzo DePaoli M, Veerappa C, Wiecha JM - JMIR Res Protoc (2014)

Bottom Line: 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).Compared to virtual world, face-to-face was marginally superior for reducing depression symptoms (P=.051).Further effectiveness research is warranted.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Massachusetts Medical School, Division of Preventive and Behavioral Medicine, Worcester, MA, United States. milagros.rosal@umassmed.edu.

ABSTRACT

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

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).

No MeSH data available.


Related in: MedlinePlus

Pictures of the Virtual World participants engaged in various intervention sessions.
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figure2: Pictures of the Virtual World participants engaged in various intervention sessions.

Mentions: Figure 2 contains pictures of virtual world intervention sessions and edited clips of the sessions (see also Multimedia Appendix 1).


A Virtual World Versus Face-to-Face Intervention Format to Promote Diabetes Self-Management Among African American Women: A Pilot Randomized Clinical Trial.

Rosal MC, Heyden R, Mejilla R, Capelson R, Chalmers KA, Rizzo DePaoli M, Veerappa C, Wiecha JM - JMIR Res Protoc (2014)

Pictures of the Virtual World participants engaged in various intervention sessions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4259910&req=5

figure2: Pictures of the Virtual World participants engaged in various intervention sessions.
Mentions: Figure 2 contains pictures of virtual world intervention sessions and edited clips of the sessions (see also Multimedia Appendix 1).

Bottom Line: 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).Compared to virtual world, face-to-face was marginally superior for reducing depression symptoms (P=.051).Further effectiveness research is warranted.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Massachusetts Medical School, Division of Preventive and Behavioral Medicine, Worcester, MA, United States. milagros.rosal@umassmed.edu.

ABSTRACT

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

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).

No MeSH data available.


Related in: MedlinePlus