Abstract:
BACKGROUND:Self-monitoring is a cornerstone of behavioral lifestyle interventions for obesity and type 2 diabetes mellitus. Mobile technology has the potential to improve adherence to self-monitoring and patient outcomes. However, no study has tested the use of a smartphone to facilitate self-monitoring in overweight or obese adults with type 2 diabetes mellitus living in the underserved community. OBJECTIVE:The aim of this study was to examine the feasibility of and compare preliminary efficacy of a behavioral lifestyle intervention using smartphone- or paper-based self-monitoring of multiple behaviors on weight loss and glycemic control in a sample of overweight or obese adults with type 2 diabetes mellitus living in underserved communities. METHODS:We conducted a randomized controlled trial to examine the feasibility and preliminary efficacy of a behavioral lifestyle intervention. Overweight or obese patients with type 2 diabetes mellitus were recruited from an underserved minority community health center in Houston, Texas. They were randomly assigned to one of the three groups: (1) behavior intervention with smartphone-based self-monitoring, (2) behavior intervention with paper diary-based self-monitoring, and (3) usual care group. Both the mobile and paper groups received a total of 11 face-to-face group sessions in a 6-month intervention. The mobile group received an Android-based smartphone with 2 apps loaded to help them record their diet, physical activity, weight, and blood glucose, along with a connected glucometer, whereas the paper group used paper diaries for these recordings. Primary outcomes of the study included percentage weight loss and glycated hemoglobin (HbA1c) changes over 6 months. RESULTS:A total of 26 patients were enrolled: 11 in the mobile group, 9 in the paper group, and 6 in the control group. We had 92% (24/26) retention rate at 6 months. The sample is predominantly African Americans with an average age of 56.4 years and body mass index of 38.1. Participants lost an average of 2.73% (mobile group) and 0.13% (paper group) weight at 6 months, whereas the control group had an average 0.49% weight gain. Their HbA1c changed from 8% to 7 % in mobile group, 10% to 9% in paper group, and maintained at 9% for the control group. We found a significant difference on HbA1c at 6 months among the 3 groups (P=.01). We did not find statistical group significance on percentage weight loss (P=.20) and HbA1c changes (P=.44) overtime; however, we found a large effect size of 0.40 for weight loss and a medium effect size of 0.28 for glycemic control. CONCLUSIONS:Delivering a simplified behavioral lifestyle intervention using mobile health-based self-monitoring in an underserved community is feasible and acceptable and shows higher preliminary efficacy, as compared with paper-based self-monitoring. A full-scale randomized controlled trial is needed to confirm the findings in this pilot study. TRIAL REGISTRATION:ClinicalTrials.gov NCT02858648; https://clinicaltrials.gov/ct2/show/NCT02858648 (Archived by WebCite at http://www.webcitation.org/6ySidjmT7).
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Wang J,Cai C,Padhye N,Orlander P,Zare Mdoi
10.2196/mhealth.4478subject
Has Abstractpub_date
2018-04-10 00:00:00pages
e92issue
4issn
2291-5222pii
v6i4e92journal_volume
6pub_type
杂志文章abstract:BACKGROUND:The prevalence of type 2 diabetes (T2D) is greater in South Asian populations and health outcomes are poorer compared with other ethnic groups. British South Asians are up to six times more likely to have T2D than the general population, to develop the condition at a younger age, and to experience diabetes-r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15789
更新日期:2020-04-20 00:00:00
abstract::Recently, companies such as Apple Inc, Fitbit Inc, and Garmin Ltd have released new wearable blood oxygenation measurement technologies. Although the release of these technologies has great potential for generating health-related information, it is important to acknowledge the repercussions of consumer-targeted biomet...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/25137
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:Syrian refugees residing in Germany often develop posttraumatic stress as a result of the Syrian civil war, their escape, and postmigration stressors. At the same time, there is a lack of adequate treatment options. The smartphone-based app Sanadak was developed to provide cognitive behavioral therapy-based ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/24807
更新日期:2021-01-13 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has impacted the lives of expectant parents and parents of young babies, with disruptions in health care provision and loss of social support. OBJECTIVE:This study investigated the impact of the COVID-19 pandemic and its associated lockdown on this population through the lens of users ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/23157
