The IVAM-ED randomized clinical trial found that a 12-week intervention using an interactive virtual assistant significantly reduced mental distress in older adults with type 2 diabetes (MD -1.46; P = .02).
Participants in the intervention group achieved a mean reduction in hemoglobin A1c of 0.48% compared to the usual care group (P = .01).
The study demonstrated broad benefits across secondary endpoints, including improved quality of life and enhanced adherence to diabetes self-care behaviors.
The Dual Burden of Diabetes and Mental Distress in Geriatrics