Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial
Background: Mobile health interventions are increasingly used in health care. The level of acceptability may indicate whether and how such digital solutions will be used. Objective: This study aimed to explore associations between the level of acceptability of a mobile diabetes app and initial abili...
Main Authors: | , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Journal of Medical Internet Research
2019
|
Subjects: | |
Online Access: | https://hdl.handle.net/10642/6701 |
id |
fthsosloakersoda:oai:oda.oslomet.no:10642/6701 |
---|---|
record_format |
openpolar |
institution |
Open Polar |
collection |
OsloMet (Oslo Metropolitan University): ODA (Open Digital Archive) |
op_collection_id |
fthsosloakersoda |
language |
English |
topic |
Diabetes mellitus Type 2 diabetes Health care acceptability Self-care Telemedicines Statistics |
spellingShingle |
Diabetes mellitus Type 2 diabetes Health care acceptability Self-care Telemedicines Statistics Torbjørnsen, Astrid Småstuen, Milada Cvancarova Jenum, Anne Karen Årsand, Eirik Ribu, Lis Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial |
topic_facet |
Diabetes mellitus Type 2 diabetes Health care acceptability Self-care Telemedicines Statistics |
description |
Background: Mobile health interventions are increasingly used in health care. The level of acceptability may indicate whether and how such digital solutions will be used. Objective: This study aimed to explore associations between the level of acceptability of a mobile diabetes app and initial ability of self-management for patients with type 2 diabetes. Methods: Participants with type 2 diabetes were recruited from primary health care settings to a 3-armed randomized controlled trial in the Norwegian study in the RENEWING HEALTH project. At the 1-year follow-up, 75 out of 101 participants from the intervention groups completed an acceptability questionnaire (The Service User Technology Acceptability Questionnaire). In the randomized controlled trial, the 2 intervention groups (n=101 in total) received a mobile phone with a diabetes diary app, and one of the groups received additional health counseling given by telephone calls from a diabetes specialist nurse (n=50). At baseline, we collected clinical variables from medical records, whereas demographic data and self-management (The Health Education Impact Questionnaire) measures were self-reported. Log data from the use of the app by self-monitoring were registered continuously. Associations between initial ability to self-manage at baseline and acceptability of the diabetes diary app after 1 year were analyzed using linear regression. Results: We found statistically significant associations between 5 of the 8 self-management domains and perceived benefit, one of the acceptability factors. However, when adjusting for age, gender, and frequency of use, only 1 domain, skill and technique acquisition,remained independently associated with perceived benefit. Frequency of use of the app was the factor that revealed the strongest association with the acceptability domain perceived benefit. Conclusions: Our findings indicate that persons with diabetes may accept the app, despite its perceived benefit being associated with only one of the 8 domains of their initial level of self-management. This Norwegian project was funded by the EU and the ICT PSP and Innovation Framework Program, the Norwegian Research Council, the Health Authorities of Northern Norway, the Norwegian Centre for E-health Research, Oslo and Akershus University College of Applied Sciences, Akershus University Hospital, and the Norwegian Diabetes Association. publishedVersion |
format |
Article in Journal/Newspaper |
author |
Torbjørnsen, Astrid Småstuen, Milada Cvancarova Jenum, Anne Karen Årsand, Eirik Ribu, Lis |
author_facet |
Torbjørnsen, Astrid Småstuen, Milada Cvancarova Jenum, Anne Karen Årsand, Eirik Ribu, Lis |
author_sort |
Torbjørnsen, Astrid |
title |
Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial |
title_short |
Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial |
title_full |
Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial |
title_fullStr |
Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial |
title_full_unstemmed |
Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial |
title_sort |
acceptability of an mhealth app intervention for persons with type 2 diabetes and its associations with initial self-management: randomized controlled trial |
publisher |
Journal of Medical Internet Research |
publishDate |
2019 |
url |
https://hdl.handle.net/10642/6701 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
Journal of Medical Internet Research |
op_relation |
Journal of Medical Internet Research;Vol 6, No 5 (2018): May Torbjørnsen AT, Småstuen MC, Jenum AK, Årsand E, Ribu L. Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial. Journal of Medical Internet Research. 2018;6(5) urn:issn:1438-8871 https://hdl.handle.net/10642/6701 cristin:1592556 |
op_rights |
© Astrid Torbjørnsen, Milada Cvancarova Småstuen, Anne Karen Jenum, Eirik Årsand, Lis Ribu. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.05.2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. https://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
_version_ |
1766145831608516608 |
spelling |
fthsosloakersoda:oai:oda.oslomet.no:10642/6701 2023-05-15T17:43:42+02:00 Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial Torbjørnsen, Astrid Småstuen, Milada Cvancarova Jenum, Anne Karen Årsand, Eirik Ribu, Lis 2019-01-24T11:54:47Z application/pdf https://hdl.handle.net/10642/6701 en eng Journal of Medical Internet Research Journal of Medical Internet Research;Vol 6, No 5 (2018): May Torbjørnsen AT, Småstuen MC, Jenum AK, Årsand E, Ribu L. Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial. Journal of Medical Internet Research. 2018;6(5) urn:issn:1438-8871 https://hdl.handle.net/10642/6701 cristin:1592556 © Astrid Torbjørnsen, Milada Cvancarova Småstuen, Anne Karen Jenum, Eirik Årsand, Lis Ribu. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.05.2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. https://creativecommons.org/licenses/by/4.0/ CC-BY Journal of Medical Internet Research Diabetes mellitus Type 2 diabetes Health care acceptability Self-care Telemedicines Statistics Journal article Peer reviewed 2019 fthsosloakersoda 2021-10-11T16:53:01Z Background: Mobile health interventions are increasingly used in health care. The level of acceptability may indicate whether and how such digital solutions will be used. Objective: This study aimed to explore associations between the level of acceptability of a mobile diabetes app and initial ability of self-management for patients with type 2 diabetes. Methods: Participants with type 2 diabetes were recruited from primary health care settings to a 3-armed randomized controlled trial in the Norwegian study in the RENEWING HEALTH project. At the 1-year follow-up, 75 out of 101 participants from the intervention groups completed an acceptability questionnaire (The Service User Technology Acceptability Questionnaire). In the randomized controlled trial, the 2 intervention groups (n=101 in total) received a mobile phone with a diabetes diary app, and one of the groups received additional health counseling given by telephone calls from a diabetes specialist nurse (n=50). At baseline, we collected clinical variables from medical records, whereas demographic data and self-management (The Health Education Impact Questionnaire) measures were self-reported. Log data from the use of the app by self-monitoring were registered continuously. Associations between initial ability to self-manage at baseline and acceptability of the diabetes diary app after 1 year were analyzed using linear regression. Results: We found statistically significant associations between 5 of the 8 self-management domains and perceived benefit, one of the acceptability factors. However, when adjusting for age, gender, and frequency of use, only 1 domain, skill and technique acquisition,remained independently associated with perceived benefit. Frequency of use of the app was the factor that revealed the strongest association with the acceptability domain perceived benefit. Conclusions: Our findings indicate that persons with diabetes may accept the app, despite its perceived benefit being associated with only one of the 8 domains of their initial level of self-management. This Norwegian project was funded by the EU and the ICT PSP and Innovation Framework Program, the Norwegian Research Council, the Health Authorities of Northern Norway, the Norwegian Centre for E-health Research, Oslo and Akershus University College of Applied Sciences, Akershus University Hospital, and the Norwegian Diabetes Association. publishedVersion Article in Journal/Newspaper Northern Norway OsloMet (Oslo Metropolitan University): ODA (Open Digital Archive) Norway |