The effectiveness of a Digital Diabetes Self-Management Education and Support Program empowered by coaching in Vietnamese Individuals with type 2 diabetes

The effectiveness of a Digital Diabetes Self-Management Education and Support Program empowered by coaching in Vietnamese Individuals with type 2 diabetes | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Article The effectiveness of a Digital Diabetes Self-Management Education and Support Program empowered by coaching in Vietnamese Individuals with type 2 diabetes Phong Nguyen, Phola Thach, Hoanh Tran, Ha Nguyen, Dai Truong, and 7 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6462099/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 21 Nov, 2025 Read the published version in Scientific Reports → Version 1 posted 10 You are reading this latest preprint version Abstract Background: Diabetes mellitus remains a global public health challenge. Mobile applications and digital platforms offer innovative solutions for enhancing diabetes management. Aim: This study evaluated the impact of a digital diabetes self-management education and support (DSMES) program on clinical outcomes and diabetes-related knowledge in individuals with diabetes. Methods: A comparative study was conducted with 163 individuals with diabetes, divided into an intervention group (n=81) and a control group (n=82). Clinical outcomes, including fasting blood glucose (FBG), HbA1c, lipid profiles, weight, BMI, waist circumference, and diabetes knowledge (Michigan University Diabetes Knowledge Test – MDKT score), were measured before and after the intervention. The intervention group participated in a ten-week educational program delivered via the DiaB app and other digital platforms, based on the DSMES framework recommended by the American Diabetes Association. This program included online group-based educational video calls led by doctors, nutritionists, and health coaches. The control group received standard care. Results: For participants with baseline BMI ≥25 kg/m², the intervention group experienced a median weight reduction of-1.5 kg compared to 0 kg in the control group (P=.02). The intervention group showed a significant decrease in median FBG from 7.5 to 6.7 mmol/L (P<.001) and a greater reduction than the control group (P=.004). Median HbA1c in the intervention group decreased from 7.8% to 7.3% (P<.001), while no significant change was observed in the control group. The intervention group had a significant increase in MDKT score (+3 vs.-1, P<.001). Improvements in lipid profiles were also greater in the intervention group (P<.001) Conclusion: The digital DSMES program significantly improved glycemic control, and diabetes knowledge. Incorporating this digital program into traditional diabetes management could enhance clinical outcomes and patient education. Health sciences/Health care/Patient education Health sciences/Endocrinology/Endocrine system and metabolic diseases Diabetes mellitus digital DSMES program diaB glycemic control patient education Full Text Additional Declarations No competing interests reported. Supplementary Files GENERATEDDATASUPPLEMENTARYINFORMATION.pdf Cite Share Download PDF Status: Published Journal Publication published 21 Nov, 2025 Read the published version in Scientific Reports → Version 1 posted Editorial decision: Revision requested 12 Jun, 2025 Reviews received at journal 09 Jun, 2025 Reviews received at journal 01 Jun, 2025 Reviewers agreed at journal 28 May, 2025 Reviewers agreed at journal 12 May, 2025 Reviewers invited by journal 30 Apr, 2025 Editor assigned by journal 30 Apr, 2025 Editor invited by journal 27 Apr, 2025 Submission checks completed at journal 24 Apr, 2025 First submitted to journal 16 Apr, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6462099","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":450966791,"identity":"750de059-5496-4c0e-be66-f65395f82c68","order_by":0,"name":"Phong Nguyen","email":"","orcid":"","institution":"DIA-B Healthcare Technology Company","correspondingAuthor":false,"prefix":"","firstName":"Phong","middleName":"","lastName":"Nguyen","suffix":""},{"id":450966792,"identity":"74a36ee7-8324-40c9-979c-1ca12b1e64b9","order_by":1,"name":"Phola Thach","email":"","orcid":"","institution":"Hoan My Cuu Long 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DSMES program, diaB, glycemic control, patient education","lastPublishedDoi":"10.21203/rs.3.rs-6462099/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6462099/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e Diabetes mellitus remains a global public health challenge. Mobile applications and digital platforms offer innovative solutions for enhancing diabetes management. Aim: This study evaluated the impact of a digital diabetes self-management education and support (DSMES) program on clinical outcomes and diabetes-related knowledge in individuals with diabetes.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e A comparative study was conducted with 163 individuals with diabetes, divided into an intervention group (n=81) and a control group (n=82). Clinical outcomes, including fasting blood glucose (FBG), HbA1c, lipid profiles, weight, BMI, waist circumference, and diabetes knowledge (Michigan University Diabetes Knowledge Test – MDKT score), were measured before and after the intervention. The intervention group participated in a ten-week educational program delivered via the DiaB app and other digital platforms, based on the DSMES framework recommended by the American Diabetes Association. This program included online group-based educational video calls led by doctors, nutritionists, and health coaches. The control group received standard care.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e For participants with baseline BMI ≥25 kg/m², the intervention group experienced a median weight reduction of-1.5 kg compared to 0 kg in the control group (P=.02). The intervention group showed a significant decrease in median FBG from 7.5 to 6.7 mmol/L (P\u0026lt;.001) and a greater reduction than the control group (P=.004). Median HbA1c in the intervention group decreased from 7.8% to 7.3% (P\u0026lt;.001), while no significant change was observed in the control group. The intervention group had a significant increase in MDKT score (+3 vs.-1, P\u0026lt;.001). Improvements in lipid profiles were also greater in the intervention group (P\u0026lt;.001)\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e The digital DSMES program significantly improved glycemic control, and diabetes knowledge. Incorporating this digital program into traditional diabetes management could enhance clinical outcomes and patient education.\u003c/p\u003e","manuscriptTitle":"The effectiveness of a Digital Diabetes Self-Management Education and Support Program empowered by coaching in Vietnamese Individuals with type 2 diabetes","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-05-06 05:06:00","doi":"10.21203/rs.3.rs-6462099/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-06-12T17:36:06+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-06-10T03:51:23+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-06-01T22:21:30+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"175201970737439251498501301113712498889","date":"2025-05-29T03:25:55+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"157113016977597715036518886712011349808","date":"2025-05-12T16:43:31+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-04-30T18:33:40+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-04-30T18:31:52+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-04-28T03:06:31+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-04-24T09:07:17+00:00","index":"","fulltext":""},{"type":"submitted","content":"Scientific Reports","date":"2025-04-16T09:38:51+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"ed636fcf-d216-4b1e-a8b5-40f0e34987c0","owner":[],"postedDate":"May 6th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":47979356,"name":"Health sciences/Health care/Patient education"},{"id":47979357,"name":"Health sciences/Endocrinology/Endocrine system and metabolic diseases"}],"tags":[],"updatedAt":"2025-11-24T16:01:45+00:00","versionOfRecord":{"articleIdentity":"rs-6462099","link":"https://doi.org/10.1038/s41598-025-25245-4","journal":{"identity":"scientific-reports","isVorOnly":false,"title":"Scientific Reports"},"publishedOn":"2025-11-21 15:57:45","publishedOnDateReadable":"November 21st, 2025"},"versionCreatedAt":"2025-05-06 05:06:00","video":"","vorDoi":"10.1038/s41598-025-25245-4","vorDoiUrl":"https://doi.org/10.1038/s41598-025-25245-4","workflowStages":[]},"version":"v1","identity":"rs-6462099","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6462099","identity":"rs-6462099","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}