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:There is a limited understanding of components that should be included in digital interventions for 24-hour movement behaviors (physical activity [PA], sleep, and sedentary behavior [SB]). For intervention effectiveness, user engagement is important. This can be enhanced by a user-centered design to, for exa...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15707
更新日期:2019-12-20 00:00:00
abstract:BACKGROUND:Mobile health technologies have been found to improve the self-management of chronic diseases. However, there is limited research regarding their feasibility in supporting recovery from substance use disorders (SUDs) in China. OBJECTIVE:The objective of this study was to examine the feasibility of a mobile ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8388
更新日期:2018-02-27 00:00:00
abstract:BACKGROUND:Young trans women (TW) and men who have sex with men (MSM) are disproportionately impacted by HIV. Optimizing adherence to antiretroviral therapy (ART) is one mechanism by which public health experts aim to achieve favorable HIV health outcomes while reducing disease transmission. However, alcohol use is pre...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/22733
更新日期:2020-10-15 00:00:00
abstract:BACKGROUND:Virtual hospital apps are mobile apps that offer functionalities of online consultation, medical guidance, health community forums, referrals, outpatient appointments or virtual hospital-to-home care services. With an increasing number of online medical and health care consulting services, virtual hospital a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19487
更新日期:2020-08-12 00:00:00
abstract:BACKGROUND:Within the new digital health landscape, the rise of health apps creates novel prospects for health promotion. The market is saturated with apps that aim to increase physical activity (PA). Despite the wide distribution and popularity of PA apps, there are limited data on their effectiveness, user experience...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9069
更新日期:2018-03-21 00:00:00
abstract:BACKGROUND:Communication technologies can play a significant role in decreasing communication inequalities and cancer disparities by promoting cancer control and enhancing population and individual health. Studies have shown that technology, such as the mobile phone short message service (SMS) or text messaging, can be...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2641
更新日期:2013-09-09 00:00:00
abstract:BACKGROUND:In the app stores of mobile platforms, consumers are confronted with an enormous number of mobile apps. Over the past few years, considerable research has been undertaken into to identifying, characterizing, and evaluating apps, be it in health-related or other contexts. However, many of these projects are r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11753
更新日期:2018-11-20 00:00:00
abstract:BACKGROUND:Is someone at home, at their friend's place, at a restaurant, or enjoying the outdoors? Knowing the semantic location of an individual matters for delivering medical interventions, recommendations, and other context-aware services. This knowledge is particularly useful in mental health care for monitoring re...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7297
更新日期:2017-08-10 00:00:00
abstract:BACKGROUND:The importance of the preconception period and preconception care (PCC) are broadly acknowledged and the potential benefits regarding health promotion have been studied extensively. PCC provides the opportunity to identify, prevent, and treat modifiable and nonmodifiable risk factors to optimize the health o...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7834
更新日期:2017-08-17 00:00:00
abstract:BACKGROUND:Pregnancy-induced hypertension (PIH) is associated with high levels of morbidity and mortality in mothers, fetuses, and newborns. New technologies, such as remote monitoring (RM), were introduced in 2015 into the care of patients at risk of PIH in Ziekenhuis Oost-Limburg (Genk, Belgium) to improve both mater...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12574
更新日期:2019-08-28 00:00:00
abstract:BACKGROUND:In India, men who have sex with men (MSM) often face physical violence and harassment from police and the general society. Many MSM may not openly disclose their sexual identity, especially if they are married to women and have families. Due to pervasive stigma and discrimination, human immunodeficiency viru...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3978
更新日期:2015-02-11 00:00:00
abstract:BACKGROUND:Research has underscored the need to develop socioculturally tailored interventions to improve adherence behaviors in minority patients with hypertension (HTN) and type 2 diabetes (T2D). Novel mobile health (mHealth) approaches are potential methods for delivering tailored interventions to minority patients ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17135
更新日期:2020-09-23 00:00:00
abstract:BACKGROUND:Rates of sexually transmitted infections and unintended pregnancies are disproportionately high among African American adolescents and young adults (AYA). New media platforms such as social networking sites, microblogs, online video sites, and mobile phone applications may be a promising approach in promotin...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/19459
