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The addition of proactive nurse consultations was useful to older adults with diabetes mellitus in facilitating their chronic disease self-management. However, the service is time and resource-intensive. With the support of advanced technology, mhealth App seems to be a convenient way to support patients in managing diabetes.
This study examines the effectiveness of mhealth App plus nurse consultations in promoting self-management behaviours for diabetic patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Just-in-time Intervention | Experimental | They will receive just-in-time intervention and 3 monthly nursing consultations. |
|
| Active Control | Active Comparator | They will receive 6 bi-weekly nursing consultations. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Just-in-time intervention | Behavioral | The intervention group participants will receive just-in-time intervention from a developed app for healthy behavior reminder |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in HbA1c | Measured using the A1C Now device, with blood drawn from the subjects' finger | baseline, three-month, and six-month |
| Diabetic self-management behaviour | measured using the Summary of Diabetes Self-care. Total scores range from 0 to 42, with higher scores representing better self-management performance. Activities questionnaire | baseline, three-month, and six-month |
| Measure | Description | Time Frame |
|---|---|---|
| Change in quality of life | By using the Chinese version of the 12-item Short Form Health Survey. Total score ranges from 0 to 100, higher the better. version 2 | baseline, three-month, and six-month |
| Change in medication adherence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Arkers Wong, PhD | Contact | 852 3400 3805 | arkers.wong@polyu.edu.hk |
| Name | Affiliation | Role |
|---|---|---|
| Arkers Wong, PhD | The Hong Kong Polytechnic University | Principal Investigator |
| Arkers NR Wong | The Hong Kong Polytechnic University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| District Health Center | Recruiting | Hong Kong | Hong Kong |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D000068356 | Self-Control |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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Single-blinded, two-armed, randomized controlled trial.
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The research assistant, who will be responsible for data collection, will be masked for the group allocation during the whole process.
| Active control | Behavioral | The control group participants will receive six nursing consultations during the 3-month program period. |
|
Measure this by using the Adherence to Refills and Medications Scale. Scores from 12 to 48, higher score better medication adherence.
| baseline, three-month, and six-month |
| Change in health service utilization | Measure the total number of unscheduled visits to general out-patient departments, general practitioners, emergency departments, and hospitals, and the total frequency of health service attendance | baseline, three-month, and six-month |
| Cost | The cost of the app, including development of new features and maintenance costs, will be estimated from the provider and societal perspectives, including the subjects' travelling costs and time. An ingredient approach will be adopted to estimate the cost. | three-month, and six-month |
| satisfaction with the JITAIs, as well as usability and technical problems | using semi-structured group interviews with the intervention group participants | three-month |
| D012919 | Social Behavior |
| D001519 | Behavior |