A stepped care mHealth-based approach for promoting patient engagement in chronic care management of obesity with type 2 diabetes

Gianluca Castelnuovo, Giada Pietrabissa, Gian Mauro Manzoni, Stefania Corti, Margherita Novelli, Maria Borrello, Emanuele Maria Giusti, Francesco Borgia, Enrico Molinari, Nicole Ann Middleton, Roberto Cattivelli, Susan Simpson

Research output: Chapter in Book/Report/Conference proceedingChapter

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 longterm 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.
Original languageEnglish
Title of host publicationTransformative Healthcare Practice through Patient Engagement
EditorsG Graffigna
Pages192-214
Number of pages23
DOIs
Publication statusPublished - 2017

Keywords

  • Stepped care

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