更新日期:2020-10-05 00:00:00
abstract:BACKGROUND:Singapore'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. M...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12965
更新日期:2019-05-24 00:00:00
abstract:BACKGROUND:Most adults do not engage in sufficient physical activity to maintain good health. Smartphone apps are increasingly used to support physical activity but typically focus on tracking behaviors with no support for the complex process of behavior change. Tracking features do not engage all users, and apps could...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12884
更新日期:2020-01-30 00:00:00
abstract:BACKGROUND:Ongoing pain is one of the most common diseases and has major physical, psychological, social, and economic impacts. A mobile health intervention utilizing a fully automated text-based health care chatbot (TBHC) may offer an innovative way not only to deliver coping strategies and psychoeducation for pain ma...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15806
更新日期:2020-04-03 00:00:00
abstract:BACKGROUND:Cardiovascular diseases are the deadliest diseases worldwide, with 17.3 million deaths in 2008 alone. Among them, heart-related deaths are of the utmost relevance; a fact easily proven by the 7.25 million deaths caused by ischemic heart disease alone in that year. The latest advances in smartphones and mHeal...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2013-07-24 00:00:00
abstract:BACKGROUND:Earlier detection of chronic obstructive pulmonary disease (COPD) exacerbations may facilitate more rapid treatment with reduced risk of hospitalization. Changes in pulse oximetry may permit early detection of exacerbations. We hypothesized that overnight pulse oximetry would be superior to once-daily monito...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17597
更新日期:2020-11-13 00:00:00
abstract:BACKGROUND:Unhealthy alcohol use (UAU) is one of the major causes of preventable morbidity, mortality, and associated behavioral risks worldwide. Although mobile health (mHealth) interventions can provide consumers with an effective means for self-control of UAU in a timely, ubiquitous, and cost-effective manner, to da...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10899
更新日期:2019-01-29 00:00:00
abstract:BACKGROUND:Novel methods of promoting self-monitoring and social support are needed to ensure long-term maintenance of behavior change. In this paper, we directly investigate the effects of group support in an exercise and nutrition program delivered by an mHealth application called Fittle. OBJECTIVE:Our first specifi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.4900
更新日期:2016-01-15 00:00:00
abstract:BACKGROUND:Pharmacotherapy remains one of the major interventional strategies in medicine. However, patients from all age groups and conditions face challenges when taking medications, such as integrating them into the daily routine, understanding their effects and side effects, and monitoring outcomes. In this context...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2019-09-11 00:00:00
abstract:BACKGROUND:Building an equitable health system is a cornerstone of the World Health Organization (WHO) health system building block framework. Public participation in any such reform process facilitates successful implementation. South Africa has embarked on a major reform in health policy that aims at redressing inequ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3533
更新日期:2014-10-28 00:00:00
abstract:BACKGROUND:With 360 million smokers, China consumes more cigarettes than any other country in the world. Given that 620 million Chinese own smartphones, smartphone apps for smoking cessation are increasingly used in China to help smokers quit. OBJECTIVE:This study analyzed and evaluated the contents of all smoking ces...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7462
更新日期:2017-07-11 00:00:00
abstract:BACKGROUND:The remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response). OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17891
更新日期:2020-07-14 00:00:00
abstract:BACKGROUND:Despite being an important cardiovascular risk factor, hypertension has low control levels worldwide. Computerized clinical decision support systems (CDSSs) might be effective in reducing blood pressure with a potential impact in reducing cardiovascular risk. OBJECTIVE:The goal of the research was to evalua...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9869
更新日期:2019-03-25 00:00:00
abstract:BACKGROUND:With the popularity of mobile phones, mobile apps have great potential for the management of diabetes, but the effectiveness of current diabetes apps for type 1 diabetes mellitus (T1DM) is poor. No study has explored the reasons for this deficiency from the users' perspective. OBJECTIVE:The aims of this stu...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11400
更新日期:2018-09-21 00:00:00