PMID- 32680441
OWN - NLM
STAT- MEDLINE
DCOM- 20211102
LR  - 20221207
IS  - 1932-2968 (Electronic)
IS  - 1932-2968 (Linking)
VI  - 15
IP  - 5
DP  - 2021 Sep
TI  - A Digital Lifestyle Program in Outpatient Treatment of Type 2 Diabetes: A 
      Randomized Controlled Study.
PG  - 1134-1141
LID - 10.1177/1932296820942286 [doi]
AB  - BACKGROUND: Lifestyle is important in type 2 diabetes mellitus (T2DM). This 
      study's aim was to investigate whether a healthy-lifestyle-supporting smartphone 
      application could affect treatment outcomes at an endocrinology outpatient 
      clinic. METHODS: Consecutively invited patients were randomly assigned to an 
      intervention or control group after age and gender stratification. In addition to 
      standard care, intervention group participants used a smartphone application to 
      access a lifestyle program (SidekickHealth) through which they received 
      personalized recommendations and education about healthy lifestyles. Tests at 
      baseline and every other month for six months included body weight and blood 
      tests for glycated hemoglobin (HbA1c) and blood lipids, as well as questionnaires 
      about distress related to diabetes, health-related quality of life, depression, 
      and anxiety. Statistics included comparisons both within and between groups. 
      RESULTS: A total of 37 patients (23 women) were included, whereof 30 finished, 15 
      in each group (19% dropout); the average age was 51.2 +/- 10.6 (25-70) years. No 
      significant differences emerged between groups, but within the intervention 
      group, there was a significant decrease in HbA1c from 61 +/- 21.4 to 52.7 +/- 
      15.2 mmol/mol, in disease-specific distress from 19.5 +/- 16.5 to 11.7 +/- 13.4, and 
      in anxiety symptoms from 5.4 +/- 4.0 to 4.1 +/- 3.8. No significant changes occurred 
      within the control group. The application usage was most frequent during the 
      first months and differed interpersonally. CONCLUSIONS: Our results indicate that 
      the SidekickHealth digital lifestyle program could potentially enhance outpatient 
      treatment in T2DM, in terms of both glycemic control and psychological well-being 
      but larger confirmative studies are needed.
FAU - Hilmarsdottir, Eva
AU  - Hilmarsdottir E
AD  - School of Health Sciences, University of Akureyri, Iceland.
AD  - Endocrinology Clinic, Akureyri Hospital, Iceland.
FAU - Sigurethardottir, Arun K
AU  - Sigurethardottir AK
AUID- ORCID: 0000-0003-0670-8248
AD  - School of Health Sciences, University of Akureyri, Iceland.
AD  - Department of Education and Science, Akureyri Hospital, Iceland.
FAU - Arnardottir, Ragnheiethur Harpa
AU  - Arnardottir RH
AD  - School of Health Sciences, University of Akureyri, Iceland.
AD  - Department of Rehabilitation, Akureyri Hospital, Iceland.
AD  - Department of Medical Science, Respiratory, Allergy and sleep Research, Uppsala 
      University, Academic Hospital, Sweden.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20200717
PL  - United States
TA  - J Diabetes Sci Technol
JT  - Journal of diabetes science and technology
JID - 101306166
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anxiety
MH  - Depression
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Healthy Lifestyle
MH  - Humans
MH  - Life Style
MH  - Male
MH  - Middle Aged
MH  - *Mobile Applications
MH  - Outpatients
MH  - Quality of Life
MH  - Smartphone
PMC - PMC8442170
OTO - NOTNLM
OT  - e-health
OT  - health-related quality of life
OT  - intervention
OT  - lifestyle
OT  - smartphone apps
OT  - type 2 diabetes
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2020/07/19 06:00
MHDA- 2021/11/03 06:00
PMCR- 2021/07/17
CRDT- 2020/07/19 06:00
PHST- 2020/07/19 06:00 [pubmed]
PHST- 2021/11/03 06:00 [medline]
PHST- 2020/07/19 06:00 [entrez]
PHST- 2021/07/17 00:00 [pmc-release]
AID - 10.1177_1932296820942286 [pii]
AID - 10.1177/1932296820942286 [doi]
PST - ppublish
SO  - J Diabetes Sci Technol. 2021 Sep;15(5):1134-1141. doi: 10.1177/1932296820942286. 
      Epub 2020 Jul 17.