Key takeaways:
- Older adults with sort 2 diabetes reported much less psychological misery with use of a wise speaker to assist handle their illness.
- Good speaker use was tied to a decrease HbA1c at 12 weeks than regular care.
CHICAGO — Using a wise speaker with preprogrammed diabetes care options might assist older adults handle their diabetes and enhance their high quality of life, in line with a speaker on the American Diabetes Affiliation Scientific Classes.
Within the IVAM-ED open-label randomized managed trial carried out in Brazil, older adults with sort 2 diabetes who used an Amazon EchoDot sensible speaker for 12 weeks had considerably higher enhancements in self-reported psychological misery, adherence to diabetes self-care and high quality of life in addition to a considerably decrease HbA1c than adults receiving regular care.
Older adults with sort 2 diabetes had improved glycemic management with use of a wise speaker to assist with glycemic administration in contrast with regular care. Picture: Adobe Inventory
“Our findings recommend that sensible audio system could also be modern and accessible gadgets to help each psychological well being [and diabetes] care in older adults,” Lucas S. Matzenbacher, MD, a PhD scholar within the diabetes and endocrinology analysis group at Pontifical Catholic College of Rio Grande do Sul in Porto Alegre, Brazil, mentioned throughout a presentation.
The trial included 112 adults aged 65 years or older with sort 2 diabetes who had entry to Wi-Fi (imply age, 72.5 years; 63% girls; 63% white). Individuals had been randomly assigned to a wise speaker of their house or to regular look after 12 weeks.
Matzenbacher mentioned a multidisciplinary diabetes care group programmed the sensible audio system to incorporate a number of computerized interactions. The gadgets reminded members to take their medicines and verify glucose ranges, offered every day well being suggestions and streamed weekly instructional podcasts on psychological well being, wholesome consuming, bodily exercise and ageing.
“Past that, all members within the intervention group had been free to make use of all native capabilities of the gadget, comparable to asking for climate, setting different personalised reminders and listening to music,” Matzenbacher mentioned.
Adults receiving regular care got a booklet with diabetes care suggestions and entry to a web site with the identical well being suggestions and academic podcasts that had been being delivered via the sensible speaker within the intervention group, in line with Matzenbacher. The trial’s main final result was psychological misery rating at 12 weeks as measured via the 20-item Self-Reporting Questionnaire.
Adults utilizing a wise speaker reported much less psychological misery at 12 weeks than the management group (6.3 factors vs. 7.8 factors; P = .024). Matzenbacher mentioned the enhancements in psychological misery had been constant no matter intercourse, age, training stage, cognitive decline, use of insulin and historical past of melancholy or nervousness.
HbA1c was decrease at 12 weeks within the sensible speaker group in contrast with regular care (7.6% vs. 8%; P = .011). Individuals utilizing a wise speaker had greater adherence to diabetes self-care on the Self-Care Stock–Revised questionnaire (39.8 factors vs. 36.4 factors; P < .001) and reported the next high quality of life rating on the SF-36 (57.8 factors vs. 48.4 factors; P = .001) than these receiving regular care.
Matzenbacher mentioned one other trial ought to be carried out to evaluate the influence of sensible speaker use with behavioral interventions included in contrast with utilizing a tool with out behavioral interventions.
“With this trial, we couldn’t say which function precisely results in enchancment,” Matzenbacher mentioned. “Was it the every day well being suggestions [or] instructional podcasts? Was it simply the gadget [and] the reminders? This research doesn’t present these solutions. Our subsequent step is to do one other research to see if we’d like simply the gadget or if we’d like the behavioral intervention mannequin.”
Sources/Disclosures
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Matzenbacher LS, et al. Summary 297-OR. Offered at: American Diabetes Affiliation Scientific Classes; June 20-23, 2025; Chicago.
Disclosures:
Matzenbacher experiences no related monetary disclosures.
