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Mobile App-Based Lifestyle Coaching Intervention for Patients With Nonalcoholic Fatty Liver Disease: Randomized
Oh Young Kwon1,2, Mi Kyung Lee3, Hye Won Lee4,5
1College of Nursing, Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.
Journal of Medical Internet Research
|February 15, 2024
Summary
A mobile app intervention improved physiological and psychological health in nonalcoholic fatty liver disease (NAFLD) patients. This digital health approach supports self-management and offers a promising nonpharmacological treatment option.
Area of Science:
- Hepatology
- Digital Health
- Behavioral Science
Background:
- Lifestyle modification is crucial for managing nonalcoholic fatty liver disease (NAFLD).
- Mobile health (mHealth) technologies can provide effective support for patient self-management.
- This study explores the potential of mHealth in NAFLD care.
Purpose of the Study:
- To develop a mobile app-based lifestyle coaching intervention for NAFLD patients.
- To evaluate the impact of this intervention on physiological and psychological health outcomes over six months.
Main Methods:
- A randomized controlled trial was conducted with 102 NAFLD patients.
- The intervention group received personalized lifestyle coaching via a mobile app, including education, self-monitoring, and SMS coaching.
- Outcomes included physiological markers (weight, liver fat score, liver enzymes) and psychological measures (self-management, fatigue, depression, quality of life).
Main Results:
- The mobile app intervention significantly improved weight, liver fat score, liver enzymes, self-management, fatigue, depression, and quality of life within the intervention group.
- Significant between-group differences favoring the intervention were observed for self-management, knowledge, fatigue, depression, and quality of life.
- The intervention demonstrated significant effectiveness for self-management and fatigue.
Conclusions:
- Mobile app-based nonpharmacological interventions show potential for improving NAFLD patient outcomes.
- This digital health strategy may enhance both physical and mental well-being in individuals with NAFLD.
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