Feasibility and Preliminary Behavioral and Clinical Efficacy of a Diabetes Education Chatbot Pilot Among Adults With Type 2 Diabetes
Authors' conclusion
This diabetes education chatbot pilot demonstrated PWD acceptability, satisfaction, and engagement plus preliminary evidence of self-care confidence and A1C improvement. Further efforts are needed to validate these promising early findings.
Study context
- Population
- Adults with T2D with A1C 8.0% to 8.9% and/or recently completed 12-week diabetes care management program; majority >50 years, female, African Americanover 16 months
- Participants
- 150 adults
- Comparison
- Diabetes education chatbot; enrollees completing >1 chat vs ≤1 chat
- Outcome
- Change in A1C
Methodological detailssingle-arm, regional health care system
- Single-arm
- Regional health care system
Main finding
As reported in the abstract
>1 chat
−1.04
mean · %
≤1 chat
+0.09
mean · %
P = 0.008
Further findings
Feasibility and satisfaction
- Unenrollment rate
- 5%
- Reported increased self-care confidence
- 87%
- Overall satisfaction high for chat content, length and frequency
Escalation flags
- Escalation flags
- 128
- Hypoglycemia
- 41%
- Hyperglycemia
- 32%
- Medication issues
- 11%
Original publication
Feasibility and Preliminary Behavioral and Clinical Efficacy of a Diabetes Education Chatbot Pilot Among Adults With Type 2 Diabetes. J Diabetes Sci Technol. Published 6 June 2023. doi:10.
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