Trial shows clear “dose effect” between app-based cognitive behavioral therapy lessons and improvement in health. People with Type 2 diabetes who were given a smartphone app that delivers personalized cognitive behavioral therapy (CBT) saw significantly greater reductions in their blood sugar and
A new research study found that people with Type 2 diabetes who used a personalized cognitive behavioral therapy smartphone app experienced greater reductions in their blood sugar levels and required less diabetes medication at six months, compared to those who only received standard diabetes care and a control app.
“When studied in a large randomized controlled trial, digital CBT tailored to the individual reduced blood sugar levels, while also reducing the need for intensified medication use and improving blood pressure and body weight,” said Marc P. Bonaca, MD, MPH, professor of medicine and director of vascular research at the University of Colorado School of Medicine in Aurora, Colorado, and the study’s principal investigator.
Lifestyle modification is the foundation of diabetes management to reduce blood sugar levels and the long-term consequences of elevated blood sugar, which can include high blood pressure, heart disease and stroke, he said. Healthcare professionals, however, have struggled to help patients achieve effective lifestyle change, Bonaca said.
“For this trial, we wanted to know if a CBT program for diabetes that was automated and personalized would be effective,” Bonaca said. “We wanted something that users could access on a smartphone that would deliver benefit through lessons and skills and that would be individually tailored through a process of asking questions.”
“We saw a clear dose effect with digital CBT,” Bonaca said. “That is, the antihyperglycemic effect increased in direct proportion to the number of lessons participants completed. The more lessons they did, the greater the reductions in HbA1c they achieved. Participants aged over 75 did as well as younger patients if they completed the same number of lessons.”
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