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Participant experiences in a smartphone-based health coaching intervention for type 2 diabetes: A qualitative inquiry

Participant experiences in a smartphone-based health coaching intervention for type 2 diabetes: A qualitative inquiry

Authors :
Noah Wayne
Sarah Pludwinski
Paul Ritvo
Farah Ahmad
Source :
Journal of Telemedicine and Telecare. 22:172-178
Publication Year :
2015
Publisher :
SAGE Publications, 2015.

Abstract

Introduction We investigated the experience of individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in an intervention in which the key elements were the provision of a smartphone and self-monitoring software. The interviews focused on use of a smartphone and the effects on motivation for health behavior change. Methods This was a qualitative evaluation of participants in a larger T2DM self-management randomized controlled trial (RCT) conducted at the Black Creek Community Health Centre (BCCHC) in Toronto, Canada (ClinicalTrials.gov Identifier: NCT02036892). The study is based on semi-structured interviews ( n = 11) that were audio taped and analyzed with a thematic analytic approach. The RCT compared the effectiveness of six months of smartphone-based self-monitoring and health coaching with a control group who received health coaching without internet or smartphone-based assistance. Results Qualitative data analyses resulted in derivation of four major themes that describe participant experience: (a) ‘smartphone and software’, describes smartphone use in relation to health behavior change; (b) ‘health coach’ describes how client/health coach relationships were assisted by smartphone use; (c) ‘overall experience’ describes perceptions of the overall intervention; and (d) ‘frustrations in managing chronic conditions’ describes difficulties with the complexities of T2DM management from a patient perspective. Discussion Findings suggest that interventions with T2DM assisted by smartphone software and health coaches actively engage individuals in improved hemoglobin A1c (HbA1c) control.

Details

ISSN :
17581109 and 1357633X
Volume :
22
Database :
OpenAIRE
Journal :
Journal of Telemedicine and Telecare
Accession number :
edsair.doi.dedup.....ed6489bcfca14bb46a30e05b2c168be8
Full Text :
https://doi.org/10.1177/1357633x15595178