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Enhancing mHealth Technology in the Patient-Centered Medical Home Environment to Activate Patients With Type 2

Ronald Gimbel1, Lu Shi1, Joel E Williams1

  • 1Department of Public Health Sciences, Clemson University, Clemson, SC, United States.

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PubMed
Summary

This study explores mobile health (mHealth) technology to improve type 2 diabetes self-care and patient activation within a patient-centered medical home (PCMH). Findings aim to enhance chronic care management through integrated mHealth strategies.

Keywords:
diabetes mellituseHealthhealth informationmHealthpatient activationpatient centered carepatient-centered medical home

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Area of Science:

  • Health Informatics
  • Digital Health
  • Chronic Disease Management

Background:

  • Mobile health (mHealth) technologies show promise for managing chronic conditions like diabetes.
  • Existing mHealth tools include web portals, SMS, remote biometrics, and electronic coaching.
  • This study integrates promising mHealth capabilities into a patient-centered medical home (PCMH) workflow.

Purpose of the Study:

  • To address technology gaps and enhance patient activation for type 2 diabetes self-care.
  • To enable supporting technologies that influence patient activation and self-management.
  • To investigate the effectiveness of mHealth in a PCMH setting.

Main Methods:

  • A multisite, phased study within the US Military Health System.
  • Phase 1: User-centered design to assess patient and provider preferences for mHealth enhancements.
  • Phase 2: A 12-month, single-blinded feasibility trial using a Mobile Health Care Environment with tailored behavioral messaging.

Main Results:

  • Phase 1 data collection is complete; formal analysis is pending.
  • Institutional review board approval obtained; Phase 1 research initiated in fall 2016.
  • The study is designed to measure patient activation and diabetes self-care activities.

Conclusions:

  • Hypothesize that patients will improve chronic care management and diabetes self-care through enhanced activation.
  • Expected to improve understanding of leveraging mHealth for type 2 diabetes self-management.
  • Will provide insights into integrating mHealth into PCMH clinical workflows.