Integrated Diabetes Self-Management Program Using Smartphone Application: A Randomized Controlled Trial. (April 2022)

• Record Type: Journal Article
• Authors: Kim, Yeojin; Lee, Hyejin; Seo, Ji Min
• Is Part Of: Western journal of nursing research. Volume 44:Number 4(2022)
• Page Start: 383
• Page End: 394
• Publication Date: 2022-04
• Subjects: Diabetes mellitus -- self-management -- smartphone -- education -- counseling; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/0193945921994912
• Languages: English
• ISSNs: 0193-9459

Abstract

This study identified the effects of an integrated diabetes self-management program using smartphone application (app), based on the Information-Motivation-Behavioral skills (IMB) model. A randomized comparison, using a pre-and post-test design, was conducted with 32 participants in the experimental group and 36 in the control group. The integrated diabetes self-management program consisted of face-to-face educational sessions, a diabetes self-management smartphone app, and phone counseling. In the experimental group, diabetes self-management knowledge (Z=-2.70, p =.007), social motivation (Z=-1.97, p =.048), and behavior (t=3.22, p =.002) improved, with their hemoglobin A1c (Z=-4.83, p <.001) decreasing compared to the control group. At the post-test, the experimental group's fasting blood sugar level (t=2.79, p =.009), total calorie intake (t=3.94, p =.001), carbohydrate intake (t=5.69, p< .001), and fat intake (t=2.54, p =.021) decreased compared to the pre-test. An integrated diabetes self-management program using smartphone app, based on the IMB model, should be utilized as a nursing intervention.