PMID- 26199275
OWN - NLM
STAT- MEDLINE
DCOM- 20170123
LR  - 20221207
IS  - 1758-1109 (Electronic)
IS  - 1357-633X (Linking)
VI  - 22
IP  - 3
DP  - 2016 Apr
TI  - Participant experiences in a smartphone-based health coaching intervention for 
      type 2 diabetes: A qualitative inquiry.
PG  - 172-8
LID - 10.1177/1357633X15595178 [doi]
AB  - 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.
CI  - (c) The Author(s) 2015.
FAU - Pludwinski, Sarah
AU  - Pludwinski S
AD  - School of Kinesiology and Health Science, York University, Canada.
FAU - Ahmad, Farah
AU  - Ahmad F
AD  - School of Health Policy and Management, York University, Canada North York 
      General Hospital, Canada.
FAU - Wayne, Noah
AU  - Wayne N
AD  - School of Kinesiology and Health Science, York University, Canada.
FAU - Ritvo, Paul
AU  - Ritvo P
AD  - School of Kinesiology and Health Science, York University, Canada Cancer Care 
      Ontario, Research, Cancer Prevention and Control, Canada Division of Epidemiology 
      and Biostatistics, Princess Margaret Hospital, University Health Network, Canada 
      pritvo@yorku.ca.
LA  - eng
SI  - ClinicalTrials.gov/NCT02036892
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20150721
PL  - England
TA  - J Telemed Telecare
JT  - Journal of telemedicine and telecare
JID - 9506702
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Canada
MH  - Counseling/methods
MH  - Diabetes Mellitus, Type 2/*therapy
MH  - Disease Management
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - *Health Behavior
MH  - Health Promotion/*methods
MH  - Humans
MH  - Male
MH  - Mentoring/*methods
MH  - Middle Aged
MH  - Motivation
MH  - Qualitative Research
MH  - Self Care/methods
MH  - *Smartphone
MH  - Social Support
OTO - NOTNLM
OT  - Smartphone intervention
OT  - ehealth
OT  - health coaching
OT  - lifestyle modification
OT  - mobile health
OT  - qualitative research
OT  - type 2 diabetes
EDAT- 2015/07/23 06:00
MHDA- 2017/01/24 06:00
CRDT- 2015/07/23 06:00
PHST- 2015/03/23 00:00 [received]
PHST- 2015/06/11 00:00 [accepted]
PHST- 2015/07/23 06:00 [entrez]
PHST- 2015/07/23 06:00 [pubmed]
PHST- 2017/01/24 06:00 [medline]
AID - 1357633X15595178 [pii]
AID - 10.1177/1357633X15595178 [doi]
PST - ppublish
SO  - J Telemed Telecare. 2016 Apr;22(3):172-8. doi: 10.1177/1357633X15595178. Epub 
      2015 Jul 21.