Use of Behavioral Change Techniques in Web-Based Self-Management Programs for Type 2 Diabetes Patients: Systematic Review

Vugt, M. van; Wit, Maartje de; Cleijne, Wilmy; Snoek, Frank J.

doi:10.2196/jmir.2800

Cited by 108 publications

(90 citation statements)

References 58 publications

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“…[23][24][25] Information about psychosocial support, for example, affects patients' well-being, 12,26,28 and psychosocial interventions can improve patients' diabetes self-management. 1,3,8,29 Not providing information about the psychosocial aspects of diabetes self-management is a missed opportunity that should be addressed. The majority of the apps also did not provide information about healthcare providers or facilities, so those apps could not facilitate decisions about sources of treatment.…”

Section: Discussionmentioning

confidence: 99%

“…7 This can lead to severe health consequences and a sense of powerlessness regarding treatment and self-management. [8][9][10][11] Effective self-management of diabetes 12,13 can be supported by mobile health (m-health) applications (apps), enabling patients to communicate with healthcare providers regarding glucose levels, weight, and diet control. [14][15][16][17] The quality of m-health tools is problematic, however; few apps offer all of the features considered necessary for effective diabetes management, 18 and despite the high prevalence of diabetes and adoption rate of mobile phones in China, 19,20 knowledge about the quality of diabetes-related Chinese mobile apps is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Chinese m-Health Applications for Diabetes Self-Management

Nie

Xie

Yang

et al. 2016

Telemedicine and e-Health

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Purpose: To examine the features and types of health information provided in Chinese diabetes mobile applications (apps) for patients' self-management. Materials and Methods: Through multiple rounds of screening, we identified a total of 95 relevant iOS (Apple, Cupertino, CA) and AndroidÔ (Google, Mountain View, CA) apps and examined each app's features and health information types based on each app's description in the app stores. We used a 15-feature algorithm to evaluate the apps' abilities for supporting diabetic patients' self-management, based on U.S. national standards for diabetes self-management. We also adapted the health information wants framework to analyze the types of information that the apps provided for diabetic patients. Results: Diabetes education was the most common feature, provided by 75% of the apps. Blood glucose checking was enabled by 65% of the apps. Diet management, insulin checking, and physical activity monitoring were enabled by 53%, 49%, and 44% of the apps, respectively. Only a small percentage of the apps enabled psychosocial support (29%) or tracking of blood pressure (14%), cholesterol (14%), or body mass index (11%). None of the apps provided all seven types of information posited by the health information wants framework. Only a small percentage of the apps provided information about psychosocial support (29%), healthcare providers (24%), or healthcare facilities (24%). Information about complementary and alternative medicine was the least likely type of information provided in the apps, with only 7% of the apps providing this type of information. Conclusions: Our findings have important implications for improving the quality of Chinese diabetes mobile apps to facilitate patients' self-management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Characteristics of Chinese m-Health Applications for Diabetes Self-Management

Nie

Xie

Yang

et al. 2016

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…14, 28 We do know that patient education is not sufficient to engender self-care, 1,29 but that it may be useful when embedded in e-health programmes. 30 Lainscak et al 2 suggest that patient self-management may be improved through "comprehensive CHF education and counselling that is not only focused on knowledge, but also on skills and behaviour" (p.21).…”

Section: Recommendations To Promote Patient Self-management: a Socialmentioning

confidence: 99%

“…Poor engagement in self-management interventions, whether at the level of the patient or practitioner, is common; e-health strategies may offer a means by which to more seamlessly integrate programmes into existing systems of care, patient lifestyles, and their social networks. 46 E-health self-management interventions may improve symptom control and monitoring in chronic disease; 28,47,48 however, the long-term benefits (such as reduction in hospital admissions and mortality risk)…”

Section: Recommendations To Promote Patient Self-management: a Socialmentioning

confidence: 99%

Patient Self-Management In Chronic Heart Failure — Establishing Concordance Between Guidelines And Practice

