Online ISSN: 2149-3189
2015
Monthly
Nicaea Medical Publishing
Türkiye

The use of mobile health applications in empowering self-management of type 2 diabetes: a literature review

Pelin Öcal
DOI
https://doi.org/10.18621/eurj.1320822
Abstract
The use of mobile health applications is vital for achieving glycemic control, promoting lifestyle changes, and empowering self-management in individuals with type 2 diabetes. This literature review aims to assess the effectiveness of mobile health applications in empowering self-management among type 2 diabetes patients. A thorough search was conducted in databases like PubMed, CINAHL, Web of Science, Cochrane Library, Scopus, ULAKBIM National Database, and Medline between January 2020 and March 2023, using keywords such as "mobile health, mobile applications, type 2 diabetes, diabetes self-management, nursing." The search yielded 525 articles, out of which 34 studies in Turkish or English that evaluated the effectiveness of mobile health applications in individuals aged 18 years and above with type 2 diabetes were included in the review. Recent studies demonstrate a growing utilization of mobile health applications for the management of treatment and care in individuals with type 2 diabetes. These applications have been shown to empower self-management by promoting dietary adherence, regular blood sugar monitoring, regular physical activity, reduced medication requirements, and decreased HbA1c levels. Additionally, mobile health applications have been found to reduce face-to-face counseling time and healthcare costs. In conclusion, mobile health applications offer promising solutions for improving self-management and healthcare outcomes for individuals with type 2 diabetes. Further research and continued integration of these applications into clinical practice are essential to optimize their benefits and address the challenges faced by diabetes patients worldwide.
Keywords
Diabetes self-management, nursing, mobile applications, mobile health, type 2 diabetes
References

1. American Diabetes Association. Standards of medical care in diabetes-2020. Diabetes Care. 2020;43:S14-31.

2. Cui M, Wu X, Mao J, Wang X, Nie M. T2DM Self-Management via Smartphone Applications: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(11):e0166718. doi: 10.1371/journal.pone.0166718.

3. Blondon K, Klasnja P, Coleman K, Pratt W. An exploration of attitudes toward the use of patient incentives to support diabetes self-management. Psychol Health. 2014;29(5):552-563. doi: 10.1080/08870446.2013.867346.

4. Wu IXY, Kee JCY, Threapleton DE, et al. Effectiveness of smartphone technologies on glycaemic control in patients with type 2 diabetes: systematic review with meta-analysis of 17 trials. Obes Rev. 2018;19(6):825-838. doi: 10.1111/obr.12669.

5. Moncrieft AE, Llabre MM, McCalla JR, et al. Effects of a Multicomponent Life-Style Intervention on Weight, Glycemic Control, Depressive Symptoms, and Renal Function in Low-Income, Minority Patients With Type 2 Diabetes: Results of the Community Approach to Lifestyle Modification for Diabetes Randomized Controlled Trial. Psychosom Med. 2016;78(7):851-860. doi: 10.1097/PSY.0000000000000348.

6. Whitehead LC, Crowe MT, Carter JD, et al. A nurse-led interdisciplinary approach to promote self-management of type 2 diabetes: a process evaluation of post-intervention experiences. J Eval Clin Pract. 2017;23(2):264-271. doi: 10.1111/jep.12594.

7. Wu Y, Yao X, Vespasiani G, et al. Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy. JMIR Mhealth Uhealth. 2017;5(3):e35. doi: 10.2196/mhealth.6522.

8. Wang Y, Li M, Zhao X, et al. Effects of continuous care for patients with type 2 diabetes using mobile health application: A randomised controlled trial. Int J Health Plann Manage. 2019;34(3):1025-1035. doi: 10.1002/hpm.2872.

9. Klösch M, Klösch C, Kundt FS, van der Zee-Neuen A, Dieplinger AM. eHealth systems for the optimised care of patients with type 2 diabetes. Br J Nurs. 2020;29(5):274-278. doi: 10.12968/bjon.2020.29.5.274.

