Junhee Ahn, Youngran Yang, Ji Young Kim, Jihyon Pahn, Yura Jang
{"title":"Effectiveness of mHealth-Based Self-Management Interventions on Self-Efficacy in Patients With Type 2 Diabetes: A Systematic Review and Meta-Analysis.","authors":"Junhee Ahn, Youngran Yang, Ji Young Kim, Jihyon Pahn, Yura Jang","doi":"10.1177/26350106251361360","DOIUrl":"10.1177/26350106251361360","url":null,"abstract":"<p><p>PurposeThe purpose of this systematic review was to evaluate the effectiveness of mHealth-based self-management interventions on self-efficacy among patients with type 2 diabetes.MethodsFollowing PRISMA guidelines, a systematic search was conducted across Medline, CINAHL, the Cochrane Library, and OVID databases. Analyses were performed using the <i>meta</i> and <i>metafor</i> packages in R programming. The restricted maximum likelihood (REML) method and Hartung-Knapp-Sidik-Jonkman (HKSJ) adjustment were applied to rigorously estimate random effects.Results:The analysis included 9 high-quality randomized controlled trials published between 2014 and 2022, with a total of 1,116 participants. The standardized mean difference was 0.97 (95% CI, 0.16-1.78, <i>t</i> = 2.75, <i><i>P</i></i> = .02), indicating a significant effect.ConclusionThe findings suggest that mHealth-based self-management interventions significantly enhance self-efficacy in patients with type 2 diabetes. Improved self-efficacy fosters better self-management, ultimately leading to enhanced health outcomes in patients with diabetes. These interventions provide a valuable tool for patients, particularly those who are unable to attend in-person sessions, to effectively manage their condition and potentially reduce complications associated with diabetes. The integration of mHealth into routine diabetes care can play a critical role in supporting ongoing self-management and improving overall health.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"517-531"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144982019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Nurse-Led Intervention Program Using the LINE Official Account (OA) Application to Improve Self-Care and Clinical Outcomes in Patients With Diabetes and Comorbidities.","authors":"Phenchan Meekaew, Panan Pichayapinyo, Weena Thiangtham, Sunee Lagampan, Ouppatham Supasyndh","doi":"10.1177/26350106251371083","DOIUrl":"10.1177/26350106251371083","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to evaluate the effectiveness of a nurse-led intervention via the LINE Official Account (OA) application on knowledge, self-care, and clinical outcomes in patients with type 2 diabetes and comorbidities in Thailand.MethodsA cluster 2-arm randomized controlled trial with assessments at baseline, 6 weeks, and 12 weeks was conducted in 2 noncommunicable disease clinics between October 2023 and March 2024. A total of 108 participants were recruited and randomly assigned to either the intervention group (n = 55) or control group (n = 53). Using Orem's Self-Care Deficit Nursing Theory as a conceptual framework, the 12-week intervention included knowledge and behavioral assessment, health education support, and practicing reminder via the LINE OA application. The control group received usual care. Outcomes included knowledge, self-care agency, self-care behaviors, A1C, blood pressure, and microalbuminuria (MAU). Data were analyzed using <i>t</i>-tests, repeated measures analysis of variance, and Cohen's <i>d</i>.ResultsCompared to the control group, at 6 and 12 weeks, participants in the intervention group demonstrated significant improvements in knowledge, self-care agency, and self-care. Clinically significant changes in A1C, blood pressure, and MAU were observed at 12 weeks in the intervention group.ConclusionThe study findings highlight the effectiveness of the nurse-led intervention via LINE OA application in knowledge, self-care, MAU, and A1C improvement. Extended study duration is recommended to assess sustainability for the future study.