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Long-Term Associations of a Mobile-Based Chronic Disease Management Program With Employee Health: Four-Year
Yujin Park1, Yoon Ji Kim2, Boram Choi3
1Healthcare Data Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Journal of Medical Internet Research
|July 23, 2026
Summary
A short-term mobile health intervention improved long-term metabolic health for employees with chronic disease risks, showing sustained benefits over four years. This supports integrating digital health into workplace wellness programs.
Area of Science:
- Occupational Health
- Digital Health
- Chronic Disease Management
Background:
- Rising rates of hypertension, type 2 diabetes, and obesity in employees linked to workplace factors.
- Inadequate follow-up care post-health checkups for chronic conditions.
- Limited evidence on long-term effectiveness of mobile health (mHealth) interventions in occupational settings.
Purpose of the Study:
- To assess the sustained impact of a short-term mobile-based chronic disease management program on employee metabolic health.
- To evaluate long-term associations (4-year period) of mHealth interventions in a real-world occupational setting.
Main Methods:
- Evaluation of a 12-week mobile-based chronic disease management program within an employee assistance program.
- Propensity score-matched cohorts (HTN, DM, obesity) from the Kangbuk Samsung Health Study.
- Analysis of longitudinal health data (2019-2023) including blood pressure, BMI, glucose, lipids, and triglycerides.
Main Results:
- Intervention group showed more favorable changes compared to controls over 4 years.
- Significant improvements observed in diastolic blood pressure for hypertension and diabetes cohorts.
- Favorable longitudinal changes in triglycerides and HDL cholesterol for the obesity cohort.
Conclusions:
- A short-term, personalized mHealth intervention led to favorable long-term cardiometabolic changes in employees.
- Real-world evidence supports integrating digital health into workplace strategies to improve post-checkup care.
- mHealth interventions can help sustain lifestyle changes and manage chronic disease risks among employees.
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