Enhancing knowledge of Diabetes self-management and quality of life in people with Diabetes Mellitus by using Guru Diabetes Apps-based health coaching.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nuurhidayat Jafar, Emy Huriyati, Haryani, Andina Setyawati
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Abstract

Introduction: Virtual diabetes coaching through applications has the potential to improve self-management in people with Type 2 Diabetes Mellitus. However, applications designed for Asian's diabetic have never been studied. Therefore, our study aimed to identify the effect of Guru Diabetes Apps-Based Health Coaching on the level of glycemic hemoglobin, knowledge, and quality of life in Indonesians, as one of Asian ethnicities.

Materials and methods: This study used an experimental design. Participants with T2DM were recruited from three primary care health centers. The intervention included 3 months of virtual health coaching through the Guru Diabetes application. The daily monitoring of glycemic blood glucose, blood pressure, body weight, nutrition intake, and activity provided were used as baseline to conduct virtual in-person coaching. The glycemic hemoglobin level, knowledge level, and quality of life were assessed at baseline and post-enrollment. A multilevel modeling approach was used for statistical analysis.

Results: A total of 66 respondents were enrolled, and 62 respondents (93.93%) remained in the study at 3 months. After completing the intervention, the HbA1c level decreased in all groups, however it did not differ among the groups. On the other hand, the results indicate significant improvement in the average diabetes self-management knowledge score (pre = 14.97 vs post = 19.07, p < 0.05) and quality of life score (pre = 54.34 vs post = 60.28, p < 0.05), with significant difference among the groups (p < 0.05).

Conclusion: Participants in the Android Application-Based Health Coaching experienced a significant improvement in diabetes self-management knowledge and quality of life scores at 3 months. In conclusion, the Guru Diabetes Apps-Based Health Coaching has the potential to support people with T2DM in performing diabetes self-management at home.

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通过使用基于Guru Diabetes apps的健康指导,提高糖尿病患者自我管理和生活质量的知识。
通过应用程序进行虚拟糖尿病指导有可能改善2型糖尿病患者的自我管理。然而,为亚洲糖尿病患者设计的应用从未被研究过。因此,我们的研究旨在确定基于Guru Diabetes apps的健康指导对印度尼西亚人的血糖血红蛋白水平、知识和生活质量的影响,作为亚洲种族之一。材料与方法:本研究采用实验设计。T2DM患者从三个初级保健中心招募。干预包括通过Guru Diabetes应用程序进行3个月的虚拟健康指导。每日监测血糖、血压、体重、营养摄入和提供的活动作为基线进行虚拟面对面指导。在基线和入组后评估血糖血红蛋白水平、知识水平和生活质量。采用多层次建模方法进行统计分析。结果:共纳入66例受试者,其中62例(93.93%)在3个月时仍在研究中。干预结束后,各组HbA1c水平均有所下降,但各组间无差异。另一方面,结果显示糖尿病自我管理知识平均得分显著提高(前= 14.97 vs后= 19.07,pp pp)。结论:基于Android应用程序的健康指导参与者在3个月时糖尿病自我管理知识和生活质量得分显著提高。总之,基于Guru Diabetes apps的健康指导有潜力支持2型糖尿病患者在家中进行糖尿病自我管理。
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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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