@Article{信息:doi 10.2196 / /移动医疗。3535，作者=“Torbj{\o}rnsen, Astrid和Jenum, Anne Karen和Sm{\aa}学生，Milada Cvancarova和{\aa} rsand, Eirik和Holmen, Heidi和Wahl, Astrid Klopstad和Ribu, Lis”，标题=“2型糖尿病患者的低强度移动健康干预与不健康咨询，第一部分:更新健康挪威部分随机对照试验的基线和短期结果，期刊=“JMIR mHealth uHealth”，年=“2014”，月=“12”，日=“11”，卷=“2”，数=“4”，页=“e52”，关键词=“自我保健”;生活质量;2型糖尿病;随机对照试验;远程医疗;移动健康;移动应用;咨询服务; complex intervention; life style", abstract="Background: Self-management support for people with type 2 diabetes is essential in diabetes care. Thus, mobile health technology with or without low-intensity theory-based health counseling could become an important tool for promoting self-management. Objectives: The aim was to evaluate whether the introduction of technology-supported self-management using the Few Touch Application (FTA) diabetes diary with or without health counseling improved glycated hemoglobin (HbA1c) levels, self-management, behavioral change, and health-related quality of life, and to describe the sociodemographic, clinical, and lifestyle characteristics of the participants after 4 months. Methods: A 3-armed randomized controlled trial was conducted in Norway during 2011-2013. In the 2 intervention groups, participants were given a mobile phone for 1 year, which provided access to the FTA diary, a self-help tool that recorded 5 elements: blood glucose, food habits, physical activity, personal goal setting, and a look-up system for diabetes information. One of the intervention groups was also offered theory-based health counseling with a specialist diabetes nurse by telephone for 4 months from baseline. Both intervention groups and the control group were provided usual care according to the national guidelines. Adults with type 2 diabetes and HbA1c ≥7.1{\%} were included (N=151). There were 3 assessment points: baseline, 4 months, and 1 year. We report the short-term findings after 4 months. HbA1c was the primary outcome and the secondary outcomes were self-management (Health Education Impact Questionnaire, heiQ), behavioral change (diet and physical activity), and health-related quality of life (SF-36 questionnaire). The data were analyzed using univariate methods (ANOVA), multivariate linear, and logistic regression. Results: Data were analyzed from 124 individuals (attrition rate was 18{\%}). The groups were well balanced at baseline. There were no differences in HbA1c between groups after 4 months, but there was a decline in all groups. There were changes in self-management measured using the health service navigation item in the heiQ, with improvements in the FTA group compared to the control group (P=.01) and in the FTA with health counseling group compared with both other groups (P=.04). This may indicate an improvement in the ability of patients to communicate health needs to their health care providers. Furthermore, the FTA group reported higher scores for skill and technique acquisition at relieving symptoms compared to the control group (P=.02). There were no significant changes in any of the domains of the SF-36. Conclusions: The primary outcome, HbA1c, did not differ between groups after 4 months. Both of the intervention groups had significantly better scores than the control group for health service navigation and the FTA group also exhibited improved skill and technique acquisition. ", issn="2291-5222", doi="10.2196/mhealth.3535", url="http://mhealth.www.mybigtv.com/2014/4/e52/", url="https://doi.org/10.2196/mhealth.3535", url="http://www.ncbi.nlm.nih.gov/pubmed/25499592" }