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 long-term 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.
Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Corti, S., Novelli, M., Borrello, M., Giusti, E. M., Borgia, F., Molinari, E., Middleton, N. A., Cattivelli, R., Simpson, S., Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications, in Guendalina Graffign, G. G. (ed.), Transformative Healthcare Practice through Patient Engagement, IGI Global, NY 2017: 1258- 1275. 10.4018/978-1-5225-3926-1.ch063 [http://hdl.handle.net/10807/122154]
Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications
Castelnuovo, Gianluca;Pietrabissa, Giada;Manzoni, Gian Mauro;Corti, Stefania;Novelli, Margherita;Borrello, Maria;Giusti, Emanuele Maria;Molinari, Enrico;Cattivelli, Roberto;
2017
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 long-term 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.
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