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dc.contributor.authorHolmen, Heidien_US
dc.contributor.authorTorbjørnsen, Astriden_US
dc.contributor.authorWahl, Astrid Klopstaden_US
dc.contributor.authorJenum, Anne Karenen_US
dc.contributor.authorSmåstuen, Milada Cvancarovaen_US
dc.contributor.authorÅrsand, Eiriken_US
dc.contributor.authorRibu, Lisen_US
dc.date.accessioned2015-02-10T09:38:20Z
dc.date.available2015-02-10T09:38:20Z
dc.date.issued2014en_US
dc.identifier.citationHolmen, H., Torbjørnsen, A., Wahl, A. K., Jenum, A. K., Småstuen, M. C., Årsand, E., & Ribu, L. (2014). 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 and uHealth, 2(4).en_US
dc.identifier.issnOnline: 2291-5222en_US
dc.identifier.otherFRIDAID 1185736en_US
dc.identifier.urihttps://hdl.handle.net/10642/2379
dc.description.abstractBackground: Self-management is crucial in the daily management of type 2 diabetes. It has been suggested that mHealth may be an important method for enhancing self-management when delivered in combination with health counseling. Objective: The objective of this study was to test whether the use of a mobile phone–based self-management system used for 1 year, with or without telephone health counseling by a diabetes specialist nurse for the first 4 months, could improve glycated hemoglobin A1c (HbA1c) level, self-management, and health-related quality of life compared with usual care. Methods: We conducted a 3-arm prospective randomized controlled trial involving 2 intervention groups and 1 control group. Eligible participants were persons with type 2 diabetes with an HbA1c level ≥7.1% (≥54.1 mmol/mol) and aged ≥18 years. Both intervention groups received the mobile phone–based self-management system Few Touch Application (FTA). The FTA consisted of a blood glucose–measuring system with automatic wireless data transfer, diet manual, physical activity registration, and management of personal goals, all recorded and operated using a diabetes diary app on the mobile phone. In addition, one intervention group received health counseling based on behavior change theory and delivered by a diabetes specialist nurse for the first 4 months after randomization. All groups received usual care by their general practitioner. The primary outcome was HbA1c level. Secondary outcomes were self-management (heiQ), health-related quality of life (SF-36), depressive symptoms (CES-D), and lifestyle changes (dietary habits and physical activity). Data were analyzed using univariate methods (t test, ANOVA) and multivariate linear and logistic regression. Results: A total of 151 participants were randomized: 51 to the FTA group, 50 to the FTA-health counseling (FTA-HC) group, and 50 to the control group. Follow-up data after 1 year were available for 120 participants (79%). HbA1c level decreased in all groups, but did not differ between groups after 1 year. The mean change in the heiQ domain skills and technique acquisition was significantly greater in the FTA-HC group after adjusting for age, gender, and education (P=.04). Other secondary outcomes did not differ between groups after 1 year. In the FTA group, 39% were substantial users of the app; 34% of the FTA-HC group were substantial users. Those aged ≥63 years used the app more than their younger counterparts did (OR 2.7; 95% CI 1.02-7.12; P=.045). Conclusions: The change in HbA1c level did not differ between groups after the 1-year intervention. Secondary outcomes did not differ between groups except for an increase in the self-management domain of skill and technique acquisition in the FTA-HC group. Older participants used the app more than the younger participants did.en_US
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.ispartofseriesJMIR MHEALTH AND UHEALTH;2(4)en_US
dc.subjectSelf-careen_US
dc.subjectDiabetesen_US
dc.subjectVDP::Teknologi: 500::Medisinsk teknologi: 620en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751en_US
dc.subjectMobile applicationsen_US
dc.titleA 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 HEALTHen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionThis is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited.
dc.identifier.doihttp://dx.doi.org/10.2196/mhealth.3882


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