Outcomes of a Digital Health Program With Human Coaching for Diabetes Risk Reduction in a Medicare Population

Overview

Journal J Aging Health

Publisher Sage Publications

Specialty Geriatrics

Date 2017 May 30

PMID 28553807

Citations 60

Authors

Cynthia M Castro Sweet

Vinay Chiguluri

Rajiv Gumpina

Paul Abbott

Erica N Madero

Mike Payne

Laura Happe

Roger Matanich

Andrew Renda

Todd Prewitt

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the outcomes of a Medicare population who participated in a program combining digital health with human coaching for diabetes risk reduction.

Method: People at risk for diabetes enrolled in a program combining digital health with human coaching. Participation and health outcomes were examined at 16 weeks and 6 and 12 months.

Results: A total of 501 participants enrolled; 92% completed at least nine of 16 core lessons. Participants averaged 19 of 31 possible opportunities for weekly program engagement. At 12 months, participants lost 7.5% ( SD = 7.8%) of initial body weight; among participants with clinical data, glucose control improved (glycosylated hemoglobin [HbA1c] change = -0.14%, p = .001) and total cholesterol decreased (-7.08 mg/dL, p = .008). Self-reported well-being, depression, and self-care improved ( p < .0001).

Discussion: This Medicare population demonstrated sustained program engagement and improved weight, health, and well-being. The findings support digital programs with human coaching for reducing chronic disease risk among older adults.

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