Effect of Voluntary Participation on Mobile Health Care in Diabetes Management: Randomized Controlled Open-Label Trial

Overview

Journal JMIR Mhealth Uhealth

Specialties Biomedical Engineering
Medical Informatics

Date 2020 Sep 18

PMID 32945775

Citations 11

Authors

Da Young Lee

Seung-Hyun Yoo

Kyong Pil Min

Cheol-Young Park

Affiliations

Soon will be listed here.

Abstract

Background: The role of mobile health care (mHealth) in glycemic control has been investigated, but its impact on self-management skills and its psychological aspects have not been studied.

Objective: We evaluated the efficacy of mHealth-based diabetes self-management education and the effect of voluntary participation on its effects.

Methods: This study was a randomized controlled open-label trial conducted for 6 months at Kangbuk Samsung Hospital. Participants in the control group (n=31) maintained their previous diabetes management strategies. Participants in the intervention group (n=41) additionally received mHealth-based diabetes self-management education through a mobile app and regular individualized feedback from health care professionals. The primary outcome was change in glycated hemoglobin (HbA) level over 6 months between the 2 groups (intervention versus control) and within each group (at 6 months versus baseline). The secondary outcomes were changes in body mass index, blood pressure, lipid profile, and questionnaire scores (the Korean version of the Summary of Diabetes Self-Care Activities Questionnaire, an Audit of Diabetes Dependent Quality of Life, the Appraisal of Diabetes Scale, and Problem Areas in Diabetes) over 6 months between groups and within each group.

Results: A total of 66 participants completed this study. HbA (P=.04), total cholesterol level (P=.04), and Problem Areas in Diabetes scores (P=.02) significantly decreased; total diet (P=.03) and self-monitoring of blood glucose level scores (P=.01), based on the Summary of Diabetes Self-Care Activities Questionnaire, markedly increased within the intervention group. These significant changes were observed in self-motivated participants who were recruited voluntarily via advertisements.

Conclusions: mHealth-based diabetes self-management education was effective at improving glycemic control and diabetes self-management skills and lowering diabetes-related distress in voluntary participants.

Trial Registration: ClinicalTrials.gov NCT03468283; http://clinicaltrials.gov/ct2/show/NCT03468283.

Citing Articles

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Li M, Liu S, Yu B, Li N, Lyu A, Yang H J Med Internet Res. 2025; 27:e63209.

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Harnessing Digital Initiatives for Improved Health Outcomes in Diabetes Management: An Observational Patient Program.

Sethi B, Seshadri K, Deshmukh V, Ag U, Baruah M, Phatak S Cureus. 2024; 16(11):e73093.

PMID: 39650992 PMC: 11621240. DOI: 10.7759/cureus.73093.

Smartphone application-based intervention to lower blood pressure: a systematic review and meta-analysis.

Abe M, Hirata T, Morito N, Kawashima M, Yoshida S, Takami Y Hypertens Res. 2024; 48(2):492-505.

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Consideration of inequalities in effectiveness trials of mHealth applications - a systematic assessment of studies from an umbrella review.

Abdelmalak N, Burns J, Suhlrie L, Laxy M, Stephan A Int J Equity Health. 2024; 23(1):181.

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Effectiveness of digital health interventions for telemedicine/telehealth for managing blood pressure in adults: a systematic review and meta-analysis.

Sakima A, Akagi Y, Akasaki Y, Fujii T, Haze T, Kawakami-Mori F Hypertens Res. 2024; 48(2):478-491.

PMID: 38977877 DOI: 10.1038/s41440-024-01792-7.

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