Evidence map›Paper›PMID 34111018›Full record

ArticleJMIR diabetes2021

A Personalized Mobile Health Program for Type 2 Diabetes During the COVID-19 Pandemic: Single-Group Pre-Post Study.

Ian Yi Han Ang, Kyle Xin Quan Tan, Clive Tan, Chiew Hoon Tan, James Wei Ming Kwek, Joanne Tay, Sue Anne Toh

Open access · goldAbstract read
In one paragraph

Article in JMIR diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Stakeholder Perspectives on the Impact of COVID-19 on the Implementation of a Community-Clinic Linkage Model in New York City.Prevention science : the official journal of the Society for Prevention Research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ian Yi Han Ang *Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.ORCID https://orcid.org/0000-0003-1124-3764
Kyle Xin Quan Tan *Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.ORCID https://orcid.org/0000-0001-8340-0453
Clive TanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.ORCID https://orcid.org/0000-0001-9573-2068
Chiew Hoon TanSingapore Armed Forces, Singapore, Singapore.ORCID https://orcid.org/0000-0002-1747-4857
James Wei Ming KwekSingapore Armed Forces, Singapore, Singapore.ORCID https://orcid.org/0000-0002-9998-0349
Joanne TayNOVI Health, Singapore, Singapore.ORCID https://orcid.org/0000-0003-4919-9842
Sue Anne TohNOVI Health, Singapore, Singapore.ORCID https://orcid.org/0000-0003-1570-4417
Ministry of Defence · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith increasing type 2 diabetes prevalence, there is a need for effective programs that support diabetes management and improve type 2 diabetes outcomes. Mobile health (mHealth) interventions have shown promising results. With advances in wearable sensors and improved integration, mHealth programs could become more accessible and personalized.

objectiveThe study aimed to evaluate the feasibility, acceptability, and effectiveness of a personalized mHealth-anchored intervention program in improving glycemic control and enhancing care experience in diabetes management. The program was coincidentally implemented during the national-level lockdown for COVID-19 in Singapore, allowing for a timely study of the use of mHealth for chronic disease management.

methodsPatients with type 2 diabetes or prediabetes were enrolled from the Singapore Armed Forces and offered a 3-month intervention program in addition to the usual care they received. The program was standardized to include (1) in-person initial consultation with a clinical dietitian; (2) in-person review with a diabetes specialist doctor; (3) 1 continuous glucose monitoring device; (4) access to the mobile app for dietary intake and physical activity tracking, and communication via messaging with the dietitian and doctor; and (5) context-sensitive digital health coaching over the mobile app. Medical support was rendered to the patients on an as-needed basis when they required advice on adjustment of medications. Measurements of weight, height, and glycated hemoglobin A

resultsOver a 4-week recruitment period, 130 individuals were screened, the enrollment target of 30 patients was met, and 21 patients completed the program and were included in the final analyses; 9 patients were lost to follow-up (full data were not available for the final analyses). There were no differences in the baseline characteristics between patients who were included and excluded from the final analyses (age category: P=.23; gender: P=.21; ethnicity: P>.99; diabetes status category: P=.52, medication adjustment category: P=.65; HbA

conclusionsThe personalized mHealth program was feasible, acceptable, and produced significant reductions in HbA

Indexed as

blood glucosebody mass indexchronic diseaseCOVID-19diabetesglycated hemoglobin AHbA1cinterventionmHealthmobile applicationsoutcomeprediabetic stateself-managementtext messagingtype 2 diabetes

Identifiers

PMID34111018
PMCPMC8274679
OpenAlexW3166700098

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.