Intensive Lifestyle (e)Support to Reverse Diabetes-2

Conference paper (2016)

Authors

L.P.A. Simons Interactive Intelligence - EEMCS
Hanno Pijl Leiden University Medical Center
John Verhoef Leiden University Medical Center
HJ Lamb Leiden University Medical Center
Bas Gerritsen Health Coach Program
MB Bizino Leiden University Medical Center
M Snel Leiden University Medical Center
Ralph Feenstra Health Coach Program
C.M. Jonker Interactive Intelligence - EEMCS
Research Group
Interactive Intelligence (EEMCS) (TU Delft)
More Info
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Published Date

28-10-2016

Language

English

Reuse Rights

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Faculty

Electrical Engineering, Mathematics and Computer Science

Department

Intelligent Systems

Research Group

Interactive Intelligence

Abstract

Advanced diabetes-type-2 patients often have high insulin resistance. Over the years their insulin medication rises, which further increases their insulin resistance and glucose management problems. A HINTc (High Intensity Nutrition, Training & coaching) pilot study was conducted with 11 insulin-dependent patients. Hybrid eHealth support was given, with electronic support plus a multi-disciplinary health support team. Based on preliminary 12 week results, attractiveness and feasibility of the intervention were high: recommendation 9,0 out of 10 and satisfaction 9,1 out of 10. TAM (Technology Acceptance Model) surveys showed high usefulness, feasibility and intentions for future use. Acceptance and health behaviours were also reinforced by the rapid results (average 9% weight loss, 20% lower fasting glucose and 71% lower insulin medication, plus a 46% increase on the Quality of Life Physical Health dimension). Our analysis supports three types of conclusions. First, patients’ health literacy and quality of life improved strongly, both supporting healthier behaviours. Second, a virtuous cycle was started, helping patients reverse diabetes-2 progression. Third, a design analysis was conducted regarding service mix efficacy in relation to key requirements for designing ICT-enabled lifestyle interventions.