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Self-monitoring diabetes with multiple mobile health devices.

Ryan J Shaw1,2, Q Yang1, A Barnes1

  • 1School of Nursing, Duke University, Durham, North Carolina, USA.

Journal of the American Medical Informatics Association : JAMIA
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Summary

Multiple mobile health technologies effectively collected data from diverse type 2 diabetes mellitus (T2DM) patients over six months, revealing valuable patterns for improved care.

Keywords:
diabetes mellitusself-managementtype 2 mobile health

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Area of Science:

  • Digital Health
  • Diabetes Management
  • Health Informatics

Background:

  • Type 2 diabetes mellitus (T2DM) management requires continuous patient monitoring.
  • Traditional clinical visits offer limited data between appointments.
  • Mobile health (mHealth) technologies present opportunities for remote patient data collection.

Purpose of the Study:

  • To assess the feasibility of using multiple mHealth technologies for data generation and transmission in diverse T2DM patients.
  • To identify patient characteristics and patterns from collected data for clinical insights.

Main Methods:

  • A 6-month longitudinal feasibility trial involving 60 adults with T2DM.
  • Self-monitoring of weight, physical activity, and blood glucose using provided devices.
  • Biweekly text message surveys for medication adherence.
  • Near real-time data aggregation and analysis of engagement and submission rates.

Main Results:

  • Feasible use of multiple mHealth devices for data tracking by diverse patient populations over 6 months.
  • Significant data transmission and engagement patterns observed, varying by patient characteristics.
  • Successful collection of diabetes-related data from varied socioeconomic, educational, and racial backgrounds.

Conclusions:

  • Multiple mHealth tools enable clinical insights from diverse T2DM patient populations.
  • Smartphone ubiquity and EHR integration of mHealth data can foster new, equitable care models.
  • mHealth facilitates continuous monitoring and personalized interventions for T2DM management.