Background The role of mobile health care (mHealth) in glycemic control has been investigated, but its impact on self-management skills and its psychological aspects have not been studied. Objective We evaluated the efficacy of mHealth-based diabetes self-management education and the effect of voluntary participation on its effects. Methods This study was a randomized controlled open-label trial conducted for 6 months at Kangbuk Samsung Hospital. Participants in the control group (n=31) maintained their previous diabetes management strategies. Participants in the intervention group (n=41) additionally received mHealth-based diabetes self-management education through a mobile app and regular individualized feedback from health care professionals. The primary outcome was change in glycated hemoglobin (HbA1c) level over 6 months between the 2 groups (intervention versus control) and within each group (at 6 months versus baseline). The secondary outcomes were changes in body mass index, blood pressure, lipid profile, and questionnaire scores (the Korean version of the Summary of Diabetes Self-Care Activities Questionnaire, an Audit of Diabetes Dependent Quality of Life, the Appraisal of Diabetes Scale, and Problem Areas in Diabetes) over 6 months between groups and within each group. Results A total of 66 participants completed this study. HbA1c (P=.04), total cholesterol level (P=.04), and Problem Areas in Diabetes scores (P=.02) significantly decreased; total diet (P=.03) and self-monitoring of blood glucose level scores (P=.01), based on the Summary of Diabetes Self-Care Activities Questionnaire, markedly increased within the intervention group. These significant changes were observed in self-motivated participants who were recruited voluntarily via advertisements. Conclusions mHealth-based diabetes self-management education was effective at improving glycemic control and diabetes self-management skills and lowering diabetes-related distress in voluntary participants. Trial Registration ClinicalTrials.gov NCT03468283; http://clinicaltrials.gov/ct2/show/NCT03468283

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As the standard of living rises, people are more interested in their health and desire well-being life. We develop the system to provide user customized health service for the pursuit of wellbeing life care in the ubiquitous smart space. Our system's process is divided into four steps. In first step, we adapt user identification process and vital signs monitoring process by wireless devices. RFID is used for user identification. Next step is the process of Health condition analysis by agent system using neural networks. The wellbeing life care agent recommends some intervention for user's wellbeing life into the behavioral patterns, such as in the eating habits and the extent of exercise. To help user to keep manage their wellbeing life, we offer them healthy meal and exercise recommendation service in the last step. This recommendation service is made by the wellbeing index. This wellbeing Index Score for Meal is calculated based on food's nutrition, user's preference, and user's medical status.2007 International Conference on Convergence Information Technology 0-7695-3038-9/07 $25.00

BACKGROUND Mobile healthcare is helpful to support patient efforts for healthy lifestyle choices, disease self-management. OBJECTIVE We evaluated the efficacy of mobile healthcare-based diabetes self-management education (DSME) and the impact of voluntary participation on its effects. METHODS This study was a randomized, controlled, open-label trial conducted for 6 months between 2012 and 2013 at Kangbuk Samsung Hospital. The participants in the control group (n=31) maintained their previous diabetes management. The intervention (n=41) was addition of mobile healthcare-based DMSE to diabetes care through a mobile application and regular, individualized feedback from healthcare professionals. The primary outcome was change in glycated hemoglobin (HbA1c) level over 6 months between two groups and within each group. Changes in body mass index, blood pressure, lipid profile, and scores on four questionnaires (the Korean version of the Summary of Diabetes Self-Care Activities Questionnaire [SDSCA], an Audit of Diabetes Dependent Quality of Life, the Appraisal of Diabetes Scale, and the Problem Areas in Diabetes [PAID]) over 6 months between the control and intervention groups and within each group were the secondary outcomes. RESULTS A total 66 participants completed this study. HbA1c, total cholesterol level, and PAID scores significantly decreased (P values of .04, .04, and .02, respectively) and total diet and self-monitoring of blood glucose scores based on the SDSCA markedly increased (P values of .03 and .01, respectively) versus baseline in the intervention group. These significant changes were observed in self-motivated participants who were recruited voluntarily via advertisement. CONCLUSIONS Mobile healthcare-based DMSE was effective at improving glycemic control and diabetes self-management skills and lowering diabetes-related distress, especially in voluntary participants. CLINICALTRIAL NCT03468283 (http://clinicaltrials.gov/ct2/show/NCT03468283)