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Person-Centered Interactive Self-Management Support in Primary Health Care for People with Type 2 Diabetes: Protocol for a Randomized Controlled Trial
Malmö University, Faculty of Technology and Society (TS), Department of Computer Science and Media Technology (DVMT).ORCID iD: 0000-0003-2070-6337
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2019 (English)In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 8, no 4, article id e10250Article in journal (Refereed) Published
Abstract [en]

Background: Type 2 diabetes (T2D) is increasing as the population ages. The development of new medical treatments is promising and important, but the basic treatment remains self-management, even if adherence to lifestyle advice is low. Electronic health (eHealth) or mHealth interventions can increase empowerment among people living with T2D and may compensate for the lack of professional resources and geographical distances. The interactive self-management support (iSMS) project aims at including digital tools to support people living with T2D in their self-management and facilitating their interaction with diabetes specialist nurses (DSNs). This protocol outlines a study with the purpose of developing and evaluating an intervention where people living with T2D can increase self-efficacy and empowerment through digital self-monitoring and interaction with DSNs. Objective: To develop and evaluate a person-centered iSMS intervention in primary health care for people with T2D in addition to their usual diabetes care. Methods: This study is a 12-month, 3-armed, nonblinded randomized controlled trial (RCT), which will be conducted in 6 primary health care centers (HCCs) in northern Sweden. Eligible participants will be randomized to either an intervention group (n=46), a control group (n=46), or an external group (n=46) for comparison. The intervention group will receive the mobile app, and the control group will receive a minimal intervention (diabetes brochure) and the usual standard of care. Changes in glycated hemoglobin (HbA(1c)) will be the primary outcome measure. Results: This trial is currently open for recruitment. The first results are expected to be submitted for publication in Autumn 2019. Conclusions: This study, with its focus on iSMS, will provide insights regarding suitable ways to promote and develop a person-centered intervention. If successful, the intervention has the potential to become a model for the provision of self-management support to people with T2D.

Place, publisher, year, edition, pages
JMIR Publications , 2019. Vol. 8, no 4, article id e10250
Keywords [en]
type 2 diabetes, eHealth, internet, mobile apps, nurse specialists, primary health care, self-management, randomized controlled trial
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-2561DOI: 10.2196/10250ISI: 000466496800003PubMedID: 30958279Scopus ID: 2-s2.0-85067315859Local ID: 30113OAI: oai:DiVA.org:mau-2561DiVA, id: diva2:1399324
Available from: 2020-02-27 Created: 2020-02-27 Last updated: 2024-02-08Bibliographically approved

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Orre, Carljohan

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