Effects of continuous care for patients with type 2 diabetes using mobile health application: A randomised controlled trial.

Source: Wang, Y., et al. 2019 - Pubmed ID: 31368137

Setting: China, Hospital

Study design:

RCT

Follow up: 6 months

Patient group:

Sample size:

Total: 120

IG: 60

CG: 60

Inclusion criteria:

– Diabetes type 2

– Aged 30-60 years

– HbA1c greater than 7.0%

Type of technology:

App
– Data monitoring
– Data transfer
– Guidance
– Messaging

Intervention:

Intervention:

Daily blood glucose and lifestyle monitoring via the health app. Recommendations on dietary and exercise based on records were provided in the app weekly. Nurses followed up once a week after discharge for 3 months and then once a month on the mobile service platform when the patient’s blood sugar level was stable.

Duration: 6 months

Add on:

Control group: Guidance before discharge from hospital. One follow up telephone call the first week and the first month after discharge.

Clinical effect/ Patient safety:

Clinical effect:

– Disease awareness ↑

– Self management ability ↑

– HbA1c ↓

– Fast Bg ↓

– Postprandial Bg ↓

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences:

NA

Staff experiences:

NA

Costs and organization:

Investment:

Staff resources

– Development of app

Running:

Staff resources

– Monitoring data

– Messaging

Organization:

NA

Health care utilization:

Rehospitalisation ↓

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)