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dc.date.accessioned2017-12-22T13:05:34Z
dc.date.available2017-12-22T13:05:34Z
dc.date.issued2014
dc.identifier.urihttp://hdl.handle.net/10852/59410
dc.description.abstractBackground: 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.isoenen_US
dc.relation.ispartofHolmen, Heidi (2017) Mobile health for diabetes self-management. Doctoral thesis. http://hdl.handle.net/10852/59412
dc.relation.urihttp://hdl.handle.net/10852/59412
dc.rightsAttribution 2.0 Generic
dc.rights.urihttps://creativecommons.org/licenses/by/2.0/
dc.titleA 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 HEALTHen_US
dc.typeJournal articleen_US
dc.creator.authorHolmen, Heidi
dc.creator.authorTorbjørnsen, Astrid
dc.creator.authorWahl, Astrid Klopstad
dc.creator.authorJenum, Anne Karen
dc.creator.authorSmåstuen, Milada Cvancarova
dc.creator.authorÅrsand, Eirik
dc.creator.authorRibu, Lis
dc.identifier.jtitleJMIR Mhealth Uhealth
dc.identifier.volume2
dc.identifier.issue4
dc.identifier.doihttps://doi.org/10.2196/mhealth.3882
dc.identifier.urnURN:NBN:no-62092
dc.type.documentTidsskriftartikkelen_US
dc.type.peerreviewedPeer reviewed
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/59410/1/3882-49889-25-PB.pdf
dc.type.versionPublishedVersion
cristin.articleide57


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