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Purpose This research explores the impact of mobile health (mHealth) technology and nurse health coaching on views of diabetes self-management (DSM) for persons living with diabetes. Methods Three focus groups (N = 24) were conducted with individuals living with type 2 diabetes who participated in a nurse health coaching and mHealth technology intervention study. Qualitative thematic analysis was used to identify overarching themes in each group. Results Major themes identified following intervention participation included enhanced perspectives about living with diabetes, increased awareness of how health behaviors influence DSM, improved support, and increased ownership of DSM. Conclusions The themes identified suggest that the mHealth technology and health coaching intervention together may have had an empowering effect on participants’ DSM. These results suggest that providing nurse health coaching with mHealth technology may help individuals ameliorate some of the challenges of living with and managing diabetes.

Background:Coping strategies are predictive of 1-week CPAP use. Coping strategies may predict longer-term CPAP use among adults with obstructive sleep apnea (OSA). Objectives:To investigate the influence of two coping styles (active and passive) and individual coping processes on CPAP use at 1-week and 1-month; and explore the association between selfefficacy and coping on CPAP use.Participants: CPAP-naïve adults (52.3% male, 90.9% white) newly diagnosed with OSA (AHI ≥ 5 events/hour) from two U.S. clinical sleep centers (n=66).Methods: A post-hoc analysis from a prospective, longitudinal study that examined influential factors on CPAP use among CPAP-naïve patients with newly-diagnosed OSA (N=97). The Ways of Coping Questionnaire-revised, and the Self-Efficacy Measure for Sleep Apnea were completed immediately after CPAP titration polysomnography. Objective 1-week and 1-month CPAP use (mean hours/night) were the primary outcomes. Descriptive analyses and stepwise multiple linear regression analyses modeling for CPAP use (mean hours/night).Results: Active coping was significantly associated with greater CPAP use (mean hours/night) at 1-week, but not at 1-month (p = 0.0397; p = 0.0556, respectively). Higher Planful Problem Solving was significantly associated with greater average CPAP use at 1-week and 1-month (p = 0.0117, p = 0.0378, respectively). Self-efficacy was significantly associated with greater average CPAP use at 1-week (p = 0.0056) and 1-month (p = 0.0056). Conclusions:Self-efficacy and Planful Problem Solving coping are promising behavioral intervention targets to promote CPAP use in newly-diagnosed OSA.