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"505-516"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining the Relationship Between Diabetes Distress and Patient Activation in Adults With Type 2 Diabetes.","authors":"Rhea S Mundle, Aaron A Lee","doi":"10.1177/26350106251371084","DOIUrl":"10.1177/26350106251371084","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to examine the relationship between diabetes distress and various factors with patient activation among adults with type 2 diabetes.MethodsLinear and nonlinear relationships were evaluated using hierarchical polynomial regression models. Diabetes distress was measured using the Diabetes Distress Scale (DDS-17), with its 4 subscales, including emotional burden and regimen-, physician-, and interpersonal-related distress. Patient activation was measured using the Patient Activation Measure (PAM-13).ResultsThere was a weak linear association between total DDS-17 and PAM-13 scores (<i>R</i><sup>2</sup> = 2.8%, <i>P</i> = .003). Across all subscales, results revealed robust quadratic trends that accounted for large increases in variance above and beyond linear trends (<i>R</i><sup>2</sup>s = 8.6%-23.0%, <i>P</i>s < .001).ConclusionsResults indicate a robust U-shaped relationship between diabetes distress and patient activation. These findings have the potential to inform treatment approaches for individuals with moderate to high diabetes distress and/or low patient activation.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"487-496"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Longitudinal Associations of Social Isolation, Systemic Inflammation, and Cognitive Function Among Older Adults With Diabetes: Cross-Lagged Examination.","authors":"Bohyun Kim, Jie Hu","doi":"10.1177/26350106251371080","DOIUrl":"10.1177/26350106251371080","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to examine the cross-lagged longitudinal associations between social isolation and cognitive function among older adults with diabetes and to investigate the mediating role of systemic inflammation in these associations.</p><p><strong>Methods: </strong>Secondary data from the Health and Retirement Study were utilized across 3 waves (2006, 2010, and 2014). To examine the longitudinal relationships between social isolation and cognitive function, a cross-lagged panel modeling approach was employed, with particular attention to the mediating role of C-reactive protein. A sequential predictor procedure was used; initially, only social isolation and cognitive function were analyzed; subsequently, sociodemographic covariates were controlled for; and finally, health-related covariates were added.</p><p><strong>Results: </strong>Data from 1336 older adults with diabetes in the United States were analyzed. In the partially adjusted model, reciprocal negative associations between social isolation and cognitive function were identified. However, these reciprocal negative associations were no longer statistically significant after accounting for health-related covariates. C-reactive protein did not serve as a mediator in the link between social isolation and cognitive function regardless of adjustments for covariates.</p><p><strong>Conclusion: </strong>Given the reciprocal associations between social isolation and poorer cognitive function, a feedback loop may exist between these 2 factors. It is crucial to identify mediating mechanisms to disrupt this vicious cycle.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"449-461"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intermittent Use of Continuous Glucose Monitoring: A Practical and Culturally Relevant Strategy for India's Type 2 Diabetes Epidemic.","authors":"Keshavi Killi, Aparna Kuna, Dilip Kumar Kandar","doi":"10.1177/26350106251366655","DOIUrl":"10.1177/26350106251366655","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"447-448"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Rasbach, Ginna Purrington, Deanna Adkins, Robert Benjamin
{"title":"Telehealth to Promote Adoption of Automated Insulin Delivery Systems in Youth With Risk Factors for Adverse Diabetes Outcomes.","authors":"Lisa Rasbach, Ginna Purrington, Deanna Adkins, Robert Benjamin","doi":"10.1177/26350106251361370","DOIUrl":"10.1177/26350106251361370","url":null,"abstract":"<p><p>PurposeThe purpose of this study is to assess the effects of an intensive telehealth intervention on technology adoption and glycemic control in historically marginalized youth with diabetes mellitus on Medicaid.MethodsThis quality improvement project included youth (ages 12-18) with diabetes utilizing insulin therapy. Eligible participants were diagnosed at least 12 months prior to enrollment and had an A1C ≥9%, Medicaid insurance, and willingness to use a continuous glucose monitor (CGM) and