دورية أكاديمية
A Mobile Lifestyle Management Program (GlycoLeap) for People With Type 2 Diabetes: Single-Arm Feasibility Study
العنوان: | A Mobile Lifestyle Management Program (GlycoLeap) for People With Type 2 Diabetes: Single-Arm Feasibility Study |
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المؤلفون: | Koot, David, Goh, Paul Soo Chye, Lim, Robyn Su May, Tian, Yubing, Yau, Teng Yan, Tan, Ngiap Chuan, Finkelstein, Eric Andrew |
المصدر: | JMIR mHealth and uHealth, Vol 7, Iss 5, p e12965 (2019) |
بيانات النشر: | JMIR Publications, 2019. |
سنة النشر: | 2019 |
المجموعة: | LCC:Information technology LCC:Public aspects of medicine |
مصطلحات موضوعية: | Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270 |
الوصف: | BackgroundSingapore’s current prevalence of diabetes exceeds 13.6%. Although lifestyle modification can be effective for reducing the risks for complications of type 2 diabetes mellitus (T2DM), traditional lifestyle interventions are often difficult to administer in the primary care setting due to limited resources. Mobile health apps can address these limitations by offering low-cost, adaptable, and accessible platforms for disseminating lifestyle management interventions. ObjectiveUsing the RE-AIM evaluation framework, this study assessed the potential effectiveness and feasibility of GlycoLeap, a mobile lifestyle management program for people with T2DM, as an add-on to standard care. MethodsThis single-arm feasibility study recruited 100 patients with T2DM and glycated hemoglobin (HbA1c) levels of ≥7.5% from a single community health care facility in Singapore. All participants were given access to a 6-month mobile lifestyle management program, GlycoLeap, comprising online lessons and the Glyco mobile phone app with a health coaching feature. The GlycoLeap program was evaluated using 4 relevant dimensions of the RE-AIM framework: (1) reach (percentage who consented to participate out of all patients approached), (2) effectiveness (percentage point change in HbA1c [primary outcome] and weight loss [secondary outcome]), (3) implementation (program engagement as assessed by various participatory metrics), and (4) maintenance (postintervention user satisfaction surveys to predict the sustainability of GlycoLeap). Participants were assessed at baseline and at follow-up (≥12 weeks after starting the intervention). ResultsA total of 785 patients were approached of whom 104 consented to participate, placing the reach at 13.2%. Four were excluded after eligibility screening, and 100 patients were recruited. Program engagement (implementation) started out high but decreased with time for all evaluated components. Self-reported survey data suggest that participants monitored their blood glucose on more days in the past week at follow-up compared to baseline (P |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2291-5222 |
Relation: | http://mhealth.jmir.org/2019/5/e12965/; https://doaj.org/toc/2291-5222 |
DOI: | 10.2196/12965 |
URL الوصول: | https://doaj.org/article/abf0b259f04d4d27b5a65e98ae62d5a4 |
رقم الأكسشن: | edsdoj.bf0b259f04d4d27b5a65e98ae62d5a4 |
قاعدة البيانات: | Directory of Open Access Journals |
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