Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial

Mary D Adu,1 Usman H Malabu,1 Aduli EO Malau-Aduli,2 Bunmi S Malau-Aduli11College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia; 2College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, AustraliaBackground: Mobile ap...

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Autores principales:	Adu MD, Malabu UH, Malau-Aduli AEO, Malau-Aduli BS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Randomized controlled trial mixed method design Diabetes Self-management education mobile Application Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/a11b137378ee4585acd4a72f44b40e83
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spelling	oai:doaj.org-article:a11b137378ee4585acd4a72f44b40e832021-12-02T05:28:27ZMobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial1178-7007https://doaj.org/article/a11b137378ee4585acd4a72f44b40e832019-05-01T00:00:00Zhttps://www.dovepress.com/mobile-application-intervention-to-promote-self-management-in-insulin--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Mary D Adu,1 Usman H Malabu,1 Aduli EO Malau-Aduli,2 Bunmi S Malau-Aduli11College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia; 2College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, AustraliaBackground: Mobile applications (apps) have proven to be useful in supporting diabetes self-care, but non-consideration of users’ needs and non-inclusion of educational features are reasons for low continual use. Well-designed mobile apps that meet the needs of diabetes patients and provide ongoing self-management education and support are required. It was hypothesized that apps designed with such features can improve a range of measures including clinical outcomes, knowledge of diabetes, medication adherence, perceived ability for self-management, and quality-of-life. This may eventually facilitate a more robust and cost-effective approach for improving skills and motivation for the management of diabetes.Methods: This project will be conducted in two phases. It will initially employ a mixed methods study design to investigate the self-management needs and perceptions of diabetes patients on the use of mobile apps to support diabetes self-management. Results of the mixed methods study will inform the content and design of an app which will be employed as an intervention tool in a 12-month parallel randomized controlled trial (RCT). The RCT will compare outcomes in relation to standard-of-care alone with standard-of-care plus a mobile phone diabetes app among 150 insulin-requiring types 1 and 2 diabetes patients. The primary outcome measures are clinical parameters such as hemoglobin A1c (HbA1c), lipids, urine albumin-to-creatinine ratio, blood pressure, frequency in events of emergency hyperglycemia and hypoglycemia. Secondary outcomes include knowledge of diabetes, medication intake and adherence, perception of self-care, and quality-of-life.Discussion: Results from this study will provide empirical evidence on the usefulness of a mobile app developed based on self-management needs analysis of diabetic patients. The long-term goal is to harness knowledge gained from this study to provide evidenced-based data, which promote the scale-up or adoption of mobile applications that provide regular, ongoing education and self-management support to people living with diabetes.Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12618000065291, Registered on 17 January, 2018 (prospectively registered).Keywords: randomized controlled trial, mixed methods design, diabetes, self-management education, mobile applicationAdu MDMalabu UHMalau-Aduli AEOMalau-Aduli BSDove Medical PressarticleRandomized controlled trialmixed method designDiabetesSelf-management educationmobile ApplicationSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 789-800 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Randomized controlled trial mixed method design Diabetes Self-management education mobile Application Specialties of internal medicine RC581-951
spellingShingle	Randomized controlled trial mixed method design Diabetes Self-management education mobile Application Specialties of internal medicine RC581-951 Adu MD Malabu UH Malau-Aduli AEO Malau-Aduli BS Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
description	Mary D Adu,1 Usman H Malabu,1 Aduli EO Malau-Aduli,2 Bunmi S Malau-Aduli11College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia; 2College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, AustraliaBackground: Mobile applications (apps) have proven to be useful in supporting diabetes self-care, but non-consideration of users’ needs and non-inclusion of educational features are reasons for low continual use. Well-designed mobile apps that meet the needs of diabetes patients and provide ongoing self-management education and support are required. It was hypothesized that apps designed with such features can improve a range of measures including clinical outcomes, knowledge of diabetes, medication adherence, perceived ability for self-management, and quality-of-life. This may eventually facilitate a more robust and cost-effective approach for improving skills and motivation for the management of diabetes.Methods: This project will be conducted in two phases. It will initially employ a mixed methods study design to investigate the self-management needs and perceptions of diabetes patients on the use of mobile apps to support diabetes self-management. Results of the mixed methods study will inform the content and design of an app which will be employed as an intervention tool in a 12-month parallel randomized controlled trial (RCT). The RCT will compare outcomes in relation to standard-of-care alone with standard-of-care plus a mobile phone diabetes app among 150 insulin-requiring types 1 and 2 diabetes patients. The primary outcome measures are clinical parameters such as hemoglobin A1c (HbA1c), lipids, urine albumin-to-creatinine ratio, blood pressure, frequency in events of emergency hyperglycemia and hypoglycemia. Secondary outcomes include knowledge of diabetes, medication intake and adherence, perception of self-care, and quality-of-life.Discussion: Results from this study will provide empirical evidence on the usefulness of a mobile app developed based on self-management needs analysis of diabetic patients. The long-term goal is to harness knowledge gained from this study to provide evidenced-based data, which promote the scale-up or adoption of mobile applications that provide regular, ongoing education and self-management support to people living with diabetes.Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12618000065291, Registered on 17 January, 2018 (prospectively registered).Keywords: randomized controlled trial, mixed methods design, diabetes, self-management education, mobile application
format	article
author	Adu MD Malabu UH Malau-Aduli AEO Malau-Aduli BS
author_facet	Adu MD Malabu UH Malau-Aduli AEO Malau-Aduli BS
author_sort	Adu MD
title	Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
title_short	Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
title_full	Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
title_fullStr	Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
title_full_unstemmed	Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
title_sort	mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a11b137378ee4585acd4a72f44b40e83
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Mobile application intervention to promote self-management in insulin-requiring type 1 and type 2 diabetes individuals: protocol for a mixed methods study and non-blinded randomized controlled trial

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