an insulin pump. Participants received scheduled weekly contact (phone/video) with a certified diabetes care and education specialist and monthly video visits with a nurse practitioner.ResultsYouth (N = 18, 61% female, 78% non-White, diabetes duration 4.6±3 years) had baseline mean A1C of 11.4% ± 2.0%; 22% were on pump therapy. There was a sustained improvement between baseline A1C (mean 11.4% ± 2.0%) and 3 months (mean 10.5% ± 2.7%; <i>P</i> = .01) and 6 months (mean 9.8% ± 2.4%, 83.6 mmol/mol; <i>P</i> = .003). Significantly more participants used pump therapy by the end (n = 16) compared to baseline (n = 4; <i>P</i> < .0001). Participants wore CGMs more at 3 (<i>P</i> = .04) and 6 months (<i>P</i> = .0004) during the intervention compared to 3 and 6 months prior.ConclusionsThis telehealth intervention provided interim improvement in A1C and increased adoption of diabetes technology in a low socioeconomic status cohort from a historically marginalized population. Ongoing monitoring is needed to evaluate the durability of this intervention.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"497-504"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jung-Suk Kim, Chun-Ja Kim, Dae Jung Kim, Elizabeth A Schlenck
{"title":"Psychometric Evaluation of the Self-Efficacy for Appropriate Medication Use Scale-Korean in People With Diabetes.","authors":"Jung-Suk Kim, Chun-Ja Kim, Dae Jung Kim, Elizabeth A Schlenck","doi":"10.1177/26350106251361372","DOIUrl":"10.1177/26350106251361372","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to examine the psychometric properties of the Korean version of the Self-Efficacy for Appropriate Medication Use Scale (SEAMS-K).MethodsA cross-sectional design was used with 130 adults with type 2 diabetes taking medications from an outpatient clinic at a university hospital in Korea. Structured questionnaires were used for psychometric evaluation. The SEAMS-K validity was examined using exploratory factor analysis, and reliability was assessed using Cronbach's alpha and intraclass correlation coefficient. The original 13-item SEAMS was forward-translated and back-translated to ensure the translation equivalence of the SEAMS-K.ResultsFactor analysis for structural validity identified 3 dimensions of the SEAMS-K, explaining 71.2% of the total variance. The SEAMS-K showed significant associations with refilling and taking medication (<i>r</i> = -.58, <i>P</i> < .001), depressive symptoms (<i>r</i> = -.27, <i>P</i> = .002), and diabetes self-efficacy (<i>r</i> = .38, <i>P</i> < .001), thus, validating the construct validity hypotheses. As evidence of known groups' validity, there was a significant association between the SEAMS-K score according to A1C level (<i>P</i> = .042). The intraclass correlation coefficient for test-retest reliability was .91, and the alpha for internal consistency reliability was .92.ConclusionsThese results suggest that the SEAMS-K may be used clinically to assess the self-efficacy of appropriate medication use among Korean patients with type 2 diabetes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"476-486"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fatigue, Sleep, and Mental Health as Hidden Predictors of Prediabetes in Undergraduate Students: A Cross-Sectional Study.","authors":"Ollyvia Freeska Dwi Marta, Satwika Arya Pratama, Safiruddin Al Baqi, Fergi Patricia Essing, Rudy Kurniawan, Hsiao-Yean Chiu, Faizul Hasan, Debby Syahru Romadlon","doi":"10.1177/26350106251350634","DOIUrl":"10.1177/26350106251350634","url":null,"abstract":"<p><p>PurposeThe purpose of the study was to examine the associations between fatigue, sleep quality, and mental health (depression and anxiety) among undergraduate students with prediabetes.MethodsA cross-sectional study was conducted among 327 undergraduate students (ages 18-25) from 3 universities in Indonesia. Participants completed surveys on fatigue, sleep quality, depression, and anxiety. Fasting blood glucose were measured to determine prediabetes. Multivariate logistic regression analyzed associations between psychological, behavioral, and metabolic factors.ResultsPrediabetes was found in 21.4% (n = 70) of participants. Students with prediabetes had significantly higher fatigue, poorer sleep quality, and shorter sleep duration (<6 hours) more often. They also had higher depression scores and more anxiety symptoms. Multivariate analysis, adjusting for age, sex, body mass index, smoking, physical activity, and family history, revealed that higher fatigue, poor sleep quality, short sleep duration, and depression were independent predictors of prediabetes.ConclusionFatigue, poor sleep quality, and mental health symptoms are key factors associated with prediabetes risk in undergraduate students. These findings highlight the importance of addressing psychological and behavioral factors in prediabetes prevention.