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Physician-Authored Feedback in a Type 2 Diabetes Self-management App: Acceptability Study.

Eden Potter¹, Frada Burstein², Daphne Flynn¹

¹Design Health Collab, Monash Art, Design and Architecture, Monash University, Melbourne, Australia.

JMIR Formative Research

|May 10, 2022

Summary

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A mobile app providing daily physician feedback improved glycemic control in type 2 diabetes (T2D) patients. Participants found the app acceptable and motivating for lifestyle changes.

Area of Science:

Digital Health
Metabolic Diseases
Behavioral Science

Background:

Type 2 diabetes (T2D) prevalence is rising, linked to lifestyle factors like sedentary behavior and diet.
Mobile apps show promise for T2D management, aiding condition monitoring and health education.
Digital interventions can be used independently or with healthcare professional support.

Purpose of the Study:

To assess patient acceptability of app-based daily physician feedback for T2D.
To evaluate feedback informed by continuous monitoring of activity, diet, and glucose.
To encourage healthier behaviors in T2D patients through the GLOOK! app.

Main Methods:

15 T2D patients used a glucose monitor and smartwatch for 12 days.
Data integrated into the GLOOK! app for activity, food, and glucose tracking.

Keywords:

activity apps behavior change daily feedback diabetes mellitus digital health empirical test food consumption health mHealth mobile app mobile apps mobile health mobile phone smartphone type 2 diabetes

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Physicians provided daily personalized feedback; clinical and interview data collected.

Main Results:

Significant reduction in hemoglobin A1c (0.22%, P=.004) over 12 days.
Positive patient feedback; 87% willing to continue use with improvements.
Personalized feedback was perceived as supportive and helpful for understanding behavior.

Conclusions:

App-based daily physician feedback can improve glycemic and cardiovascular risk parameters in T2D.
The intervention was acceptable to patients and motivated self-management and lifestyle changes.
Short-term use demonstrated potential for longer-term health improvements in T2D.