The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized controlled trial study
Background: Mobile health presents a promising alternative in the digital era. Mobile health apps (mHealth), when combined with the concept of self-management, are considered one of the methods for incorporating technology-based interventions into the healthcare system. Objective: This study aimed t...
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Belitung Raya Foundation
2023
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my.iium.irep.1076772023-11-24T02:22:42Z http://irep.iium.edu.my/107677/ The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized controlled trial study Firdaus, Mohd Khairul Zul Hasymi Jittanoon, Piyanuch Boonyasopun, Umaporn Che Hasan, Muhammad Kamil RT Nursing RT86.3 Nurse and patient RT89 Specialities in nursing RT90.7 Primary nursing Background: Mobile health presents a promising alternative in the digital era. Mobile health apps (mHealth), when combined with the concept of self-management, are considered one of the methods for incorporating technology-based interventions into the healthcare system. Objective: This study aimed to determine the effect of mHealth (specifically, the Diabetic Care App) on foot care behavior, dietary behavior, foot condition, and fasting blood glucose levels among patients with uncontrolled diabetes mellitus. Methods: A single randomized controlled trial was conducted at a government-run primary clinic in Northern Malaysia, involving 58 patients with uncontrolled diabetes who were assigned to two groups. The intervention group received the Diabetic Care App, attended a2-hour face-to-face session, and was included in a WhatsApp group, while the control group received standard care. Relevant assessments were conducted for both groups in Week 1 and Week 5. The study was conducted from February 2020 to November 2020, and parametric and non-parametric statistics were used for data analysis. Results: Pretest-posttest comparisons in both groups revealed significant findings for foot care behavior (p<0.01), dietary behavior (p<0.01), and foot condition (p<0.01), except for fasting blood glucose levels. In inter-group comparisons, a significant difference was observed only in foot care behavior (p<0.01) and dietary behavior (p<0.01). Conclusion: The results indicate that technology-based interventions are beneficial for modifying behavior, specifically in terms of foot care and dietary behavior, in this study. The study highlights the applicability of mHealth for nurses in patient education and self-management of chronic conditions. Future research should explore app utilization among patients with chronic conditions. Clinical trial registration number:NCT04260100(registered at https://clinicaltrials.gov/ct2/show/NCT04260100) Belitung Raya Foundation 2023-10-26 Article PeerReviewed application/pdf en http://irep.iium.edu.my/107677/7/107677_The%20effect%20of%20mHealth%20program%20on%20behavior%20%20modification.pdf application/pdf en http://irep.iium.edu.my/107677/13/107677_The%20effect%20of%20mHealth%20program%20on%20behavior%20modification_Scopus.pdf Firdaus, Mohd Khairul Zul Hasymi and Jittanoon, Piyanuch and Boonyasopun, Umaporn and Che Hasan, Muhammad Kamil (2023) The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized controlled trial study. Belitung Nursing Journal, 9 (5). pp. 437-447. ISSN 2528-181X E-ISSN 2477-4073 https://www.belitungraya.org/BRP/index.php/bnj/article/view/2664 https://doi.org/10.33546/bnj.2664 |
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RT Nursing RT86.3 Nurse and patient RT89 Specialities in nursing RT90.7 Primary nursing Firdaus, Mohd Khairul Zul Hasymi Jittanoon, Piyanuch Boonyasopun, Umaporn Che Hasan, Muhammad Kamil The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized controlled trial study |
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Background: Mobile health presents a promising alternative in the digital era. Mobile health apps (mHealth), when combined with the concept of self-management, are considered one of the methods for incorporating technology-based interventions into the healthcare system. Objective: This study aimed to determine the effect of mHealth (specifically, the Diabetic Care App) on foot care behavior, dietary behavior, foot condition, and fasting blood glucose levels among patients with uncontrolled diabetes mellitus. Methods: A single randomized controlled trial was conducted at a government-run primary clinic in Northern Malaysia, involving 58 patients with uncontrolled diabetes who were assigned to two groups. The intervention group received the Diabetic Care App, attended a2-hour face-to-face session, and was included in a WhatsApp group, while the control group received standard care. Relevant assessments were conducted for both groups in Week 1 and Week 5. The study was conducted from February 2020 to November 2020, and parametric and non-parametric statistics were used for data analysis. Results: Pretest-posttest comparisons in both groups revealed significant findings for foot care behavior (p<0.01), dietary behavior (p<0.01), and foot condition (p<0.01), except for fasting blood glucose levels. In inter-group comparisons, a significant difference was observed only in foot care behavior (p<0.01) and dietary behavior (p<0.01). Conclusion: The results indicate that technology-based interventions are beneficial for modifying behavior, specifically in terms of foot care and dietary behavior, in this study. The study highlights the applicability of mHealth for nurses in patient education and self-management of chronic conditions. Future research should explore app utilization among patients with chronic conditions. Clinical trial registration number:NCT04260100(registered at https://clinicaltrials.gov/ct2/show/NCT04260100) |
format |
Article |
author |
Firdaus, Mohd Khairul Zul Hasymi Jittanoon, Piyanuch Boonyasopun, Umaporn Che Hasan, Muhammad Kamil |
author_facet |
Firdaus, Mohd Khairul Zul Hasymi Jittanoon, Piyanuch Boonyasopun, Umaporn Che Hasan, Muhammad Kamil |
author_sort |
Firdaus, Mohd Khairul Zul Hasymi |
title |
The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized
controlled trial study |
title_short |
The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized
controlled trial study |
title_full |
The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized
controlled trial study |
title_fullStr |
The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized
controlled trial study |
title_full_unstemmed |
The effect of mHealth program on behavior modification and health outcomes among patients with diabetes: a randomized
controlled trial study |
title_sort |
effect of mhealth program on behavior modification and health outcomes among patients with diabetes: a randomized
controlled trial study |
publisher |
Belitung Raya Foundation |
publishDate |
2023 |
url |
http://irep.iium.edu.my/107677/7/107677_The%20effect%20of%20mHealth%20program%20on%20behavior%20%20modification.pdf http://irep.iium.edu.my/107677/13/107677_The%20effect%20of%20mHealth%20program%20on%20behavior%20modification_Scopus.pdf http://irep.iium.edu.my/107677/ https://www.belitungraya.org/BRP/index.php/bnj/article/view/2664 https://doi.org/10.33546/bnj.2664 |
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13.211869 |