A Smartphone Application Significantly Improved Diabetes Self-Care Activities with High User Satisfaction

Background We developed for the first time a smartphone application designed for diabetes self-management in Korea and registered a patent for the relevant algorithm. We also investigated the user satisfaction with the application and the change in diabetes related self-care activities after using the application. Methods We conducted a questionnaire survey on volunteers with diabetes who were using the application. Ninety subjects responded to the questionnaire between June 2012 and March 2013. A modified version of the Summary of Diabetes Self-Care Activities (SDSCA) was used in this study. Results The survey results exhibited a mean subject age of 44.0 years old, and males accounted for 78.9% of the subjects. Fifty percent of the subjects had diabetes for less than 3 years. The majority of respondents experienced positive changes in their clinical course after using the application (83.1%) and were satisfied with the structure and completeness of the application (86.7%). Additionally, the respondents' answers indicated that the application was easy to use (96.7%) and recommendable to others (97.7%) and that they would continue using the application to manage their diabetes (96.7%). After using the Diabetes Notepad application, diabetes related self-care activities assessed by SDSCA displayed statistically significant improvements (P<0.05), except for the number of days of drinking. Conclusion This smartphone-based application can be a useful tool leading to positive changes in diabetes related self-care activities and increase user satisfaction.

[1]  S. Colagiuri,et al.  The Diabetes Control and Complications Trial , 1983, Henry Ford Hospital medical journal.

[2]  S. Genuth,et al.  The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. , 1993, The New England journal of medicine.

[3]  R. Glasgow,et al.  The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. , 2000, Diabetes care.

[4]  J. Zgibor,et al.  Barriers to blood glucose monitoring in a multiethnic community. , 2002, Diabetes care.

[5]  Felicia Hill-Briggs,et al.  Problem solving in diabetes self-management: A model of chronic illness self-management behavior , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[6]  Y. Jang,et al.  Standards of Medical Care in Diabetes-2010 by the American Diabetes Association: Prevention and Management of Cardiovascular Disease , 2010 .

[7]  Shannon J. Lane,et al.  Bmc Medical Informatics and Decision Making a Review of Randomized Controlled Trials Comparing the Effectiveness of Hand Held Computers with Paper Methods for Data Collection , 2006 .

[8]  O. Dale,et al.  Despite technical problems personal digital assistants outperform pen and paper when collecting patient diary data. , 2007, Journal of clinical epidemiology.

[9]  J. Polisena,et al.  Home telehealth for diabetes management: a systematic review and meta‐analysis , 2009, Diabetes, obesity & metabolism.

[10]  Joseph Flaherty,et al.  Evolution of Data Management Tools for Managing Self-Monitoring of Blood Glucose Results: A Survey of iPhone Applications , 2010, Journal of diabetes science and technology.

[11]  D. Toobert,et al.  Psychometric properties of a Korean version of the summary of diabetes self-care activities measure. , 2011, International journal of nursing studies.

[12]  M. S. Kirkman,et al.  Comment on: American Diabetes Association. Standards of Medical Care in Diabetes—2011. Diabetes Care 2011;34(Suppl. 1):S11–S61 , 2011 .

[13]  Xueli Yang,et al.  Effect of mobile phone intervention for diabetes on glycaemic control: a meta‐analysis , 2011, Diabetic medicine : a journal of the British Diabetic Association.

[14]  Five Ms of adherence , 2011, Journal of diabetes.

[15]  V. Basevi,et al.  Standards of Medical Care in Diabetes—2012 , 2011, Diabetes Care.

[16]  Roshan Hewapathirana,et al.  A review of telemedicine interventions in diabetes care , 2012, Journal of telemedicine and telecare.

[17]  J. Car,et al.  Mobile phone messaging for facilitating self-management of long-term illnesses. , 2012, The Cochrane database of systematic reviews.

[18]  B. Holtz,et al.  Diabetes management via mobile phones: a systematic review. , 2012, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[19]  Ronald Tamler,et al.  An evaluation of diabetes self-management applications for Android smartphones , 2012, Journal of telemedicine and telecare.

[20]  P. Groop,et al.  Barriers to self‐management of diabetes , 2013, Diabetic medicine : a journal of the British Diabetic Association.

[21]  Adolfo Rubinstein,et al.  The impact of mobile health interventions on chronic disease outcomes in developing countries: a systematic review. , 2014, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[22]  In Young Choi,et al.  Efficacy of the Smartphone-Based Glucose Management Application Stratified by User Satisfaction , 2014, Diabetes & metabolism journal.