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"415-424"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cynthia Baur, Rebecca Ledsky, Allison Elkins, Monica Miller, Kathleen Pellechia, Thomas Lehman, Yvonne Mensa-Wilmot, LaShonda Hulbert, Lisa Tensuan
{"title":"An Exploratory Partner Approach to Participation in the National Diabetes Prevention Program Lifestyle Change Program in Maryland.","authors":"Cynthia Baur, Rebecca Ledsky, Allison Elkins, Monica Miller, Kathleen Pellechia, Thomas Lehman, Yvonne Mensa-Wilmot, LaShonda Hulbert, Lisa Tensuan","doi":"10.1177/26350106251350628","DOIUrl":"10.1177/26350106251350628","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe an exploratory partner approach to enrolling in the National Diabetes Prevention Program (National DPP), a proven 12-month lifestyle change program (LCP) for people at risk for developing type 2 diabetes. FHI360 and the University of Maryland Horowitz Center for Health Literacy created a \"partner approach\" to investigate whether people at risk for developing diabetes might be willing to join, complete, and be successful in the LCP if they intentionally go through the program with a partner who influences their lifestyle choices.</p><p><strong>Methods: </strong>The research team analyzed aggregated participant self-reported weight and physical activity data, participant survey and focus group data, and lifestyle coach in-depth interview data to assess the retention, motivation, and acceptability of the partner approach.</p><p><strong>Results: </strong>Across sites, retention of participants at risk of developing type 2 diabetes at the end of the year-long program was at 79%. Participants at the partner approach sites reported being motivated and successful. Lifestyle coaches reported that participants stayed in the program longer and adapted their lifestyle more than participants at other sites that did not offer the partner approach.</p><p><strong>Conclusions: </strong>People at risk of developing type 2 diabetes may respond positively to participating in a National DPP LCP when they can join with engaged partners. Based on study results, the partner approach may be a way to attract people at risk for type 2 diabetes who are more comfortable joining with a partner.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"394-403"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dispositional Gratitude and Psychosocial and Glycemic Outcomes in Adolescents With Type 1 Diabetes.","authors":"Rebecca Koerner, Kaitlyn Rechenberg","doi":"10.1177/26350106251350614","DOIUrl":"10.1177/26350106251350614","url":null,"abstract":"<p><p>PurposeThe purpose of this secondary data analysis is to examine associations among dispositional gratitude and psychosocial and glycemic outcomes in adolescents with type 1 diabetes (T1DM).MethodsThis is a secondary data analysis using baseline data from a pilot study examining the efficacy of a mindfulness-based stress reduction mHealth application in adolescents with T1DM. A total of 31 participants who were between the ages of 12 to 19 years old, had diabetes for at least 6 months, were able to speak and read English, and had access to a mobile phone were included in the analysis. Correlations among dispositional gratitude, anxiety symptoms, A1C, insomnia, and diabetes self-care were evaluated.ResultsDispositional gratitude was negatively correlated with anxiety symptoms, A1C, and insomnia. Dispositional gratitude was positively correlated with diabetes self-care.ConclusionsHigher dispositional gratitude was associated with lower anxiety symptoms, better glycemic control, better sleep, and better diabetes self-care. The practice of gratitude may be a modifiable factor that can reduce anxiety symptoms and, in turn, optimize glycemic outcomes in this vulnerable population.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"375-381"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}