Encouraging Physical Activity in Patients With Diabetes Through Automatic Personalized Feedback via Reinforcement Learning Improves Glycemic Control

Hochberg, Irit; Feraru, Guy; Kozdoba, Mark; Mannor, Shie; Tennenholtz, Moshe; Yom‐Tov, Elad

doi:10.2337/dc15-2340

Cited by 23 publications

(16 citation statements)

References 3 publications

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“…In addition, the improvements in diabetes self-management, especially regarding SMBG, exercise, and knowledge of diabetes management observed in the present study are notable (Table 1 ). The wearable fitness tracker might be a strong motivator for patients to exercise more 35 – 38 . Although increased exercise was transient during the intervention period, this result was comparable with previous analyses showing a high degree of discontinuation after 6 months 39 , 40 .…”

Section: Discussionmentioning

confidence: 99%

The effectiveness, reproducibility, and durability of tailored mobile coaching on diabetes management in policyholders: A randomized, controlled, open-label study

Lee

Park²,

Choi³

et al. 2018

Sci Rep

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This randomized, controlled, open-label study conducted in Kangbuk Samsung Hospital evaluated the effectiveness, reproducibility, and durability of tailored mobile coaching (TMC) on diabetes management. The participants included 148 Korean adult policyholders with type 2 diabetes divided into the Intervention-Maintenance (I-M) group (n = 74) and Control-Intervention (C-I) group (n = 74). Intervention was the addition of TMC to typical diabetes care. In the 6-month phase 1, the I-M group received TMC, and the C-I group received their usual diabetes care. During the second 6-month phase 2, the C-I group received TMC, and the I-M group received only regular information messages. After the 6-month phase 1, a significant decrease (0.6%) in HbA1c levels compared with baseline values was observed in only the I-M group (from 8.1 ± 1.4% to 7.5 ± 1.1%, P < 0.001 based on a paired t-test). At the end of phase 2, HbA1c levels in the C-I group decreased by 0.6% compared with the value at 6 months (from 7.9 ± 1.5 to 7.3 ± 1.0, P < 0.001 based on a paired t-test). In the I-M group, no changes were observed. Both groups showed significant improvements in frequency of blood-glucose testing and exercise. In conclusion, addition of TMC to conventional treatment for diabetes improved glycemic control, and this effect was maintained without individualized message feedback.

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Section: Discussionmentioning

confidence: 99%

The effectiveness, reproducibility, and durability of tailored mobile coaching on diabetes management in policyholders: A randomized, controlled, open-label study

Lee

Park²,

Choi³

et al. 2018

Sci Rep

View full text Add to dashboard Cite

show abstract

“…[71] The third study randomized 27 sedentary patients with T2DM, a pedometer, and personal physical activity plan to receive repeated text messages that either did (treatment) or did not (control) adapt based on an individual’s walking behaviors and found that the adaptive messages were significantly more effective in increasing the amount and pace of their walking. [72] The fourth study was a randomized trial that used a two-by-two design to test gain vs. loss and immediate vs. distal frames to increase physical activity among 239 patients with T2DM and found no differences in immediate intentions to increase physical activity among the four arms. [73] Just one study examined the effects of message framing on glycemic control.…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Behavioral Economic Interventions for Prevention and Treatment of Type 2 Diabetes Mellitus

et al. 2017

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Purpose of review To review studies of behavioral economic interventions (financial incentives, choice architecture modifications, or commitment devices) to prevent type 2 diabetes mellitus (T2DM) among at-risk patients or improve self-management among patients with T2DM. Recent findings We found 15 studies that used varied study designs and outcomes to test behavioral economic interventions in clinical, workplace, or health plan settings. Of four studies that focused on prevention of T2DM, two found that financial incentives increased weight loss and completion of a fasting blood glucose test, and two choice architecture modifications had mixed effects in encouraging completion of tests to screen for T2DM. Of 11 studies that focused on improving self-management of T2DM, four of six tests of financial incentives demonstrated increased engagement in recommended care processes or improved biometric measures, and three of five tests of choice architecture modifications found improvements in self-management behaviors. Summary Though few studies have tested behavioral economic interventions for prevention or treatment of T2DM, those that have suggest such approaches have potential to improve patient behaviors and should be tested more broadly.

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“…Most patients with type 2 diabetes mellitus are sedentary despite the clear benefits of regular physical activity, including better glucose control and improved quality of life (24).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Physical Activity Interventions in Type 2 Diabetes Mellitus Patients: A Literature Review

Suardi¹

2021

IJNHS

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Diabetes Mellitus (DM) is a chronic disease associated with insulin deficiency and the inability of the pancreas to produce enough insulin. WHO predicts that the number of people with type II diabetes mellitus in Indonesia will increase to 12 million in 2030. The study aimed to describe Physical Activity Interventions in type 2 diabetes mellitus patients. Using the online journal database that provides free articles and journals from 2010 -2020 in PDF form such as: Scinapse, Pubmed, ProQuest, MDPI and Google Scholar using the keywords "Physical Activity", “Effectiveness of Physical Activity". Physical activity intervention can improve the condition of patient with Diabetes mellitus if routinely done. Intake of physical activity intervention can control HbA1c levels and blood sugar, body weight and other glycemic control. Physical activity intervention is able to improve the condition of Diabetes Mellitus patients

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Encouraging Physical Activity in Patients With Diabetes Through Automatic Personalized Feedback via Reinforcement Learning Improves Glycemic Control

Cited by 23 publications

References 3 publications

The effectiveness, reproducibility, and durability of tailored mobile coaching on diabetes management in policyholders: A randomized, controlled, open-label study

The effectiveness, reproducibility, and durability of tailored mobile coaching on diabetes management in policyholders: A randomized, controlled, open-label study

A Scoping Review of Behavioral Economic Interventions for Prevention and Treatment of Type 2 Diabetes Mellitus

Effectiveness of Physical Activity Interventions in Type 2 Diabetes Mellitus Patients: A Literature Review

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