scholarly journals Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes

2013 ◽  
Vol 1 (1) ◽  
pp. e1 ◽  
Author(s):  
Naoe Tatara ◽  
Eirik Årsand ◽  
Stein Olav Skrøvseth ◽  
Gunnar Hartvigsen
2007 ◽  
Vol 55 (2) ◽  
pp. S362.4-S362
Author(s):  
K. D. Oden ◽  
T. Bomzer ◽  
P. Knudson ◽  
R. Fleming ◽  
J. Levine ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Winifred Ekezie ◽  
Helen Dallosso ◽  
Ponnusamy Saravanan ◽  
Kamlesh Khunti ◽  
Michelle Hadjiconstantinou

Abstract Background Gestational diabetes mellitus (GDM) is diagnosed during pregnancy, and women with a history of GDM are at a higher risk of developing type 2 diabetes mellitus (T2DM). Prevention strategies focused on lifestyle modification help to reduce long-term complications. Self-management technology-based interventions can support behaviour change and diabetes control. The Baby Steps programme, a randomised controlled trial intervention offering group education and access to a mobile web application, was evaluated to explore user experience of the app and barriers and facilitators to app usability. Methods Ten semi-structured interviews and four focus group discussions were conducted with 23 trial participants between 2018 and 2019. Interviews and focus group discussions were audiotaped, transcribed and independently analysed. The analysis was informed by thematic analysis, with the use of the Nvivo 12 software. Results Themes identified were: (1) GDM and post-pregnancy support from healthcare services; (2) Impact of Baby Steps app on lifestyle changes; (3) Facilitators and barriers to the usability of the Baby Steps app. The Baby Steps app served as a motivator for increasing self-management activities and a tool for monitoring progress. Peer support and increased awareness of GDM and T2DM enhanced engagement with the app, while poor awareness of all the components of the app and low technical skills contributed to low usability. Conclusions This study documents experiences from existing GDM support, user experiences from using the Baby Steps app, and the barriers and facilitators to app usability. The app was both a motivational and a monitoring tool for GDM self-management and T2DM prevention. Peer support was a key trait for enhanced engagement, while barriers were low technical skills and poor awareness of the app components. A digital app, such as the Baby Steps app, could strengthen existing face-to-face support for the prevention of T2DM. The results also have wider implications for digital support technologies for all self-management interventions. Further research on the effect of specific components of apps will be required to better understand the long term impact of apps and digital interventions on self-management behaviours and outcomes. Trial registration ISRCTN, ISRCTN17299860. Registered on 5 April 2017.


Diabetes Care ◽  
2002 ◽  
Vol 25 (11) ◽  
pp. 2115-2116 ◽  
Author(s):  
H. Sone ◽  
H. Ito ◽  
Y. Saito ◽  
H. Yamashita ◽  
S. Ishibashi ◽  
...  

Author(s):  
Simon R. Heller ◽  
Marian E. Carey

This chapter discusses how structured self-management education has become an integral component of the long-term care of type 2 diabetes in supporting individuals to initiate and sustain effective self-management. We will briefly explore the background and context for structured education, identify and discuss its defining characteristics, and briefly comment on the evidence base as reported in the last 10 years. Finally, drawing on currently active structured self-management programmes in the UK and Europe as exemplars, we will examine the benefits of structured education in terms of the patient outcomes reported in some key research studies.


2021 ◽  
Vol 36 (1) ◽  
pp. e225-e225
Author(s):  
Emmanuel Kumah ◽  
Aaron Asibi Abuosi ◽  
Samuel Egyakwa Ankomah ◽  
Cynthia Anaba

Objectives: Self-management education (SME) is recognized globally as a tool that enables patients to achieve optimal glucose control. While factors influencing the effectiveness of self-management interventions have been studied extensively, the impact of program length on clinical endpoints of patients diagnosed with diabetes is underdeveloped. This paper synthesized information from the existing literature to understand the effect of program length on glycated hemoglobin (HbA1C) in adults with type 2 diabetes mellitus. Methods: We searched Web of Science, PubMed, Scopus, MEDLINE, EMBASE, PsychINFO, and the Cochrane Central Register of Controlled Trials to identify relevant English language publications on diabetes selfmanagement education published between January 2000 and April 2019. Results: The review included 25 randomized controlled trials, with 64.0% reporting significant changes in HbA1C. The studies classified as long-term (lasting one year and above) were associated with the greatest number of interventions achieving statistically significant (87.5% significant vs. 12.5% non-significant) differences in changes in HbA1C between the intervention and the control subjects, recording an overall between-group HbA1C mean difference of 0.6±0.3% (range = 0.2–1.2). Conclusions: Our findings suggest that program length may change the effectiveness of educational interventions. Achieving sustained improvements in patients’ HbA1C levels will require long-term, ongoing SME, and support.


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