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dc.contributor.authorTorbjørnsen, Astrid
dc.contributor.authorSmåstuen, Milada Cvancarova
dc.contributor.authorJenum, Anne Karen
dc.contributor.authorÅrsand, Eirik
dc.contributor.authorRibu, Lis
dc.date.accessioned2019-01-24T11:54:47Z
dc.date.accessioned2019-03-04T08:48:56Z
dc.date.available2019-01-24T11:54:47Z
dc.date.available2019-03-04T08:48:56Z
dc.date.issued2018-05-21
dc.identifier.citationTorbjørnsen 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.issn1438-8871
dc.identifier.issn1438-8871
dc.identifier.urihttps://hdl.handle.net/10642/6701
dc.description.abstractBackground: 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.sponsorshipThis 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.isoenen
dc.publisherJournal of Medical Internet Researchen
dc.relation.ispartofseriesJournal 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.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDiabetes mellitusen
dc.subjectType 2 diabetesen
dc.subjectHealth care acceptabilityen
dc.subjectSelf-careen
dc.subjectTelemedicinesen
dc.subjectStatisticsen
dc.titleAcceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trialen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-01-24T11:54:47Z
dc.description.versionpublishedVersionen
dc.identifier.cristin1592556
dc.source.journalJournal of Medical Internet Research


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© 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.
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.