10. Agarwal P, Mukerji G, Desveaux L, et al. Mobile App for Improved Self-Management of Type 2 Diabetes: Multicenter Pragmatic Randomized Controlled Trial. JMIR Mhealth Uhealth. 2019;7(1):e10321. doi: 10.2196/10321.

11. World Health Organization. mHealth: New Horizons for Health Through Mobile Technologies: Second Global Survey on eHealth. Global Observatory for eHealth series. Volume 3, 2011.

12. Aitken M, Lyle J. Patient adoption of mHealth: Use, Evidence and Remaining Barriers to Mainstream Acceptance. Parsippany, New York: IMS Institute for Healthcare Informatics; 2015.

13. Brzan PP, Rotman E, Pajnkihar M, Klanjsek P. Mobile Applications for Control and Self Management of Diabetes: A Systematic Review. J Med Syst. 2016;40(9):210. doi: 10.1007/s10916-016-0564-8.

14. Bhuyan SS, Lu N, Chandak A, et al. Use of Mobile Health Applications for Health-Seeking Behavior Among US Adults. J Med Syst. 2016;40(6):153. doi: 10.1007/s10916-016-0492-7.

15. Huang Z, Lum E, Car J. Medication Management Apps for Diabetes: Systematic Assessment of the Transparency and Reliability of Health Information Dissemination. JMIR Mhealth Uhealth. 2020;8(2):e15364. doi: 10.2196/15364.

16. Osborn J, Ajakaiye A, Cooksley T, Subbe CP. Do mHealth applications improve clinical outcomes of patients with cancer? A critical appraisal of the peer-reviewed literature. Support Care Cancer. 2020;28(3):1469-1479. doi: 10.1007/s00520-019-04945-4.

17. Boels AM, Rutten G, Zuithoff N, de Wit A, Vos R. Effectiveness of diabetes self-management education via a smartphone application in insulin treated type 2 diabetes patients - design of a randomised controlled trial ('TRIGGER study'). BMC Endocr Disord. 2018;18(1):74. doi: 10.1186/s12902-018-0304-9.

18. Holmen H, Torbjørnsen A, Wahl AK, et al. A Mobile Health Intervention for Self-Management and Lifestyle Change for Persons With Type 2 Diabetes, Part 2: One-Year Results From the Norwegian Randomized Controlled Trial RENEWING HEALTH. JMIR Mhealth Uhealth. 2014;2(4):e57. doi: 10.2196/mhealth.3882.

19. Whitehead L, Seaton P. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review. J Med Internet Res. 2016;18(5):e97. doi: 10.2196/jmir.4883.

20. Munster-Segev M, Fuerst O, Kaplan SA, Cahn A. Incorporation of a Stress Reducing Mobile App in the Care of Patients With Type 2 Diabetes: A Prospective Study. JMIR Mhealth Uhealth. 2017;5(5):e75. doi: 10.2196/mhealth.7408.

21. Kumar S, Moseson H, Uppal J, Juusola JL. A Diabetes Mobile App With In-App Coaching From a Certified Diabetes Educator Reduces A1C for Individuals With Type 2 Diabetes. Diabetes Educ. 2018;44(3):226-236. doi: 10.1177/0145721718765650.

22. Jeffrey B, Bagala M, Creighton A, et al. Mobile phone applications and their use in the self-management of Type 2 Diabetes Mellitus: a qualitative study among app users and non-app users. Diabetol Metab Syndr. 2019;11:84. doi: 10.1186/s13098-019-0480-4.

23.Koot D, Goh PSC, Lim RSM, et al. A Mobile Lifestyle Management Program (GlycoLeap) for People With Type 2 Diabetes: Single-Arm Feasibility Study. JMIR Mhealth Uhealth. 2019;7(5):e12965. doi: 10.2196/12965.

