Accepted for/Published in: JMIR Diabetes
Date Submitted: May 10, 2018
Open Peer Review Period: May 10, 2018 - Aug 17, 2018
Date Accepted: Apr 2, 2019
(closed for review but you can still tweet)
Enhanced Patient Self-efficacy and Behavioral Changes: Cloud-based mHealth Platform and Mobile App Service
ABSTRACT
Background:
The prevalence of chronic disease is rapidly increasing. Health promotion models have shifted toward to pa-tient-centered care and self-efficacy. Devices and mobile applications in the Internet of things have become critical self-management tools for collecting and analyzing personal data to improve individual health outcomes. However, the precise effects of web-based interventions on self-efficacy and the related motivation factors behind individuals’ behavioral changes have not been determined.
Objective:
The objective of this study was to use a mobile application to determine individualized health promotion interventions and to apply these interventions to improve patients’ self-management and self-efficacy outcomes.
Methods:
The study used data from the eHealth database (n = 3,128). An experimental design (n = 121) and randomized con-trolled trials were employed to determine patient preferences in health promotion and self-management interventions. Mobile questionnaires were administered for pre- and post- intervention assessment through mobile application. A dynamic questionnaire allocation method was used to follow-up and monitor patient behavioral changes in the subse-quent 6–12 months.
Results:
Participants were excited about the individualized proactive health education initiative. The results indicate that overall compliance rate increased after the mobile-application-based health intervention.
Conclusions:
Various intervention strategies based on patient characteristics, health-care-related word-of-mouth communication, and social media may be used to improve clinical outcomes. Future related studies should consider the effects of pa-tients’ mental statuses on their interactions with the diabetes-education volunteers as well as the effects of volunteers’ training, public health education challenges, and institution scale. Clinical Trial: n/a
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