The effect of the smartphone app DiaCert on health related quality of life in patients with type 2 diabetes: results from a randomized controlled trial

Hummel, Madeleine; Bonn, Stephanie E; Lagerros, Ylva Trolle

doi:10.1186/s13098-022-00965-z

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…In our modern intelligent era, mobile phones play a key role in everyday life, integrating functions such as communication, entertainment, education, and work [1][2][3]. Studies have indicated that the number of Chinese netizens is growing, with 99.8% of them using mobile phones to access the Internet [4].…”

Section: Introductionmentioning

confidence: 99%

The Relationships between Effortful Control, Mind Wandering, and Mobile Phone Addiction Based on Network Analysis

Qiu,

Guo,

Wang

et al. 2024

Healthcare

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Background: The prevailing mobile phone use brought the problem of addiction, which might cause negative consequences. Effortful control and mind wandering were associated with addictive behavior. The present study aimed to investigate the dimension-level relationships between effortful control, mind wandering, and mobile phone addiction. Methods: A total of 1684 participants participated this study. The mobile phone addiction, effortful control, and mind wandering were measured through self-report scales, respectively. Dimension-level network of these psychological variables was estimated and bridge expected influence (BEI) values for each node was calculated. Results: Dimensions of mobile phone addiction, effortful control, and mind wandering exhibited distinct and complex links to each other. The node “activation control” exhibited the highest negative BEI value (BEI = −0.32), whereas “spontaneous thinking” showed the highest positive BEI value (BEI = 0.20). Conclusions: Different dimensions of effortful control and mind wandering had varied yet significant connections with distinct dimensions of mobile phone addiction, facilitating understanding of the specific pathways underlying the three constructs. The identified dominant bridge nodes can provide potential targets for the intervention of mobile phone addiction.

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Section: Introductionmentioning

confidence: 99%

The Relationships between Effortful Control, Mind Wandering, and Mobile Phone Addiction Based on Network Analysis

Qiu,

Guo,

Wang

et al. 2024

Healthcare

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Effectiveness of a Smartphone App to Promote Physical Activity Among Persons With Type 2 Diabetes: Randomized Controlled Trial (Preprint)

Bonn,

Hummel,

Peveri

et al. 2023

Preprint

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BACKGROUND Physical activity is well known to have beneficial effects on glycemic control and to reduce risk factors for cardiovascular disease in persons with type 2 diabetes. Yet, successful implementation of lifestyle interventions targeting physical activity in primary care has shown to be difficult. Smartphone apps may provide useful tools to support physical activity. The DiaCert app was specifically designed for integration into primary care and is an automated mobile health (mHealth) solution promoting daily walking. OBJECTIVE This study aimed to investigate the effect of a 3-month-long intervention promoting physical activity through the use of the DiaCert app among persons with type 2 diabetes in Sweden. Our primary objective was to assess the effect on moderate to vigorous physical activity (MVPA) at 3 months of follow-up. Our secondary objective was to assess the effect on MVPA at 6 months of follow-up and on BMI, waist circumference, hemoglobin A<sub>1c</sub>, blood lipids, and blood pressure at 3 and 6 months of follow-up. METHODS We recruited men and women with type 2 diabetes from 5 primary health care centers and 1 specialized center. Participants were randomized 1:1 to the intervention or control group. The intervention group was administered standard care and access to the DiaCert app at baseline and 3 months onward. The control group received standard care only. Outcomes of objectively measured physical activity using accelerometers, BMI, waist circumference, biomarkers, and blood pressure were assessed at baseline and follow-ups. Linear mixed models were used to assess differences in outcomes between the groups. RESULTS A total of 181 study participants, 65.7% (119/181) men and 34.3% (62/181) women, were recruited into the study and randomized to the intervention (n=93) or control group (n=88). The participants’ mean age and BMI were 60.0 (SD 11.4) years and 30.4 (SD 5.3) kg/m<sup>2</sup>, respectively. We found no significant effect of the intervention (group by time interaction) on MVPA at either the 3-month (β=1.51, 95% CI –5.53 to 8.55) or the 6-month (β=–3.53, 95% CI –10.97 to 3.92) follow-up. We found no effect on any of the secondary outcomes at follow-ups, except for a significant effect on BMI at 6 months (β=0.52, 95% CI 0.20 to 0.84). However, mean BMI did not differ between the groups at the 6-month follow-up. CONCLUSIONS We found no evidence that persons with type 2 diabetes being randomized to use an app promoting daily walking increased their levels of MVPA at 3 or 6 months’ follow-up compared with controls receiving standard care. The effect of the app on BMI was unclear, and we found nothing to support an effect on secondary outcomes. Further research is needed to determine what type of mHealth intervention could be effective to increase physical activity among persons with type 2 diabetes. CLINICALTRIAL ClinicalTrials.gov NCT03053336; https://clinicaltrials.gov/study/NCT03053336

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Physical Activity Interventions in People with Diabetes: A Systematic Review of The Qualitative Evidence

Vilafranca-Cartagena,

Bonet-Augè,

Colillas-Malet

et al. 2024

Healthcare

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Objectives: The aim of this systematic review is to summarize the results of qualitative research into people with type 2 diabetes mellitus (T2DM) and their propensity to engage in physical activity (PA), and to identify and analyse their experiences and opinions of interventions and programs designed to increase their adherence to PA recommendations. Design: Systematic review of qualitative studies extracted from databases using the SPIDER systematic search method. The review included studies that combined qualitative and mixed methods research and compiled the experiences and opinions of people with T2DM who had participated in interventions to increase their levels of PA. A thematic summary of qualitative data was performed. Results: The review comprised nine studies published between 2017 and 2021, which included 170 people. Four themes and ten subthemes were identified. The four themes include: (1) factors related to PA, (2) factors related to the program, (3) factors related to the support the participants received and (4) factors related to the person. Conclusion: The support patients receive, both from family/friends and from health providers, is key to consolidating changes in habits and in promoting individualized health education. Future interventions and health policies should reinforce programs designed to promote PA that prioritize the experiences of people in order to increase their adherence to PA programs.

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The effect of the smartphone app DiaCert on health related quality of life in patients with type 2 diabetes: results from a randomized controlled trial

Cited by 3 publications

References 42 publications

The Relationships between Effortful Control, Mind Wandering, and Mobile Phone Addiction Based on Network Analysis

The Relationships between Effortful Control, Mind Wandering, and Mobile Phone Addiction Based on Network Analysis

Effectiveness of a Smartphone App to Promote Physical Activity Among Persons With Type 2 Diabetes: Randomized Controlled Trial (Preprint)

Physical Activity Interventions in People with Diabetes: A Systematic Review of The Qualitative Evidence

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