24. Liang X, Wang Q, Yang X, et al. Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabet Med. 2011;28(4):455-463. doi: 10.1111/j.1464-5491.2010.03180.x.

25. Desveaux L, Agarwal P, Shaw J, et al. A randomized wait-list control trial to evaluate the impact of a mobile application to improve self-management of individuals with type 2 diabetes: a study protocol. BMC Med Inform Decis Mak. 2016;16(1):144. doi: 10.1186/s12911-016-0381-5.

26. Hou C, Carter B, Hewitt J, Francisa T, Mayor S. Do Mobile Phone Applications Improve Glycemic Control (HbA1c) in the Self-management of Diabetes? A Systematic Review, Meta-analysis, and GRADE of 14 Randomized Trials. Diabetes Care. 2016;39(11):2089-2095. doi: 10.2337/dc16-0346.

27. Quinn CC, Shardell MD, Terrin ML, Barr EA, Ballew SH, Gruber-Baldini AL. Cluster-randomized trial of a mobile phone personalized behavioral intervention for blood glucose control. Diabetes Care. 2011;34(9):1934-42. doi: 10.2337/dc11-0366.

28. Waki K, Fujita H, Uchimura Y, et al. DialBetics: A Novel Smartphone-based Self-management Support System for Type 2 Diabetes Patients. J Diabetes Sci Technol. 2014;8(2):209-215. doi: 10.1177/1932296814526495.

29. Zhou W, Chen M, Yuan J, Sun Y. Welltang - A smart phone-based diabetes management application - Improves blood glucose control in Chinese people with diabetes. Diabetes Res Clin Pract. 2016;116:105-110. doi: 10.1016/j.diabres.2016.03.018.

30. Humble JR, Tolley EA, Krukowski RA, Womack CR, Motley TS, Bailey JE. Use of and interest in mobile health for diabetes self-care in vulnerable populations. J Telemed Telecare. 2016;22(1):32-38. doi: 10.1177/1357633X15586641.

31. Pludwinski S, Ahmad F, Wayne N, Ritvo P. Participant experiences in a smartphone-based health coaching intervention for type 2 diabetes: A qualitative inquiry. J Telemed Telecare. 2016 Apr;22(3):172-178. doi: 10.1177/1357633X15595178.

32. Lie SS, Karlsen B, Oord ER, Graue M, Oftedal B. Dropout From an eHealth Intervention for Adults With Type 2 Diabetes: A Qualitative Study. J Med Internet Res. 2017;19(5):e187. doi: 10.2196/jmir.7479.

33. Veazie S, Winchell K, Gilbert J, et al. Rapid Evidence Review of Mobile Applications for Self-management of Diabetes. J Gen Intern Med. 2018;33(7):1167-1176. doi: 10.1007/s11606-018-4410-1.

34. van der Weegen S, Verwey R, Spreeuwenberg M, Tange H, van der Weijden T, de Witte L. It's LiFe! Mobile and Web-Based Monitoring and Feedback Tool Embedded in Primary Care Increases Physical Activity: A Cluster Randomized Controlled Trial. J Med Internet Res. 2015;17(7):e184. doi: 10.2196/jmir.4579.

35. Georgsson M, Staggers N. Patients' Perceptions and Experiences of a mHealth Diabetes Self-management System. Comput Inform Nurs. 2017;35(3):122-130. doi: 10.1097/CIN.0000000000000296.

36. El-Gayar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. J Diabetes Sci Technol. 2013;7(1):247-262. doi: 10.1177/193229681300700130.

37. Vervloet M, Linn AJ, van Weert JC, de Bakker DH, Bouvy ML, van Dijk L. The effectiveness of interventions using electronic reminders to improve adherence to chronic medication: a systematic review of the literature. J Am Med Inform Assoc. 2012;19(5):696-704. doi: 10.1136/amiajnl-2011-000748.

