Project DiabEHT: An approach to improve self-care management of diabetes

Ridad, Geraldine S.; Maybituin, Val Clinton S.; Bella, Carlito Y.; Cañete, Karla Mae R.; Usman, Omar Khayyam M.; Sala, Erik Louwe

doi:10.1016/j.enfcli.2020.04.004

Cited by 3 publications

(11 citation statements)

References 15 publications

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“…Several studies have reported the association between dietary habits and health care app use 37,50 ; however, the results of this study showed no association between them. Multiple regression analysis revealed that the only independent predictor affecting dietary self-management was autonomous motivation.…”

Section: Relationship Between Health Care App Use and Healthy Eating ...contrasting

confidence: 98%

Relationship between Diabetes Self-Management and the Use of Health Care Apps: A Cross-Sectional Study

Inagaki

Kato

Abe³

et al. 2023

ACI open

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Background People with diabetes are increasingly using smartphone health care applications (apps) to manage their health. However, few studies have examined the percentage of people with diabetes using health care apps and their relationship to self-care. Objective The purpose of this study is to determine the prevalence of health care apps among people with diabetes and the relationship between app use and self-management. Methods A cross-sectional study was conducted using an online survey among people with type 2 diabetes. Multiple linear regression analysis was conducted using the scores of the Japanese version of Summary of Diabetes Self-Care Activities and exercise and general diet subscales as the objective variables. Results Of 253 participants included in this study, 61 (24.1%) used health care apps. Approximately 20% of those aged ≥ 60 also used health care apps. Use of health care apps was a significant predictor of physical activity frequency along with autonomous motivation (p < 0.001). Participants who used health care apps showed a 0.91 point higher physical activity score than those who did not. Regarding the general diet score, the use of health care apps was not significantly associated with dietary habits (p = 0.29). Conclusion Among people with type 2 diabetes, 24.1% used health care apps, and self-management scores of exercise were significantly higher in people with diabetes who used health care apps than in those who did not.

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Section: Relationship Between Health Care App Use and Healthy Eating ...contrasting

confidence: 98%

Relationship between Diabetes Self-Management and the Use of Health Care Apps: A Cross-Sectional Study

Inagaki

Kato

Abe³

et al. 2023

ACI open

View full text Add to dashboard Cite

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“…No studies specific to First Nations Peoples from Australia were identified by this review. However, of the initial 494 studies, 6 (1.2%) that assessed mHealth apps for the management of diabetes-related foot health in non-Indigenous populations from Turkey [ 26 , 28 ], Brazil [ 27 ], Australia [ 42 ], Indonesia [ 43 ], and the Philippines [ 44 ] were included. The included studies, with sample sizes ranging from 20 to 130 people, included a total of 361 participants ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The included studies, with sample sizes ranging from 20 to 130 people, included a total of 361 participants ( Table 1 ). Of the 6 studies, 3 (50%) were randomized controlled trials [ 26 , 28 , 43 ], and the other 3 (50%) used a Delphi [ 27 ], qualitative [ 42 ], and pretest-posttest [ 44 ] methodology, respectively. The follow-up time of the studies ranged from 1 to 6 months.…”

Section: Resultsmentioning

confidence: 99%

“…Foot care education was the main component of all mHealth apps included in this systematic review and covered topics such as daily foot care tasks, appropriate sock and shoe selection, nail care, and identification of peripheral neuropathy signs and symptoms ( Table 1 ). Varied methods of education delivery were used by the studies, including DFD information pages (all studies), cartoon videos [ 26 ], test-yourself sections [ 28 ], mindfulness and skills coaching [ 43 ], 2D animation [ 27 ], and weekly support group activities and lectures [ 44 ]. Of the 6 mHealth apps, 2 (33%) provided functionality that allowed participants to enter health-related data [ 28 , 44 ], and 1 (17%) included a messaging interface [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…Varied methods of education delivery were used by the studies, including DFD information pages (all studies), cartoon videos [ 26 ], test-yourself sections [ 28 ], mindfulness and skills coaching [ 43 ], 2D animation [ 27 ], and weekly support group activities and lectures [ 44 ]. Of the 6 mHealth apps, 2 (33%) provided functionality that allowed participants to enter health-related data [ 28 , 44 ], and 1 (17%) included a messaging interface [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

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The Use of mHealth Apps for the Assessment and Management of Diabetes-Related Foot Health Outcomes: Systematic Review

