There were three reported  deaths out of 3578 participants .Computer-based  diabetes self-management interventions currently have limited effectiveness .
Current interventions do not show adequate evidence for improving depression , health-related quality of life or weight .
AUTHORS ' CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup .
There is no evidence to show benefits in other biological outcomes or any cognitive , behavioural or emotional outcomes
BACKGROUND Diabetes is one of the commonest chronic medical conditions , affecting around 347 million adults worldwide .
Structured patient education programmes reduce the risk of diabetes-related complications four-fold .
Internet-based self-management programmes have been shown to be effective for a number of long-term conditions , but it is unclear what are the essential or effective components of such programmes .
If computer-based self-management interventions improve outcomes in type 2 diabetes , they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition .
OBJECTIVES To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus .
Chronic Disease Self-Management Program: 2-Year Health Status and Health Care Utilization Outcomes
Objectives .To assess the 1- and 2-year health status , health care utilization and self-efficacy outcomes for the Chronic Disease Self-Management Program ( CDSMP ) . The major hypothesis is that during the 2-year period CDSMP participants will experience improvements or less deterioration than expected in health status and reductions in health care utilization . Design .Longitudinal design as follow-up to a r and omized trial . Setting .Community . Participants .Eight hundred thirty-one participants 40 years and older with heart disease , lung disease , stroke , or arthritis participated in the  CDSMP . At 1- and 2-year intervals respectively 82 % and 76 % of eligible participants completed data . Main Outcome Measures . Health status ( self-rated health , disability , social/role activities limitations , energy/fatigue , and health distress ) , health care utilization ( ER/outpatient visits , times hospitalized , and days in hospital ) , and perceived self-efficacy were measured . Main Results . Compared with baseline for each of the 2 years , ER/outpatient visits and health distress were reduced ( P < 0.05 ) . Self-efficacy improved ( P < 0.05 ) . The rate of increase is that which is expected in 1 year . There were no other significant changes . Conclusions .A low-cost program for promoting health self-management can improve elements of health status while reducing health care costs in population s with diverse chronic diseases
There were three reported  deaths out of 3578 participants .Computer-based  diabetes self-management interventions currently have limited effectiveness .
Current interventions do not show adequate evidence for improving depression , health-related quality of life or weight .
AUTHORS ' CONCLUSIONS Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup .
There is no evidence to show benefits in other biological outcomes or any cognitive , behavioural or emotional outcomes
BACKGROUND Diabetes is one of the commonest chronic medical conditions , affecting around 347 million adults worldwide .
Structured patient education programmes reduce the risk of diabetes-related complications four-fold .
Internet-based self-management programmes have been shown to be effective for a number of long-term conditions , but it is unclear what are the essential or effective components of such programmes .
If computer-based self-management interventions improve outcomes in type 2 diabetes , they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition .
OBJECTIVES To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus .