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A Stepped Care mHealth-Based Approach for Promoting Patient Engagement in Chronic Care Management of Obesity With Type 2 Diabetes

A Stepped Care mHealth-Based Approach for Promoting Patient Engagement in Chronic Care Management of Obesity With Type 2 Diabetes
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Author(s): Gianluca Castelnuovo (Catholic University of the Sacred Heart, Italy), Giada Pietrabissa (Catholic University of the Sacred Heart, Italy), Gian Mauro Manzoni (Catholic University of the Sacred Heart, Italy), Stefania Corti (Istituto Auxologico Italiano IRCCS, Italy), Margherita Novelli (Istituto Auxologico Italiano IRCCS, Italy), Maria Borrello (University of Bergamo, Italy), Emanuele Maria Giusti (Catholic University of the Sacred Heart, Italy), Francesco Borgia (Istituto Auxologico Italiano IRCCS, Italy), Enrico Molinari (Catholic University of the Sacred Heart, Italy), Nicole Ann Middleton (University of South Australia, Australia), Roberto Cattivelli (Istituto Auxologico Italiano IRCCS, Italy)and Susan Simpson (University of South Australia, Australia)
Copyright: 2018
Pages: 18
Source title: Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications
Source Author(s)/Editor(s): Information Resources Management Association (USA)
DOI: 10.4018/978-1-5225-3926-1.ch063

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Abstract

Diabesity could be defined as a new global epidemic of obesity and being overweight with many complications and chronic conditions. The financial direct and indirect burden of diabesity is a real challenge in many Western health-care systems. Even if multidisciplinary protocols have been implemented, significant limitations in the chronic care management of obesity with type 2 diabetes concern costs and long-term adherence and efficacy. mHealth approach could overcome limitations linked with the traditional, restricted and highly expensive in-patient treatment of diabesity. The mHealth approach could help clinicians by motivating patients in remote settings to develop healthier lifestyles and could be implemented in the Chronic Care Model. A practical stepped-care model for diabesity, including mhealth approach and psychological treatments with different intensity, is discussed.

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