Abstract
The aim of this thesis was to investigate mHealth for diabetes self-management. A three-armed randomized controlled trial for persons with type 2 diabetes evaluated a mobile diabetes diary app with or without health counselling. There were no statistically significant change in HbA1c between the groups after 12 months. Thus, associations between participant characteristics and the dichotomized stages of change for physical activity and dietary habits at baseline was analyzed. The participants had a high disease-burden with comorbidities and overweight, and higher scores of self-management were associated with an increased chance of being in the action stage for both dietary and physical activity change, compared to pre-action. To summarize new evidence, a systematic review evaluated mobile apps with integrated health care personnel communication for persons with diabetes. Risk of bias was uncertain due to low methodological quality. Altogether, diabetes self-management remain crucial, but evidence regarding mHealth tools for self-management and communication with health care personnel remain unclear, and evaluating mobile apps using traditional methods can be challenging.
List of papers
I Holmen H, Torbjørnsen A, Wahl AK, Jenum AK, Småstuen MC, Årsand E, Ribu L. 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. JMIR mHealth uHealth 2014;2(4):e57 doi:10.2196/mhealth.3882 The paper is available in DUO: http://hdl.handle.net/10852/59410 |
II Holmen H, Wahl AK, Torbjørnsen A, Jenum AK, Småstuen MC, Ribu L. Stages of change for physical activity and dietary habits in persons with type 2 diabetes included in a mobile health intervention: the Norwegian study in RENEWING HEALTH. BMJ open diabetes research & care. 2016 May 1;4(1):e000193 doi:10.1136/bmjdrc-2016-000193 The paper is available in DUO: http://hdl.handle.net/10852/55171 |
III Holmen H, Wahl AK, Småstuen MC, Ribu L. Tailored Communication within Mobile Apps for Diabetes Self-Management: A Systematic Review. J Med Internet Res 2017;19(6):e227 doi:10.2196/jmir.7045 The paper is available in DUO: http://hdl.handle.net/10852/59411 |