38. Dayer L, Heldenbrand S, Anderson P, Gubbins PO, Martin BC. Smartphone medication adherence apps: potential benefits to patients and providers. J Am Pharm Assoc (2003). 2013;53(2):172-181. doi: 10.1331/JAPhA.2013.12202.

39. Huang Z, Lum E, Jimenez G, Semwal M, Sloot P, Car J. Medication management support in diabetes: a systematic assessment of diabetes self-management apps. BMC Med. 2019;17(1):127. doi: 10.1186/s12916-019-1362-1.

0. Martinez M, Park SB, Maison I, Mody V, Soh LS, Parihar HS. iOS Appstore-Based Phone Apps for Diabetes Management: Potential for Use in Medication Adherence. JMIR Diabetes. 2017;2(2):e12. doi: 10.2196/diabetes.6468.

41. Kebede MM, Pischke CR. Popular Diabetes Apps and the Impact of Diabetes App Use on Self-Care Behaviour: A Survey Among the Digital Community of Persons With Diabetes on Social Media. Front Endocrinol (Lausanne). 2019;10:135. doi: 10.3389/fendo.2019.00135.

42. Adu MD, Malabu UH, Malau-Aduli AEO, Drovandi A, Malau-Aduli BS. Efficacy and Acceptability of My Care Hub Mobile App to Support Self-Management in Australians with Type 1 or Type 2 Diabetes. Int J Environ Res Public Health. 2020;17(7):2573. doi: 10.3390/ijerph17072573.

43. Pustozerov E, Popova P, Tkachuk A, Bolotko Y, Yuldashev Z, Grineva E. Development and Evaluation of a Mobile Personalized Blood Glucose Prediction System for Patients With Gestational Diabetes Mellitus. JMIR Mhealth Uhealth. 2018;6(1):e6. doi: 10.2196/mhealth.9236.

44. Hoppe CD, Cade JE, Carter M. An evaluation of diabetes targeted apps for Android smartphone in relation to behaviour change techniques. J Hum Nutr Diet. 2017;30(3):326-338. doi: 10.1111/jhn.12424.

45. Torbjørnsen A, Småstuen MC, Jenum AK, Årsand E, Ribu L. Acceptability of an mHealth App Intervention for Persons With Type 2 Diabetes and its Associations With Initial Self-Management: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2018;6(5):e125. doi: 10.2196/mhealth.8824.

46. Trawley S, Baptista S, Browne JL, Pouwer F, Speight J. The Use of Mobile Applications Among Adults with Type 1 and Type 2 Diabetes: Results from the Second MILES-Australia (MILES-2) Study. Diabetes Technol Ther. 2017;19(12):730-738. doi: 10.1089/dia.2017.0235.

47. Carroll N, Richardson I. Software-as-a-medical device: demystifying connected health regulations. J Syst Inform Tech. 2016;18(2):186-215. doi: 10.1108/JSIT-07-2015-0061.

48. Png ME, Yoong J, Phan TP, Wee HL. Current and future economic burden of diabetes among working-age adults in Asia: conservative estimates for Singapore from 2010-2050. BMC Public Health. 2016;16:153. doi: 10.1186/s12889-016-2827-1.

49. Schnall R, Rojas M, Bakken S, et al, Mosley JP, Travers J. A user-centered model for designing consumer mobile health (mHealth) applications (apps). J Biomed Inform. 2016;60:243-251. doi: 10.1016/j.jbi.2016.02.002.

50. Adu MD, Malabu UH, Malau-Aduli AEO, Malau-Aduli BS. Users' preferences and design recommendations to promote engagements with mobile apps for diabetes self-management: Multi-national perspectives. PLoS One. 2018;13(12):e0208942. doi: 10.1371/journal.pone.0208942.

There are 50 references in total.
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Öcal P. The use of mobile health applications in empowering self-management of type 2 diabetes: a literature review. Eur Res J. 2024;10(1):127-135. doi:10.18621/eurj.1320822
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