Sadler,

Gerrard,

Searle

et al. 2023

J Med Internet Res

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Background Globally, diabetes affects approximately 500 million people and is predicted to affect up to 700 million people by 2045. In Australia, the ongoing impact of colonization produces inequity in health care delivery and inequality in health care outcomes for First Nations Peoples, with diabetes rates 4 times those of non-Indigenous Australians. Evidence-based clinical practice has been shown to reduce complications of diabetes-related foot disease, including ulceration and amputation, by 50%. However, factors such as a lack of access to culturally safe care, geographical remoteness, and high costs associated with in-person care are key barriers for First Nations Peoples in accessing evidence-based care, leading to the development of innovative mobile health (mHealth) apps as a way to increase access to health services and improve knowledge and self-care management for people with diabetes. Objective This study aims to evaluate studies investigating the use of mHealth apps for the assessment and management of diabetes-related foot health in First Nations Peoples in Australia and non-Indigenous populations globally. Methods PubMed, Informit’s Indigenous Collection database, Ovid MEDLINE, Embase, CINAHL Complete, and Scopus were searched from inception to September 8, 2022. Hand searches of gray literature and reference lists of included studies were conducted. Studies describing mHealth apps developed for the assessment and management of diabetes-related foot health were eligible. Studies must include an evaluation (qualitative or quantitative) of the mHealth app. No language, publication date, or publication status restrictions were used. Quality appraisal was performed using the revised Cochrane risk-of-bias tool for randomized trials and the Health Evidence Bulletins Wales checklists for observational, cohort, and qualitative studies. Results No studies specifically including First Nations Peoples in Australia were identified. Six studies in non-Indigenous populations with 361 participants were included. Foot care education was the main component of all mHealth apps. Of the 6 mHealth apps, 2 (33%) provided functionality for participants to enter health-related data; 1 (17%) included a messaging interface. The length of follow-up ranged from 1-6 months. Of the 6 studies, 1 (17%) reported high levels of acceptability of the mHealth app content for self-care by people with diabetes and diabetes specialists; the remaining 5 (83%) reported that participants had improved diabetes-related knowledge and self-management skills after using their mHealth app. Conclusions The findings from this systematic review provide an overview of the features deployed in mHealth apps and indicate that this type of intervention can improve knowledge and self-care management skills in non-Indigenous people with diabetes. Future research needs to focus on mHealth apps for populations where there is inadequate or ineffective service delivery, including for First Nations Peoples and those living in geographically remote areas, as well as evaluate direct effects on diabetes-related foot disease outcomes. Trial Registration PROSPERO CRD42022349087; https://tinyurl.com/35u6mmzd

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The Use of mHealth Apps for the Assessment and Management of Diabetes-Related Foot Health Outcomes: Systematic Review (Preprint)

Sadler,

Gerrard,

Searle

et al. 2023

Preprint

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BACKGROUND Globally, diabetes affects approximately 500 million people and is predicted to affect up to 700 million people by 2045. In Australia, the ongoing impact of colonization produces inequity in health care delivery and inequality in health care outcomes for First Nations Peoples, with diabetes rates 4 times those of non-Indigenous Australians. Evidence-based clinical practice has been shown to reduce complications of diabetes-related foot disease, including ulceration and amputation, by 50%. However, factors such as a lack of access to culturally safe care, geographical remoteness, and high costs associated with in-person care are key barriers for First Nations Peoples in accessing evidence-based care, leading to the development of innovative mobile health (mHealth) apps as a way to increase access to health services and improve knowledge and self-care management for people with diabetes. OBJECTIVE This study aims to evaluate studies investigating the use of mHealth apps for the assessment and management of diabetes-related foot health in First Nations Peoples in Australia and non-Indigenous populations globally. METHODS PubMed, Informit’s Indigenous Collection database, Ovid MEDLINE, Embase, CINAHL Complete, and Scopus were searched from inception to September 8, 2022. Hand searches of gray literature and reference lists of included studies were conducted. Studies describing mHealth apps developed for the assessment and management of diabetes-related foot health were eligible. Studies must include an evaluation (qualitative or quantitative) of the mHealth app. No language, publication date, or publication status restrictions were used. Quality appraisal was performed using the revised Cochrane risk-of-bias tool for randomized trials and the Health Evidence Bulletins Wales checklists for observational, cohort, and qualitative studies. RESULTS No studies specifically including First Nations Peoples in Australia were identified. Six studies in non-Indigenous populations with 361 participants were included. Foot care education was the main component of all mHealth apps. Of the 6 mHealth apps, 2 (33%) provided functionality for participants to enter health-related data; 1 (17%) included a messaging interface. The length of follow-up ranged from 1-6 months. Of the 6 studies, 1 (17%) reported high levels of acceptability of the mHealth app content for self-care by people with diabetes and diabetes specialists; the remaining 5 (83%) reported that participants had improved diabetes-related knowledge and self-management skills after using their mHealth app. CONCLUSIONS The findings from this systematic review provide an overview of the features deployed in mHealth apps and indicate that this type of intervention can improve knowledge and self-care management skills in non-Indigenous people with diabetes. Future research needs to focus on mHealth apps for populations where there is inadequate or ineffective service delivery, including for First Nations Peoples and those living in geographically remote areas, as well as evaluate direct effects on diabetes-related foot disease outcomes. CLINICALTRIAL PROSPERO CRD42022349087; https://tinyurl.com/35u6mmzd

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Project DiabEHT: An approach to improve self-care management of diabetes

Cited by 3 publications

References 15 publications

Relationship between Diabetes Self-Management and the Use of Health Care Apps: A Cross-Sectional Study

Relationship between Diabetes Self-Management and the Use of Health Care Apps: A Cross-Sectional Study

The Use of mHealth Apps for the Assessment and Management of Diabetes-Related Foot Health Outcomes: Systematic Review

The Use of mHealth Apps for the Assessment and Management of Diabetes-Related Foot Health Outcomes: Systematic Review (Preprint)

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