Assessing The Utility Of Swayam Diabetes Mobile Health Application For Self-Care Management Of Type 2 Diabetes In Home Settings

Authors

  • Abhijeet P Sinha
  • Manmohan Singhal
  • Ashish Joshi
  • Rohitashwa Kumar

DOI:

https://doi.org/10.63682/jns.v14i32S.7898

Keywords:

Self-care management, type 2 diabetes management, mobile health, m-health, human-centered application

Abstract

Background: The prevalence of type 2 diabetes mellitus (T2DM) is increasing at an alarming rate, presenting a significant public health challenge both nationally and globally. The Swayam Diabetes mobile health (mHealth) application was developed and tested to support self-care management of T2DM in home settings. The application incorporates key features such as self-monitoring tools, a daily diary, educational resources, and user support, all designed to facilitate effective self-care management of T2DM in urban home environments.

Materials and methods: A mixed-methods research design was employed, combining both qualitative and quantitative approaches. The Swayam Diabetes mobile application was developed based on pretesting conducted with 18 users. Following this, user testing was carried out with 250 participants who completed a Diabetes Management Survey (DBMS). A follow-up assessment was conducted over six months with 55 users to evaluate the application’s utility and gather feedback, using the System Usability Scale (SUS) for usability assessment.

Results: Seventy-eight percent of users preferred using the Swayam Diabetes mobile application to monitor their daily self-care activities, including food intake, nutrition, physical activity, medication adherence, and other diabetes-related information. The study observed a 5.1% improvement in self-care management, with over 55% of participants utilizing the daily diary feature. Participants reported that self-management through the mobile health application was beneficial. However, the study found minimal impact of gender on self-care outcomes.

Conclusion: The Mobile application enabled users to effectively monitor key health aspects such as nutrition, activity, and medication adherence. High user engagement, particularly with the daily diary feature, highlights its value in self-care management. Future research should focus on the long-term impact on clinical outcomes, like HbA1c levels, and assess its effectiveness across diverse populations.

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References

IDF diabetes atlas,” Org. [Online]. Available: https://www.diabetesatlas.org. [Accessed: 21-Jan-2025].

E. Arcand, “Design implications and lessons learned from mobile health applications to support patients with diabetes,” J. Diabetes Sci. Technol, vol. 6, no. 5, pp. 1197–1206, 2012.

“Mobile health apps for diabetes self-management, Technical Brief No,” AHRSQ, 2018.

M. Castellana, “A comprehensive review and meta-analysis on the effectiveness and safety of flash glucose monitoring in patients with type 1 and type 2 diabetes,” BMJ Open Diabetes Res. Care, vol. 8, no. 1.

K. G. Dobson and P. Hall, “A pilot study examining patient attitudes and intentions to adopt assistive technologies into type 2 diabetes self-management,” J. Diabetes Sci. Technol., vol. 9, no. 2, pp. 309–315, 2015.

E. Gong et al., “My Diabetes Coach, a mobile app-based interactive conversational agent to support type 2 diabetes self-management: Randomized effectiveness-implementation trial,” J. Med. Internet Res., vol. 22, no. 11, p. e20322, 2020.

S. Gatt and R. Sammut, “An exploratory study of predictors of self-care behaviour in persons with type 2 diabetes,” Int. J. Nurs. Stud., vol. 45, no. 10, pp. 1525–1533, 2008.

“Expectations and needs of patients with a chronic disease towards self-management and ehealth for self-management purposes,” Health Serv. Res, vol. 16, no. 1, 2016.

A. Sinha and M. Singhal, “A mixed research study on the design, development, and SUS assessment of m-health mobile applications with a focus on users’ utility and usability for managing type-2 diabetes in urban home settings 2023,” Clin. Pharmacol. J. Popul. Ther, 2023.

A. Sinha and M. Singhal, “User-centered ‘Swayam Diabetes’ m-health application for self-care management of Type 2 diabetes in urban home settings, the usability and utility testing of mobile application and perspectives,” ISO-International Journal of Chemical and Biochemical Sciences, vol. 24, no. 5, pp. 141–146.

