Journal
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Volume 27, Issue 5, Pages 667-676Publisher
OXFORD UNIV PRESS
DOI: 10.1093/jamia/ocaa007
Keywords
diabetes mellitus; type 2 mobile health; self-management
Categories
Funding
- US National Institutes of Health [NINR F31NR018100]
- National Institute of Nursing Research [NINR 1R15NR015890]
- University Datathorn grant
- Building Interdisciplinary Careers in Women's Health career development award [K12HD043446]
- Career Development Award from Veterans Affairs Health Services Research and Development [CDA 13-261]
- US Department of Veterans Affairs Office of Academic Affiliations [TPH 21-000]
- Health Services Research Center of Innovation funding [CIN 13-410]
Ask authors/readers for more resources
Objective: The purpose of this study was to examine the use of multiple mobile health technologies to generate and transmit data from diverse patients with type 2 diabetes mellitus (T2DM) in between clinic visits. We examined the data to identify patterns that describe characteristics of patients for clinical insights. Methods: We enrolled 60 adults with T2DM from a US healthcare system to participate in a 6-month longitudinal feasibility trial. Patient weight, physical activity, and blood glucose were self-monitored via devices provided at baseline. Patients also responded to biweekly medication adherence text message surveys. Data were aggregated in near real-time. Measures of feasibility assessing total engagement in device submissions and survey completion over the 6 months of observation were calculated. Results: It was feasible for participants from different socioeconomic, educational, and racial backgrounds to use and track relevant diabetes-related data from multiple mobile health devices for at least 6 months. Both the transmission and engagement of the data revealed notable patterns and varied by patient characteristics. Discussion: Using multiple mobile health tools allowed us to derive clinical insights from diverse patients with diabetes. The ubiquitous adoption of smartphones across racial, educational, and socioeconomic populations and the integration of data from mobile health devices into electronic health records present an opportunity to develop new models of care delivery for patients with T2DM that may promote equity as well.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available