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Implementing a Digital-Enhanced Multiple-Behavior Self-Monitoring Intervention in Diabetes Care and Support: A
Jing Wang1, Chengdong Li1, Yijiong Yang1
1Florida State University, Tallahassee, FL, USA.
The Science of Diabetes Self-Management and Care
|May 20, 2026
Summary
This study found that a digital self-monitoring intervention for type 2 diabetes is feasible and acceptable. Participants achieved modest weight loss and maintained glycemic control over three months.
Area of Science:
- Diabetes Management
- Behavioral Interventions
- Digital Health
Background:
- Type 2 diabetes requires ongoing self-management.
- Multiple behavior changes are often necessary for effective diabetes care.
- Digital tools can support self-monitoring interventions.
Purpose of the Study:
- To assess the feasibility of a multiple-behavior self-monitoring intervention in a diabetes support program.
- To explore within-participant changes during the intervention.
- To evaluate the acceptability and usefulness of the intervention.
Main Methods:
- A 3-month mixed-method implementation study.
- 45 adults with type 2 diabetes were enrolled.
- Participants self-monitored diet, activity, blood glucose, and weight via apps or diaries.
- A lifestyle intervention adapted from Look AHEAD was provided.
Main Results:
- 31 participants completed the study.
- Modest weight loss and stable glycemic control (A1C) were observed.
- No significant differences were found between smartphone and paper monitoring methods.
- Qualitative interviews indicated the intervention was feasible, acceptable, and useful.
Conclusions:
- A digital, multiple-behavior self-monitoring intervention is feasible in diabetes care programs.
- The intervention is acceptable to participants.
- Observed weight loss and maintained glycemic control suggest potential benefits.
