Dyna Chao|Tom M.Y. Lin|Wen?Ya Ma
Enhanced Self-Efficacy and Behavioral Changes Among Patients With Diabetes: Cloud-Based Mobile Health Platform and Mobile App Service
National Taiwan University of Science and Technology|Cardinal Tien Hospital
prevalence chronic disease increasing rapidly health promotion models shifted toward patientcentered care selfefficacy devices mobile app internet things iot become critical selfmanagement tools collecting analyzing personal data improve individual health outcomes however precise effects webbased interventions selfefficacy related motivation factors behind individuals behavioral changes determinedthe objective study gain insight patients selfefficacy newly diagnosed diabetes type 2 diabetes mellitus analyze association patientcentered health promotion behavior examine implications results iot mobile health mobile app featuresthe study used data electronic health database n3128 experimental design n121 randomized controlled trials employed determine patient preferences health promotion program n62 mobile selfmanagement education n28 transtheoretical model used framework observing selfmanagement behavior improvement individual health theory planned behavior used evaluate personal goals execution outcome personal preferences mobile app used determine individualized health promotion interventions apply interventions improve patients selfmanagement selfefficacymobile questionnaires administered pre postintervention assessment mobile app dynamic questionnaire allocation method used follow monitor patient behavioral changes subsequent 6 18 months participants high risk problems related blood pressure systolic blood pressure 120 mm hg body mass index 23 kgm2 indicated high motivation change achieve high scores selfcare knowledge assessment n49 95 ci 026 024 p052 associated clinical outcomes case group mobilebased intervention slightly better control group glycated hemoglobin mean 125 95 ci 636 747 p002 addition 86 4249 participants improved health knowledge mobilebased app information communications technology behaviorchange compliance rate higher among women among men addition personal characteristics steadiness dominance corresponded higher compliance rate dietary wellness intervention 83 8198 participants 71 7098 also increased attention healthy eating active monitoring condition 30 2170 21 1570 20 1470 respectivelythe overall compliance rate discovered higher mobile appbased health intervention various intervention strategies based patient characteristics health carerelated wordofmouth communication social media may used increase selfefficacy improve clinical outcomes additional research conducted determine influential factors effective adherence management techniques