The Impact of M-Health on the Self-Management of Diabetes: A - - PowerPoint PPT Presentation

Self-Management of Diabetes: A preliminary study

Annie Chang Associate Professor School of Nursing Fooyin University, Taiwan

The Impact of M-Health on the

Introduction

Diabetes mellitus [1-3]

• is a life-long chronic disease;
• can damage all regions of the body;
• needs on-going process of self-management;
• used traditional education and learning methods.

Introduction

M-health [4]

• abbreviation for mobile health,
• 2/3 population owns a mobile phone

Functions

• building community、
• delivery of healthcare information、
• real-time monitoring、
• direct provision of care

Introduction

Minimal Psychological Intervention (MPI) [5-7]

• Applying principles of

self-management and cognitive behavioral therapy

Purpose of this study

• To explore the impact of this m-health

programme on diabetes patients Diabetes Knowledge, Psychological distress, and Self-care behaviours.

Methods

• One-group pretest-posttest pre-experimental design
• Selection criteria were:

1) diagnosis of diabetes; 2) age over 20 years; 3) no serious condition; 4) internet access via smartphone,

• A total of 30 patients were recuited

M-Health Programme

• Facebook with Private/Closed group

Receiving online-lectures and quizzes, Sharing experiences, and Communicating with each other Providing diabetes APP

• A total of 10 online thematic activities

Group’s name Facebook Welcome Community Activities Sharing

Wk Themes MPI Design 2 Cognitive section



Understand diabetes diet



Design my plate daily

• 1. Cognition:

relationships

• f

diet and diabetes

• 2. Affect: triggering motivation to change
• 3. Skill: self-assessment of consciousness

4 Affective section



Understand new tool for diet control



Plate-app to plan calories daily

• 1. Cognition: taking control of diet
• 2. Affect: triggering motivation to change
• 3. Skill: aroused affection, app usage

7 Psychological section



Understand emotions and diabetes



Practise relaxation techniques

• 1. Cognition: taking control of emotions

related to diabetes

• 2. Affect: adjusting mentality
• 3. Skill: music therapy and meditation

10 Behavioural section



Experience sharing



Fill the questionnaire

• 1. Cognition: posttest questionnaire
• 2. Affect: support from each other
• 3. Skill: overview of programme

Design my plate Week 4 APP Step by step Discussion

Video to follow Week 3 Excercise Who readied it communication

Instruments

• Sociodemographic data
• Diabetes Knowledge: CVI >.8
• Self-care behaviours scale: Cronbach’s α=.86
• Psychological health: Cronbach’s α =.85

Data collection

• Approved by the Human Research Ethics

Committee (NCKU HREC-E-105-182-2)

• A written consent form to indicate their

willingness to join the study

• Using SPSS statistical package version 22 for data

analyses

Results

Demographic characteristics

• A total of 30 participants
• Gender: 80% female
• Age: 46±8.9 years
• Education: 100% completed primary school
• Employment: 80% employed
• Only, 22 participants completed the m-health

programme

• Withdrawal reasons: not familiar with media devices or

Facebook, apps, and weekly lectures, etc.

Results

Pretest-posttest findings

Variables Pretest Posttest T P Mean SD Mean SD Diabetes knowledge 6.09 1.68 6.09 1.15 .00 .970 Psychological health 46.4 19.8 39.8 16.3 1.78 .090 Diabetes self-care behaviours 113.3 31.1 128.5 20.5

• 2.61

.010 Foot care 20.4 5.8 23.1 4.7

• 2.43

.024 Diet Control 41.8 13.5 49.7 6.6

• 2.84

.010 Exercise 8.3 4.3 10.2 3.3

• 2.58

.017 Medication Compliance 7.0 1.1 7.4 1.2

• .95

.355 Self-monitoring blood sugar 27.3 7.4 29.2 5.6

• 1.37

.185

Discussion

• Significant improvement in diabetes self-care

behaviours and

• Slight changes in psychological distress
• Psychological distress
• emotional problems (p <.05)
• diet-related problems (p >.05)
• No changes in diabetes knowledge
• Pre-test score of 6.09 (total score:7)

Several limitations

• Research design,
• Instruments, and
• Selection bias.

Implication further research

• Feasibility,
• Usability, and
• Acceptability

Conclusion

• This study provided a platform for diabetes

patients to keep them posted with updated information, lectures, discussion, and social interaction, so that they maybe more willing to engage in their self-care activities

References

1. International Diabetes Federation, IDF Diabetes Atlas, International Diabetes Federation 2017 retrieved from: [http://www.diabetesatlas.org/]. 2. M.E. Murphy, M. Byrne, R. Galvin, F. Boland, T. Fahey, S.M. Smith, Improving risk factor management for patients with poorly controlled type 2 diabetes: a systematic review of healthcare interventions in primary care and community settings, BMJ Open 7 (2017), e015135. 3.

• T. Al Slamah, B.I. Nicholl, F.Y. Alslail, C.A. Melville, Self-management of type 2 diabetes in gulf cooperation council

countries: A systematic review, PLoS One 12 (2017), e0189160. 4.

• C. Free, G. Phillips, L. Galli, L. Watson, L. Felix, P. Edwards, V. Patel, A. Haines, The Effectiveness of Mobile-Health

Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review, PLoS medicine 10(2013), e1001362. 5. C.J. Chiu, Y.H. Hu, L.A. Wray, E. A. Beverly, Y.C. Yang, J.S. Wu, F.H. Lu, Dissemination of evidence-base minimal psychological intervention for diabetes management in Taiwan adults with type 2 diabetes. International Journal Of Clinical And Experimental Medicine 9(2016): 14489-14498. 6. C.C. Jonkers, F. Lamers, H. Bosma, J. F. Metsemakers, & J. T. M.van Eijk, The effectiveness of a minimal psychological intervention on self-management beliefs and behaviors in depressed chronically ill elderly persons: a randomized

• trial. International psychogeriatrics 24(2012), 288-297.

7. B.H. Chew, R.C. Vos, M.I. Metzendorf, R.J. Scholten, G.E. Rutten, Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus. Cochrane Database Syst Rev 27(2017): CD011469.

Thanks for your attention

Annie Chang Associate Professor School of Nursing Fooyin University