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. Mobile health apps can address these limitations by offering low-cost, adaptable, and accessible platforms for disseminating lifestyle management interventions. OBJECTIVE:Using 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. METHODS:This 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). RESULTS:A 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<.001) and reported positive changes to their diet due to app engagement (P<.001) (implementation). Primary outcome data were available for 83 participants. Statistically significant improvements were observed for HbA1c (-1.3 percentage points, P<.001) with greater improvements for those who logged their weight more often (P=.007) (effectiveness). Participants also had a 2.3% reduction in baseline weight (P<.001) (effectiveness). User satisfaction was high with 74% (59/80) and 79% (63/80) of participants rating the app good or very good and claiming that they would probably or definitely recommend the app to others, respectively (maintenance). CONCLUSIONS:Although measures of program engagement decreased with time, clinically significant improvements in HbA1c were achieved with the potential for broader implementation. However, we cannot rule out that these improvements were due to factors unrelated to GlycoLeap. Therefore, we would recommend evaluating the effectiveness and cost effectiveness of GlycoLeap using a randomized controlled trial of at least 12 months. TRIAL REGISTRATION:ClinicalTrials.gov NCT03091517; https://clinicaltrials.gov/ct2/show/NCT03091517 (Archived by WebCite at http://www.webcitation.org/77rNqhwRn).
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Koot D,Goh PSC,Lim RSM,Tian Y,Yau TY,Tan NC,Finkelstein EAdoi
10.2196/12965subject
Has Abstractpub_date
2019-05-24 00:00:00pages
e12965issue
5issn
2291-5222pii
v7i5e12965journal_volume
7pub_type
杂志文章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:User-interaction event logs provide rich and large data sets that can provide valuable insights into how people engage with technology. Approaches such as ecological momentary assessment (EMA) can be used to gather accurate real-time data in an individual's natural environment by asking questions at any give...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17120
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:Studies have consistently shown that mobile and Web-based apps have positive impacts on people's daily lifestyles, health management, and disease treatment. As the development of medical and health informatization in China has evolved, different kinds of mobile-based apps for individuals and hospitals have b...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5890
更新日期:2017-08-03 00:00:00
abstract:BACKGROUND:Mobile phones and tablets currently represent a significant presence in people's everyday lives. They enable access to different information and services independent of current place and time. Such widespread connectivity offers significant potential in different app areas including health care. OBJECTIVE:O...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3359
更新日期:2014-08-13 00:00:00
abstract:BACKGROUND:Measuring physical activity with commercially available activity trackers is gaining popularity. People with a chronic disease can especially benefit from knowledge about their physical activity pattern in everyday life since sufficient physical activity can contribute to wellbeing and quality of life. Howev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8524
更新日期:2018-04-02 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:Unprecedented lockdown measures have been introduced in countries worldwide to mitigate the spread and consequences of COVID-19. Although attention has been focused on the effects of these measures on epidemiological indicators relating directly to the infection, there is increased recognition of their broad...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/21364
更新日期:2020-10-09 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:Pain drawings (PDs) are an important tool to evaluate, communicate, and objectify pain. In the past few years, there has been a shift toward tablet-based acquisition of PDs, and several studies have been conducted to test the usefulness, reliability, and repeatability of electronic PDs. However, to our knowl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11412
更新日期:2019-01-10 00:00:00
abstract::Over the past decade, smartphone technology has become increasingly sophisticated and ubiquitous. Modern smartphones, now owned by more than three quarters of Canadians and 94% of millennials, perform an array of functions that are potentially useful in the health care context, such as tracking fitness data, enabling ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15301
更新日期:2019-11-04 00:00:00
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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 can be distressing, particularly if expectant mothers are worried about the well-being of their fetus. Consequently, the desire for reassurance and frequent fetal monitoring is often pronounced. Smart wearable devices and telemedicine are promising tools that could assist women in self-monitoring t...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,多中心研究
doi:10.2196/11458
更新日期:2019-01-07 00:00:00
abstract:BACKGROUND:Mental health smartphone apps provide support, skills, and symptom tracking on demand and come at minimal to no additional cost to patients. Although the Department of Veterans Affairs has established itself as a national leader in the creation of mental health apps, veterans' attitudes regarding the use of ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10748
更新日期:2018-08-22 00:00:00
abstract::Tuberculosis is the number one infectious cause of death globally. Young children, generally those younger than 5 years, are at the highest risk of progressing from tuberculosis infection to tuberculosis disease and of developing the most severe forms of tuberculosis. Most current tuberculosis drug formulations have p...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19154
更新日期:2020-11-11 00:00:00
abstract:BACKGROUND:For patients with sickle cell disease (SCD), effective management of vaso-occlusive crises (VOCs) is integral to provision of care, as nearly all affected individuals will suffer from VOCs in their lifetime. A recent systematic review of technological interventions to improve self-management in the care of S...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13501
更新日期:2019-06-20 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) technologies provide many potential benefits to the delivery of health care. Medical decision support tools have shown particular promise in improving quality of care and provider workflow. Frontline health workers such as Community Health Workers (CHWs) have been shown to be effectiv...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2459
更新日期:2013-04-04 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::[This corrects the article DOI: 10.2196/mhealth.7275.]. ...
journal_title:JMIR mHealth and uHealth
pub_type: 已发布勘误
doi:10.2196/11616
更新日期:2019-01-03 00:00:00
abstract:BACKGROUND:Nutrition and physical activity interventions are important components of cancer care. With an increasing demand for services, there is a need to consider flexible, easily accessible, and tailored models of care while maintaining optimal outcomes. OBJECTIVE:This systematic review describes and appraises the...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12281
更新日期:2019-02-12 00:00:00
abstract:BACKGROUND:The application of mobile health (mHealth) technology in reproductive, maternal, newborn, and child health (RMNCH) is increasing worldwide. However, best practice and the most effective mHealth interventions have not been reviewed systematically. OBJECTIVE:A systematic review and meta-analysis of studies of...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.8998
更新日期:2018-01-09 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:Regular moderate to vigorous physical activity is essential for maintaining health and preventing the onset of chronic diseases. Both global rates of smartphone ownership and the market for physical activity and fitness apps have grown rapidly in recent years. The use of physical activity and fitness apps ma...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10314
更新日期:2018-12-18 00:00:00
abstract:BACKGROUND:Research on mobile health (mHealth) app use during adolescence is growing; however, little attention has been paid to black adolescents, particularly black girls, who are generally underresearched and underserved in psychological intervention research. Cognitive restructuring is an important tool in anxiety ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11310
更新日期:2019-06-27 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2021-02-01 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12407
更新日期:2019-09-26 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,随机对照试验
doi:10.2196/10755
更新日期:2019-04-23 00:00:00
abstract:BACKGROUND:Engagement with physical activity mobile apps has been reported to be a core precondition for their effectiveness in digital behavior change interventions. However, to date, little attention has been paid to understanding the perspectives, needs, expectations, and experiences of potential users with physical...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/20460
更新日期:2020-11-16 00:00:00
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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:Activity trackers are now ubiquitous in certain populations, with potential applications for health promotion and monitoring and chronic disease management. Understanding the accuracy of this technology is critical to the appropriate and productive use of wearables in health research. Although other peer-rev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13547
更新日期:2019-05-23 00:00:00
abstract:BACKGROUND:Disparities in cervical cancer incidence and mortality signify the need for intervention efforts targeting Korean American immigrant women. OBJECTIVE:The purpose of this study was to demonstrate how a culturally targeted and tailored mobile text messaging intervention, mobile screening (mScreening), was dev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13256
更新日期:2019-06-06 00:00:00