Empowering Patients With Diabetes Using Profiling and Targeted Feedbacks Delivered Through Smartphone App and Wearable (Empower)
Protocol for a Randomized Controlled Trial on Effectiveness and Implementation
Bibliographic Data
| ID | 22069934 |
|---|---|
| Authors | Yu Heng Kwan (0000-0001-7802-9696, SingHealth), Sungwon Yoon (0000-0001-9458-6097, SingHealth), Chee-Seng Tan (0000-0002-6513-2309, National University of Singapore), Chuen Seng Tan, Bee Choo Tai (0000-0002-4420-7746, National University of Singapore), Wee Boon Tan (0000-0002-5055-4517, Singapore General Hospital), Jie Kie Phang (0000-0003-1357-8568, SingHealth), Ngiap Chuan Tan (0000-0002-5946-1149, SingHealth Duke-NUS Academic Medical Centre), Cynthia Yan Ling Tan (National University of Singapore), Yan Ling Quah (SingHealth Polyclinics), David Koot (0000-0002-1570-2529, SingHealth Polyclinics), Hock‐Hai Teo (0000-0003-2463-7842, National University of Singapore), Hock Hai Teo, Lian Leng Low (0000-0003-4228-2862, SingHealth, corresponding author) |
| Year | 2022 |
| Volume | 10 |
| Pages | 805856-805856 |
| Publication date | 2022-02-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.805856 |
| PMID | 35284389 |
| OpenAlex | W4214489615 |
| Language | EN |
| References cited | 35 |
Introduction: Type 2 diabetes mellitus (T2DM) poses huge burden and cost on the healthcare system. Mobile health (mHealth) interventions that incorporate wearables may be able to improve diabetes self-management. The aim of this randomized controlled trial (RCT) is to investigate the clinical and cost-effectiveness of personalized educational and behavioral interventions delivered through an EMPOWER mobile application (app) among patients with T2DM. Methods: This is a parallel two-arm randomized controlled trial (RCT). Patients with T2DM recruited from primary care will be randomly allocated in a 1:1 ratio to either intervention or control group. The intervention group will receive personalized educational and behavioral interventions through the EMPOWER app in addition to their usual clinical care. The control group will receive the usual clinical care for their T2DM but will not have access to the EMPOWER app. Our primary outcome is patient activation score at 12 months. Secondary outcomes will include HbA1c, physical activity level and diet throughout 12 months; quality of life (QoL), medication adherence, direct healthcare cost and indirect healthcare cost at 6 and 12 months. Discussion: This RCT will provide valuable insights into the effectiveness and implementation of personalized educational and behavioral interventions delivered through mobile application in T2DM management. Findings from this study can help to achieve sustainable and cost-effective behavioral change in patients with T2DM, and this can be potentially scaled to other chronic diseases such as hypertension and dyslipidemia
Cost effectiveness · eHealth · Health care · mHealth · Physical therapy · Psychological intervention · Randomized controlled trial · Diabetes Management and Education · Digital Mental Health Interventions · Medicine · Mobile Health and mHealth Applications · Nursing
SPIRIT 2013 Statement
Global Prevalence of Diabetes
Development and Testing of a Short Form of the Patient Activation Measure
Validation of the theoretical domains framework for use in behaviour change and implementation research
IDF Diabetes Atlas
Development of the Patient Activation Measure (PAM)
The PRECIS-2 tool
Making psychological theory useful for implementing evidence based practice
The behaviour change wheel
Validation of the Patient Activation Measure (PAM-13) among adults with cardiac conditions in Singapore
A community-based study of scaling assumptions and construct validity of the English (UK) and Chinese (HK) SF-36 in Singapore
Primary Care
Initial Validation of a Self-Report Measure of the Extent of and Reasons for Medication Nonadherence
The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques
| Citation velocity | historical |
|---|---|
| Highly cited | No |