Toukhsati¹,

Driscoll²,

Hare³

2015

Cardiac Failure Review

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The gold-standard of patient self-management in chronic heart failure (CHF) can be defined as "daily activities that maintain clinical stability". 1 This requires that patients monitor their symptoms, adhere to their medication, diet and exercise regimens and manage symptoms by recognising changes and responding by either adapting behaviours or by seeking appropriate assistance.2 Patient self-management is linked to reduced mortality risk and fewer hospital admissions; however, there is less certainty with regard to the benefits of some aspects of self-care, such as lifestyle choices and fluid restriction.2 According to the European Society of Cardiology Guidelines for the diagnosis and treatment of acute and chronic heart failure, 3 self-management is integral to achieving best patient outcomes: to reduce mortality and improve quality of life.Self-management in CHF usually involves behavioural adaptation.Patients may need to learn new behaviours, such as learning how to monitor and manage symptoms and complex medical regimens.Patients may also need to abstain (e.g. cease smoking), adapt (e.g. AbstractChronic heart failure (CHF) is a progressive and debilitating disease with a broad symptom profile, intermittently marked by periods of acute decompensation. CHF patients are encouraged to self-manage their illness, such as adhering to medical regimens and monitoring symptoms, to optimise health outcomes and quality of life. In so doing, patients are asked to collaborate with their health service providers with regard to their care. However, patients generally do not self-manage well, even with specialist support. Moreover, selfmanagement interventions are yet to demonstrate morbidity or mortality benefits. Social network approaches to self-management consider the availability and mobilisation of all resources, beyond those of only the patient and healthcare providers. Used in conjunction with e-health platforms, social network approaches may offer a means by which to optimise self-management programmes of the future.

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“…However, it has not been established whether behavioural change techniques provided by digital devices are effective in the long run. 16 A metaanalysis of 85 internet intervention programs concludes that they were mostly effective especially if they were based on the theory of planned behaviour. Including more techniques and using additional communication methods were found to enhance the effects.…”

Section: Introductionmentioning

confidence: 99%

An integrated mHealth model for type 2 diabetes patients using mobile tablet devices

Park¹,

Burford²,

Hanlen³

et al. 2016

JournalMTM

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Background: Ease of use, proximity to the user and various health maintenance applications enable mobile tablet devices to improve patient self-management. With mobile phones becoming prevalent, various mobile health (mHealth) programs have been devised, to improve patient care and strengthen healthcare systems.Aims: This study explored how mHealth programs can be developed for type 2 diabetes patients through a co-design participatory workshop between practitioners and researchers. The aim was to design a mHealth pilot program from the input.Methods: A co-design workshop was conducted with 15 participants, including general practitioners, specialists, nurses and a multidisciplinary research team. Participants generated 31 statements in response to a trigger question and engaged in a structured discussion. Thematic cluster analysis was conducted on the statements and discussions.Results: Through the analysis, patients' self-management and health system integration emerged as the main topics. Further analysis revealed that there were two distinct areas of patient selfmanagement; 'compelled' and 'empowered'. Conclusion:With the results, a loose-knit mHealth pilot program was developed wherein patients with various levels of conditions and digital skills could be incorporated. In order to encourage sustainable changes, practitioners proposed that mobile devices must be situated in the patients' everyday settings and that digital training should be provided.

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Use of Behavioral Change Techniques in Web-Based Self-Management Programs for Type 2 Diabetes Patients: Systematic Review

Cited by 108 publications

References 58 publications

Characteristics of Chinese m-Health Applications for Diabetes Self-Management

Characteristics of Chinese m-Health Applications for Diabetes Self-Management

Patient Self-Management In Chronic Heart Failure — Establishing Concordance Between Guidelines And Practice

An integrated mHealth model for type 2 diabetes patients using mobile tablet devices

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