A. Sinha and M. Singhal, “Development and utility of nutrition informatics programme enabled by m-health for Type 2 self-care management in home settings,” J. Posit. Sch. Psychol, vol. 6, no. 12, 2022.

A. P. Sinha, M. Singhal, M. Gupta, and A. Joshi, “Scoping review using PRISMA-SCR on m-health interventions on self-care management of type 2 diabetes at home,” Research Square, 2022.

“JMIR mHealth and uHealth,” Jmir.org. [Online]. Available: http://mhealth.jmir.org. [Accessed: 22-Jan-2025].

V. Mohan, S. Muralidharan, H. Ranjani, R. Anjana, and S. Allender, “Mobile health technology in the prevention and management of Type 2 diabetes,” Indian J. Endocrinol. Metab., vol. 21, no. 2, p. 334, 2017.

R. Mishra, Indian Foods: An AAPI’s Guide to Diet, Health, and Diabetes. AAPI Publications, 2011.

M. Serrano-Gil and S. Jacob, “Engaging and empowering patients to manage their type 2 diabetes, Part I: a knowledge, attitude, and practice gap,” Adv. Ther., vol. 27, no. 6, pp. 321–333, 2010.

T. H. Song Lipman, “Concept analysis: Self- monitoring in type 2 diabetes mellitus,” Int. Nurse Study, vol. 45, no. 11, pp. 1700–1710, 2008.

“JMIR mHealth and uHealth,” Org. [Online]. Available: http://mhealth.jmir.org. [Accessed: 22-Jan-2025].

L. M. C. Welschen et al., “Self-monitoring of blood glucose in patients with type 2 diabetes mellitus who are not using insulin,” Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd, Chichester, UK, 20-Apr-2005.

Structured educational app in improving self-care management in diabetes mellitus patients: systematic review Devangga Darma Karingga. Ferry Efendi, Retno Indarwati, Angeline Bushy.

H. M. Young, S. Miyamoto, M. Dharmar, and Y. Tang-Feldman, “Nurse coaching and mobile health compared with usual care to improve diabetes self-efficacy for persons with type 2 diabetes: Randomized controlled trial,” JMIR MHealth UHealth, vol. 8, no. 3, p. e16665, 2020.

Y. Ni, S. Liu, J. Li, S. Li, and T. Dong, “Patient-perceived service needs and health care utilization in people with type 2 diabetes: A multicenter cross-sectional study,” Medicine (Baltimore), vol. 99, no. 21, p. e20322, 2020.

E. Mehraeen et al., “Design and development of a mobile-based self-care application for patients with type 2 diabetes,” J. Diabetes Sci. Technol., vol. 16, no. 4, pp. 1008–1015, 2022.

A. J. Karter et al., “Missed appointments and poor glycemic control: an opportunity to identify high-risk diabetic patients: An opportunity to identify high-risk diabetic patients,” Med. Care, vol. 42, no. 2, pp. 110–115, 2004.

S. Kitsiou, G. Paré, M. Jaana, and B. Gerber, “Effectiveness of mHealth interventions for patients with diabetes: An overview of systematic reviews,” PLoS One, vol. 12, no. 3, p. e0173160, 2017.

C. D. Hoppe, J. E. Cade, and M. Carter, “An evaluation of diabetes targeted apps for Android smartphone in relation to behaviour change techniques,” J. Hum. Nutr. Diet., vol. 30, no. 3, pp. 326–338, 2017.

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Published

2025-07-02

How to Cite

1.
P Sinha A, Singhal M, Joshi A, Kumar R. Assessing The Utility Of Swayam Diabetes Mobile Health Application For Self-Care Management Of Type 2 Diabetes In Home Settings. J Neonatal Surg [Internet]. 2025Jul.2 [cited 2025Jul.19];14(32S):3128-35. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7898

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