Staff View: Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study

Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study

Background: Many technology-assisted innovations have been used to manage disease. However, most of these innovations are not broadly used by older adults due to their cost. Additionally, disease management through technology-assisted innovations has not been compared with other interventions. Objec...

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Main Authors:	Chiu, Ching-Ju, Yu, Yung-Chen, Du, Ye-Fong, Yang, Yi-Ching, Chen, Jou-Yin, Wong, Li-Ping, Tanasugarn, Chanuantong
Format:	Article
Published:	JMIR Publications 2020
Subjects:	R Medicine (General)
Online Access:	http://eprints.um.edu.my/36623/
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spelling	my.um.eprints.366232024-11-04T00:29:44Z http://eprints.um.edu.my/36623/ Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study Chiu, Ching-Ju Yu, Yung-Chen Du, Ye-Fong Yang, Yi-Ching Chen, Jou-Yin Wong, Li-Ping Tanasugarn, Chanuantong R Medicine (General) Background: Many technology-assisted innovations have been used to manage disease. However, most of these innovations are not broadly used by older adults due to their cost. Additionally, disease management through technology-assisted innovations has not been compared with other interventions. Objective: In this study, we tested the employment of a free and widely used social and communication app to help older adults with diabetes manage their distress and glycemic control. We also compared the effectiveness of the app with 2 other methods, namely telephone and conventional health education, and determined which subgroup experiences the most effects within each intervention. Methods: Adults aged >= 50 years with type 2 diabetes were recruited from Southern Taiwan (N=231) and were allocated to different 3-month interventions. Informed consent was obtained at the Ministry of Science and Technology and approved by the National Cheng Kung University Hospital Institutional Review Board (No. A-ER-102-425). Results: Participants in the mobile-based group had significant reductions in hemoglobin A1c compared with the telephone-based and usual care groups (mean changes of -0.4%, 0.1%, and 0.03%, respectively; P=.02). Diabetes-specific distress decreased to a greater extent in the mobile-based group compared to the other 2 groups (mean changes of -5.16, -3.49, and -2.44, respectively, P=.02). Subgroup analyses further revealed that the effects on reducing blood glucose levels in the social and communication app groups were especially evident in patients with lower distress scores, and diabetes-related distress was especially evident in participants who were younger than 60 years or had higher educational levels. Conclusions: The findings of this study inform more flexible use of social and communication apps with in-person diabetes education and counselling. JMIR Publications 2020-06 Article PeerReviewed Chiu, Ching-Ju and Yu, Yung-Chen and Du, Ye-Fong and Yang, Yi-Ching and Chen, Jou-Yin and Wong, Li-Ping and Tanasugarn, Chanuantong (2020) Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study. JMIR mHealth and uHealth, 8 (6). ISSN 2291-5222, DOI https://doi.org/10.2196/14024 <https://doi.org/10.2196/14024>. 10.2196/14024
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine (General)
spellingShingle	R Medicine (General) Chiu, Ching-Ju Yu, Yung-Chen Du, Ye-Fong Yang, Yi-Ching Chen, Jou-Yin Wong, Li-Ping Tanasugarn, Chanuantong Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
description	Background: Many technology-assisted innovations have been used to manage disease. However, most of these innovations are not broadly used by older adults due to their cost. Additionally, disease management through technology-assisted innovations has not been compared with other interventions. Objective: In this study, we tested the employment of a free and widely used social and communication app to help older adults with diabetes manage their distress and glycemic control. We also compared the effectiveness of the app with 2 other methods, namely telephone and conventional health education, and determined which subgroup experiences the most effects within each intervention. Methods: Adults aged >= 50 years with type 2 diabetes were recruited from Southern Taiwan (N=231) and were allocated to different 3-month interventions. Informed consent was obtained at the Ministry of Science and Technology and approved by the National Cheng Kung University Hospital Institutional Review Board (No. A-ER-102-425). Results: Participants in the mobile-based group had significant reductions in hemoglobin A1c compared with the telephone-based and usual care groups (mean changes of -0.4%, 0.1%, and 0.03%, respectively; P=.02). Diabetes-specific distress decreased to a greater extent in the mobile-based group compared to the other 2 groups (mean changes of -5.16, -3.49, and -2.44, respectively, P=.02). Subgroup analyses further revealed that the effects on reducing blood glucose levels in the social and communication app groups were especially evident in patients with lower distress scores, and diabetes-related distress was especially evident in participants who were younger than 60 years or had higher educational levels. Conclusions: The findings of this study inform more flexible use of social and communication apps with in-person diabetes education and counselling.
format	Article
author	Chiu, Ching-Ju Yu, Yung-Chen Du, Ye-Fong Yang, Yi-Ching Chen, Jou-Yin Wong, Li-Ping Tanasugarn, Chanuantong
author_facet	Chiu, Ching-Ju Yu, Yung-Chen Du, Ye-Fong Yang, Yi-Ching Chen, Jou-Yin Wong, Li-Ping Tanasugarn, Chanuantong
author_sort	Chiu, Ching-Ju
title	Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
title_short	Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
title_full	Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
title_fullStr	Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
title_full_unstemmed	Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
title_sort	comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study
publisher	JMIR Publications
publishDate	2020
url	http://eprints.um.edu.my/36623/
_version_	1814933202393890816
score	13.211869

Comparing a social and communication app, telephone intervention, and usual care for diabetes self-management: 3-arm quasiexperimental evaluation study

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