Diabetes Mellitus
Conditions
Brief summary
The aim of this study is to investigate whether adding tailored mobile coaching system to present community primary care for diabetes management would result in better glycemic control and other diabetes-related outcomes in adult patients with type 2 diabetes, compared with maintaining usual diabetes management only.
Detailed description
The incidence and prevalence of type 2 diabetes is increasing rapidly worldwide. Considering the fact that complications of diabetes result in greater expenditure and reduced productivity is a socioeconomic concern, adequate glycemic control is important not only as individual health problem but also as challenge to healthcare systems worldwide. To support patients' behavior change efforts, including healthy lifestyle choices, disease self-management, and prevention of diabetes complication, multifaceted professional interventions are needed. Ubiquitous healthcare based on information and communication technology is one of these approaches. The aim of this study is to investigate whether adding tailored mobile coaching system to present community primary care for diabetes management would result in better glycemic control and other diabetes-related outcomes in adult patients with type 2 diabetes, compared with maintaining usual diabetes management only.
Interventions
OTHERTailored mobile coaching messages
Intervention was adding tailored mobile coaching to current usual diabetes care. The participants received regular mobile messages via Switch app according to entered data, such as self-monitoring of blood glucose, blood pressure, exercise, dietary record, medication record, and body weight. Contents of messages were alert for the unused, weather, behavioral recommendation, education about diabetes, and individualized advices.
Sponsors
Kangbuk Samsung Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Masking description
It was open label study.
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Korean policyholders with type 2 diabetes; * Aged ≥ 19 years; * Smartphone users; * Glycated hemoglobin (HbA1c) ≥ 6.5% within 3 months.
Exclusion criteria
* Currently had serious concomitant disease other than diabetes; * Had admission histories due to malignancy, myocardial infarction, cerebral infarction, or organ transplantation; * Pregnant or had plan for pregnancy within 6 months; * Planned for attending other clinical; * Illiteracy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| glycated hemoglobin levels | at 6 months |
Secondary
| Measure | Time frame |
|---|---|
| change in body mass index within each group | between baseline and 6 months |
| change in low-density lipoprotein cholesterol within each group | between baseline and 6 months |
| change in glycated hemoglobin levels within each group | between baseline and 6 months |
| change in triglyceride within each group | between baseline and 6 months |
| change in blood pressure within each group | between baseline and 6 months |
| change in high-density lipoprotein cholesterol within each group | between baseline and 6 months |
Outcome results
None listed