Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Apr 6, 2020
Date Accepted: Aug 11, 2020

The final, peer-reviewed published version of this preprint can be found here:

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

Lee DY, Yoo SH, Min KP, Park CY

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

JMIR Mhealth Uhealth 2020;8(9):e19153

DOI: 10.2196/19153

PMID: 32945775

PMCID: 7532462

The Impact of Voluntary Participation in Diabetes Management via Mobile Healthcare: A Randomized, Controlled, Open-Label Study

  • Da Young Lee; 
  • Seung-Hyun Yoo; 
  • Kyong Pil Min; 
  • Cheol-Young Park

ABSTRACT

Background:

Mobile healthcare is helpful to support patient efforts for healthy lifestyle choices, disease self-management.

Objective:

We evaluated the efficacy of mobile healthcare-based diabetes self-management education (DSME) and the impact of voluntary participation on its effects.

Methods:

This study was a randomized, controlled, open-label trial conducted for 6 months between 2012 and 2013 at Kangbuk Samsung Hospital. The participants in the control group (n=31) maintained their previous diabetes management. The intervention (n=41) was addition of mobile healthcare-based DMSE to diabetes care through a mobile application and regular, individualized feedback from healthcare professionals. The primary outcome was change in glycated hemoglobin (HbA1c) level over 6 months between two groups and within each group. Changes in body mass index, blood pressure, lipid profile, and scores on four questionnaires (the Korean version of the Summary of Diabetes Self-Care Activities Questionnaire [SDSCA], an Audit of Diabetes Dependent Quality of Life, the Appraisal of Diabetes Scale, and the Problem Areas in Diabetes [PAID]) over 6 months between the control and intervention groups and within each group were the secondary outcomes.

Results:

A total 66 participants completed this study. HbA1c, total cholesterol level, and PAID scores significantly decreased (P values of .04, .04, and .02, respectively) and total diet and self-monitoring of blood glucose scores based on the SDSCA markedly increased (P values of .03 and .01, respectively) versus baseline in the intervention group. These significant changes were observed in self-motivated participants who were recruited voluntarily via advertisement.

Conclusions:

Mobile healthcare-based DMSE was effective at improving glycemic control and diabetes self-management skills and lowering diabetes-related distress, especially in voluntary participants. Clinical Trial: NCT03468283 (http://clinicaltrials.gov/ct2/show/NCT03468283)


 Citation

Please cite as:

Lee DY, Yoo SH, Min KP, Park CY

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

JMIR Mhealth Uhealth 2020;8(9):e19153

DOI: 10.2196/19153

PMID: 32945775

PMCID: 7532462

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.