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dc.contributor.authorTorbjørnsen, Astrid
dc.contributor.authorSmåstuen, Milada Cvancarova
dc.contributor.authorJenum, Anne Karen
dc.contributor.authorÅrsand, Eirik
dc.contributor.authorRibu, Lis
dc.date.accessioned2019-03-14T12:31:43Z
dc.date.available2019-03-14T12:31:43Z
dc.date.issued2018-05-21
dc.description.abstract<p><i>Background</i>: Mobile health interventions are increasingly used in health care. The level of acceptability may indicate whether and how such digital solutions will be used.</p> <p><i>Objective</i>: This study aimed to explore associations between the level of acceptability of a mobile diabetes app and initial ability of self-management for patients with type 2 diabetes.</p> <p><i>Methods</i>: Participants with type 2 diabetes were recruited from primary health care settings to a 3-armed randomized controlled trial in the Norwegian study in the RENEWING HEALTH project. At the 1-year follow-up, 75 out of 101 participants from the intervention groups completed an acceptability questionnaire (The Service User Technology Acceptability Questionnaire). In the randomized controlled trial, the 2 intervention groups (n=101 in total) received a mobile phone with a diabetes diary app, and one of the groups received additional health counseling given by telephone calls from a diabetes specialist nurse (n=50). At baseline, we collected clinical variables from medical records, whereas demographic data and self-management (The Health Education Impact Questionnaire) measures were self-reported. Log data from the use of the app by self-monitoring were registered continuously. Associations between initial ability to self-manage at baseline and acceptability of the diabetes diary app after 1 year were analyzed using linear regression.</p> <p><i>Results</i>: We found statistically significant associations between 5 of the 8 self-management domains and perceived benefit, one of the acceptability factors. However, when adjusting for age, gender, and frequency of use, only 1 domain, skill and technique acquisition, remained independently associated with perceived benefit. Frequency of use of the app was the factor that revealed the strongest association with the acceptability domain perceived benefit.</p> <p><i>Conclusions</i>: Our findings indicate that persons with diabetes may accept the app, despite its perceived benefit being associated with only one of the 8 domains of their initial level of self-management.</p> <p><i>Trial Registration</i>: ClinicalTrials.gov NCT01315756; https://clinicaltrials.gov/show/NCT01315756 (Archived by WebCite at http://www.webcitation.org/6z46qPhWl)</p>en_US
dc.description.sponsorshipEU and the ICT PSP and Innovation Framework Program The Norwegian Research Council The Health Authorities of Northern Norway The Norwegian Centre for E-health Research Oslo and Akershus University College of Applied Sciences Akershus University Hospital The Norwegian Diabetes Associationen_US
dc.descriptionSource at <a href=https://doi.org/10.2196/mhealth.8824> https://doi.org/10.2196/mhealth.8824</a>.en_US
dc.identifier.citationTorbjørnsen, A.T., Småstuen, M.C., Jenum, A.K., Årsand, E. & Ribu, L. (2018). Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial. <i>Journal of Medical Internet Research, 6</i>(5). https://doi.org/10.2196/mhealth.8824en_US
dc.identifier.cristinIDFRIDAID 1592556
dc.identifier.doi10.2196/mhealth.8824
dc.identifier.issn1438-8871
dc.identifier.urihttps://hdl.handle.net/10037/14978
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.journalJournal of Medical Internet Research
dc.relation.projectIDNorges forskningsråd: ?en_US
dc.relation.projectIDEuropean Research Council: ?en_US
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectdiabetes mellitus, type 2en_US
dc.subjectpatient acceptance of health careen_US
dc.subjectacceptability of health careen_US
dc.subjectself-careen_US
dc.subjectmobile appsen_US
dc.subjectsmartphoneen_US
dc.subjecttelemedicineen_US
dc.subjectregression analysisen_US
dc.subjectfactor analysisen_US
dc.subjectstatisticalen_US
dc.titleAcceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trialen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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