Sarah Pludwinski1, Farah Ahmad2, Noah Wayne1, Paul Ritvo3. 1. School of Kinesiology and Health Science, York University, Canada. 2. School of Health Policy and Management, York University, Canada North York General Hospital, Canada. 3. School of Kinesiology and Health Science, York University, Canada Cancer Care Ontario, Research, Cancer Prevention and Control, Canada Division of Epidemiology and Biostatistics, Princess Margaret Hospital, University Health Network, Canada pritvo@yorku.ca.
Abstract
INTRODUCTION: We investigated the experience of individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in an intervention in which the key elements were the provision of a smartphone and self-monitoring software. The interviews focused on use of a smartphone and the effects on motivation for health behavior change. METHODS: This was a qualitative evaluation of participants in a larger T2DM self-management randomized controlled trial (RCT) conducted at the Black Creek Community Health Centre (BCCHC) in Toronto, Canada (ClinicalTrials.gov Identifier: NCT02036892). The study is based on semi-structured interviews (n = 11) that were audio taped and analyzed with a thematic analytic approach. The RCT compared the effectiveness of six months of smartphone-based self-monitoring and health coaching with a control group who received health coaching without internet or smartphone-based assistance. RESULTS: Qualitative data analyses resulted in derivation of four major themes that describe participant experience: (a) 'smartphone and software', describes smartphone use in relation to health behavior change; (b) 'health coach' describes how client/health coach relationships were assisted by smartphone use; (c) 'overall experience' describes perceptions of the overall intervention; and (d) 'frustrations in managing chronic conditions' describes difficulties with the complexities of T2DM management from a patient perspective. DISCUSSION: Findings suggest that interventions with T2DM assisted by smartphone software and health coaches actively engage individuals in improved hemoglobin A1c (HbA1c) control.
RCT Entities:
INTRODUCTION: We investigated the experience of individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in an intervention in which the key elements were the provision of a smartphone and self-monitoring software. The interviews focused on use of a smartphone and the effects on motivation for health behavior change. METHODS: This was a qualitative evaluation of participants in a larger T2DM self-management randomized controlled trial (RCT) conducted at the Black Creek Community Health Centre (BCCHC) in Toronto, Canada (ClinicalTrials.gov Identifier: NCT02036892). The study is based on semi-structured interviews (n = 11) that were audio taped and analyzed with a thematic analytic approach. The RCT compared the effectiveness of six months of smartphone-based self-monitoring and health coaching with a control group who received health coaching without internet or smartphone-based assistance. RESULTS: Qualitative data analyses resulted in derivation of four major themes that describe participant experience: (a) 'smartphone and software', describes smartphone use in relation to health behavior change; (b) 'health coach' describes how client/health coach relationships were assisted by smartphone use; (c) 'overall experience' describes perceptions of the overall intervention; and (d) 'frustrations in managing chronic conditions' describes difficulties with the complexities of T2DM management from a patient perspective. DISCUSSION: Findings suggest that interventions with T2DM assisted by smartphone software and health coaches actively engage individuals in improved hemoglobin A1c (HbA1c) control.
Authors: Paul Ritvo; Maya Obadia; Daniel Santa Mina; Shabbir Alibhai; Catherine Sabiston; Paul Oh; Kristin Campbell; David McCready; Leslie Auger; Jennifer Michelle Jones Journal: JMIR Res Protoc Date: 2017-08-24
Authors: Aniek J Lentferink; Hilbrand Ke Oldenhuis; Martijn de Groot; Louis Polstra; Hugo Velthuijsen; Julia Ewc van Gemert-Pijnen Journal: J Med Internet Res Date: 2017-08-01 Impact factor: 5.428