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Cognitive Behavioral Therapy Mobile App Improves Health Behavior in Patients with Diabetes

Article Excerpt: With the use of cognitive behavioral therapy, a smartphone app helped patients with type 2 diabetes reduce HbA1c with less medication and insulation intensification vs. controls, a speaker reported. “Cardiometabolic diseases, and at its core, type 2 diabetes, are largely behavioral-acquired diseases and they’re related to unhelpful behaviors. But when we drive to what are the core, root causes of these behavioral choices, they have to do with thoughts and beliefs that lead to unhelpful behaviors and then unhelpful food choices, eating, exercise or behaviors and then type 2 diabetes,” Marc P. Bonaca, MD, MPH, FAHA, FACC, executive director of CPC Clinical Research, professor of cardiology and vascular medicine and director of vascular research at the University of Colorado School of Medicine, said during a press conference. “How do we break that cycle?

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Article Source: Healio


Leveraging Data From Wearable Medical Devices

Article Excerpt: Diabetes, and other chronic conditions like cancer or cardiovascular disease, require a lifetime of management. In recent years, a slew of wearable devices such as glucose monitors, activity trackers, heart rate monitors, and pulse oximeters have been adopted by patients and health care providers to track and manage these conditions more effectively. These devices are also a rich source of data that can be analyzed to better understand the factors and behaviors that lead to improved health outcomes. “But they’re vastly underutilized,” says Temiloluwa Prioleau, assistant professor of computer science and co-director of the Augmented Health Lab, which is focused on bridging this gap.

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Article Source: Dartmouth News


Dealing with Medication-Related Weight Gain

Article Excerpt: Part of taking medications is knowing there may be side effects and talking to your doctor if they’re anything worse than mild. But there is one somewhat common side effect that many people find especially worrisome: weight gain. Few among us want to gain weight—and extra pounds are particularly distressing if they further complicate the condition for which you’re taking the medicine in the first place. Some drugs prescribed to treat heart disease, type 2 diabetes, depression and arthritis can cause weight gain, which can make the disease they are treating worse instead of better, says UNC Health geriatrician and obesity medicine specialist John A. Batsis, MD.

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Article Source: UNC Health Talk


Impact of telephone support programme using telemonitoring on stage of change towards healthy eating and active exercise in people with prediabetes

Sakane N, Oshima Y, Kotani K, Suganuma A, Takahashi K, Sato J, Suzuki S, Izumi K, Kato M, Noda M, Kuzuya H. (2021). Impact of telephone support programme using telemonitoring on stage of change towards healthy eating and active exercise in people with prediabetes. Journal of Telemedicine and Telecare, 27(5), 307–313.

A study evaluated the effectiveness of a telephone support program on healthy eating and exercise among adults with prediabetes. A total of 2607 participants (ages 20-65) with fasting plasma glucose level of 100-125 mg/dL was recruited from 43 health examination centers in Japan. The health examination centers were randomly assigned to a telephone support intervention based on stage of change framework or a control group that received health education newsletters. The intervention included healthcare providers and dieticians who assessed the participants’ lifestyle, health, and knowledge of diabetes. The providers and dieticians coached the participants through making goals, discussing the pros and cons of health behavior changes, identifying barriers to health behavior changes, and problem solving. The participants received the intervention for one year by telephone and five to six phone calls during the program. There are five stages of change: pre-contemplation (no intent to act), contemplation (intent to take action in next month), preparation (intent and some behavioral steps in this direction), action (behavior change for six months or less), and maintenance (behavior change for more than six months). The researchers collected participant data from a provided weight scale and pedometer monthly in both groups. The study found that the intervention significantly progressed the stage of change for healthy eating but not for active exercise. The intervention was most effective for participants at the contemplation stage relative to other stages, specifically on fasting plasma glucose level and blood pressure.


A web-delivered multicomponent intervention for adolescents with poorly controlled type 1 diabetes: A pilot randomized controlled trial

Stanger C, Lansing A, Scherer E, et al. (2018). A web-delivered multicomponent intervention for adolescents with poorly controlled type 1 diabetes: A pilot randomized controlled trial. Annals of Behavioral Medicine. 52(12): 1010–1022. doi: 10.1093/abm/kay005

Researchers compared effects of a web-delivered intervention, WebRx, to usual care (UC) on blood glucose monitoring behavior over 6 months among adolescents with poorly controlled type 1 diabetes (HbA1c ≥ 8%) and their parents. Read More


Juvenile Diabetes Often Catches Young Adults Unaware

Article Excerpt: Dartmouth College’s Center for Technology and Behavioral Health has been awarded $712,837 in federal funding to support the first of a five-year research study to test new ways to better treat and control Type 1 diabetes. Dr. Catherine Stanger is the principal investigator; researchers will start recruiting 300 participants in October.

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Article Source: Union Leader


Coronavirus Pandemic Sets Up Potential Breakout Moment for Virtual Mental Health Care

Article Excerpt: With the coronavirus pandemic causing unprecedented levels of stress and grief, companies offering virtual mental health care say they’re seeing a massive surge in interest — and are scrambling to meet that demand by introducing new services, accelerating launch timelines, and bringing more staff on board. Covid-19 could prove to be a breakout moment for these businesses, which had been trying to address the shortage of in-person mental health care by providing virtual coaching, monitoring, and educational content long before the coronavirus outbreak.

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Article Source: STAT


Dartmouth’s Geisel Med School Awarded $3 Million for Type 1 Diabetes Research

Article Excerpt: Geisel School of Medicine The Center for Technology and Behavioral Health at Dartmouth’s Geisel School of Medicine will be awarded a 5-year, $3 million grant from the National Institutes of Health (NIH) for a study led by Catherine Stanger, PhD, to test the effectiveness of innovative behavioral intervention tools in helping to improve the health of high-risk patients who suffer from Type 1 diabetes—a condition which is difficult and expensive to manage.

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Article Source: Vermont Biz

How Temi Prioleau Engineers Personalized Diabetes Management

Article Excerpt: (Temiloluwa”Temi”) Prioleau (Assistant Professor of computer science at Dartmouth College) seeks to use mobile and wearable technologies as a platform for data-driven research focused on monitoring, understanding and improving personalized diabetes management. Her working assumption is that objective digital data from the daily lives of patients can inform treatment strategies to improve health outcomes.

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Article Source: Rice Engineering News