dc.date.accessioned | 2017-12-22T13:05:34Z | |
dc.date.available | 2017-12-22T13:05:34Z | |
dc.date.issued | 2014 | |
dc.identifier.uri | http://hdl.handle.net/10852/59410 | |
dc.description.abstract | Background: Self-management is crucial in the daily management of type 2 diabetes. It has been suggested that mHealth may be an important method for enhancing self-management when delivered in combination with health counseling.
Objective: The objective of this study was to test whether the use of a mobile phone–based self-management system used for 1 year, with or without telephone health counseling by a diabetes specialist nurse for the first 4 months, could improve glycated hemoglobin A1c (HbA1c) level, self-management, and health-related quality of life compared with usual care.
Methods: We conducted a 3-arm prospective randomized controlled trial involving 2 intervention groups and 1 control group. Eligible participants were persons with type 2 diabetes with an HbA1c level ≥7.1% (≥54.1 mmol/mol) and aged ≥18 years. Both intervention groups received the mobile phone–based self-management system Few Touch Application (FTA). The FTA consisted of a blood glucose–measuring system with automatic wireless data transfer, diet manual, physical activity registration, and management of personal goals, all recorded and operated using a diabetes diary app on the mobile phone. In addition, one intervention group received health counseling based on behavior change theory and delivered by a diabetes specialist nurse for the first 4 months after randomization. All groups received usual care by their general practitioner. The primary outcome was HbA1c level. Secondary outcomes were self-management (heiQ), health-related quality of life (SF-36), depressive symptoms (CES-D), and lifestyle changes (dietary habits and physical activity). Data were analyzed using univariate methods (t test, ANOVA) and multivariate linear and logistic regression.
Results: A total of 151 participants were randomized: 51 to the FTA group, 50 to the FTA-health counseling (FTA-HC) group, and 50 to the control group. Follow-up data after 1 year were available for 120 participants (79%). HbA1c level decreased in all groups, but did not differ between groups after 1 year. The mean change in the heiQ domain skills and technique acquisition was significantly greater in the FTA-HC group after adjusting for age, gender, and education (P=.04). Other secondary outcomes did not differ between groups after 1 year. In the FTA group, 39% were substantial users of the app; 34% of the FTA-HC group were substantial users. Those aged ≥63 years used the app more than their younger counterparts did (OR 2.7; 95% CI 1.02-7.12; P=.045).
Conclusions: The change in HbA1c level did not differ between groups after the 1-year intervention. Secondary outcomes did not differ between groups except for an increase in the self-management domain of skill and technique acquisition in the FTA-HC group. Older participants used the app more than the younger participants did. | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Holmen, Heidi (2017) Mobile health for diabetes self-management. Doctoral thesis. http://hdl.handle.net/10852/59412 | |
dc.relation.ispartof | Torbjørnsen, Astrid (2020) Effect of an mHealth intervention for persons with type 2 diabetes and their acceptability of the device: Results from the Norwegian randomised controlled study in RENEWING HeALTH. Doctoral thesis http://hdl.handle.net/10852/73174 | |
dc.relation.uri | http://hdl.handle.net/10852/59412 | |
dc.relation.uri | http://hdl.handle.net/10852/73174 | |
dc.rights | Attribution 2.0 Generic | |
dc.rights.uri | https://creativecommons.org/licenses/by/2.0/ | |
dc.title | A Mobile Health Intervention for Self-Management and Lifestyle Change for Persons With Type 2 Diabetes, Part 2: One-Year Results From the Norwegian Randomized Controlled Trial RENEWING HEALTH | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Holmen, Heidi | |
dc.creator.author | Torbjørnsen, Astrid | |
dc.creator.author | Wahl, Astrid Klopstad | |
dc.creator.author | Jenum, Anne Karen | |
dc.creator.author | Småstuen, Milada Cvancarova | |
dc.creator.author | Årsand, Eirik | |
dc.creator.author | Ribu, Lis | |
dc.identifier.jtitle | JMIR Mhealth Uhealth | |
dc.identifier.volume | 2 | |
dc.identifier.issue | 4 | |
dc.identifier.doi | https://doi.org/10.2196/mhealth.3882 | |
dc.identifier.urn | URN:NBN:no-62092 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/59410/1/3882-49889-25-PB.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | e57 | |