Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial
dc.contributor.author | Torbjørnsen, Astrid | |
dc.contributor.author | Småstuen, Milada Cvancarova | |
dc.contributor.author | Jenum, Anne Karen | |
dc.contributor.author | Årsand, Eirik | |
dc.contributor.author | Ribu, Lis | |
dc.date.accessioned | 2019-01-24T11:54:47Z | |
dc.date.accessioned | 2019-03-04T08:48:56Z | |
dc.date.available | 2019-01-24T11:54:47Z | |
dc.date.available | 2019-03-04T08:48:56Z | |
dc.date.issued | 2018-05-21 | |
dc.identifier.citation | Torbjørnsen AT, Småstuen MC, Jenum AK, Årsand E, Ribu L. Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial. Journal of Medical Internet Research. 2018;6(5) | en |
dc.identifier.issn | 1438-8871 | |
dc.identifier.issn | 1438-8871 | |
dc.identifier.uri | https://hdl.handle.net/10642/6701 | |
dc.description.abstract | Background: Mobile health interventions are increasingly used in health care. The level of acceptability may indicate whether and how such digital solutions will be used. Objective: This study aimed to explore associations between the level of acceptability of a mobile diabetes app and initial ability of self-management for patients with type 2 diabetes. Methods: Participants with type 2 diabetes were recruited from primary health care settings to a 3-armed randomized controlled trial in the Norwegian study in the RENEWING HEALTH project. At the 1-year follow-up, 75 out of 101 participants from the intervention groups completed an acceptability questionnaire (The Service User Technology Acceptability Questionnaire). In the randomized controlled trial, the 2 intervention groups (n=101 in total) received a mobile phone with a diabetes diary app, and one of the groups received additional health counseling given by telephone calls from a diabetes specialist nurse (n=50). At baseline, we collected clinical variables from medical records, whereas demographic data and self-management (The Health Education Impact Questionnaire) measures were self-reported. Log data from the use of the app by self-monitoring were registered continuously. Associations between initial ability to self-manage at baseline and acceptability of the diabetes diary app after 1 year were analyzed using linear regression. Results: We found statistically significant associations between 5 of the 8 self-management domains and perceived benefit, one of the acceptability factors. However, when adjusting for age, gender, and frequency of use, only 1 domain, skill and technique acquisition,remained independently associated with perceived benefit. Frequency of use of the app was the factor that revealed the strongest association with the acceptability domain perceived benefit. Conclusions: Our findings indicate that persons with diabetes may accept the app, despite its perceived benefit being associated with only one of the 8 domains of their initial level of self-management. | en |
dc.description.sponsorship | This Norwegian project was funded by the EU and the ICT PSP and Innovation Framework Program, the Norwegian Research Council, the Health Authorities of Northern Norway, the Norwegian Centre for E-health Research, Oslo and Akershus University College of Applied Sciences, Akershus University Hospital, and the Norwegian Diabetes Association. | en |
dc.language.iso | en | en |
dc.publisher | Journal of Medical Internet Research | en |
dc.relation.ispartofseries | Journal of Medical Internet Research;Vol 6, No 5 (2018): May | |
dc.rights | © Astrid Torbjørnsen, Milada Cvancarova Småstuen, Anne Karen Jenum, Eirik Årsand, Lis Ribu. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.05.2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Diabetes mellitus | en |
dc.subject | Type 2 diabetes | en |
dc.subject | Health care acceptability | en |
dc.subject | Self-care | en |
dc.subject | Telemedicines | en |
dc.subject | Statistics | en |
dc.title | Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-01-24T11:54:47Z | |
dc.description.version | publishedVersion | en |
dc.identifier.cristin | 1592556 | |
dc.source.journal | Journal of Medical Internet Research |
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Except where otherwise noted, this item's license is described as © Astrid Torbjørnsen, Milada Cvancarova Småstuen, Anne Karen Jenum, Eirik Årsand, Lis Ribu. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.05.2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited.