The effects of a web-based intervention on psychosocial well-being among adults aged 60 and older with diabetes: a randomized trial

Diabetes Educ. May-Jun 2010;36(3):446-56. doi: 10.1177/0145721710366758. Epub 2010 Apr 7.


Purpose: The purpose of this study is to investigate the impact of a 6-month Web-based intervention on the psychosocial well-being of older adults with diabetes.

Methods: This study was a randomized controlled trial (N - 62) comparing the effects of a 6-month Web-based intervention plus usual care with usual care alone among adults aged 60 years or older with diabetes. The outcomes included quality of life, depression, social support, and self-efficacy.

Results: The intervention group showed significant improvement, F(4.48) - 4.03 P - .007, when compared with the control group on measures of depression, quality of life, social support, and self-efficacy when controlling for all baseline outcome variables (age, gender, and number of years with diabetes).

Conclusions: These findings provide support for the conclusion that a Web-based intervention is effective in improving the psychosocial well-being of participants at a 6-month follow-up. Future research needs to investigate the long-term effectiveness of Web-based interventions for sustaining psychosocial well-being, including factors that may affect quality of life, such as diabetes-specific beliefs, attitudes, social support, and disease-specific coping skills.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Depression / epidemiology
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / psychology*
  • Diabetes Mellitus / rehabilitation*
  • Glycated Hemoglobin A / analysis
  • Humans
  • Internet*
  • Middle Aged
  • Patient Selection
  • Quality of Life*
  • Sample Size
  • Self Care*
  • Self Concept
  • Social Support*
  • Treatment Outcome
  • Urban Population
  • Washington


  • Glycated Hemoglobin A