TY  - JOUR
AU  - Wayne, Noah
AU  - Ritvo, Paul
PY  - 2014
DA  - 2014/06/06
TI  - Smartphone-Enabled Health Coach Intervention for People With Diabetes From a Modest Socioeconomic Strata Community: Single-Arm Longitudinal Feasibility Study
JO  - J Med Internet Res
SP  - e149
VL  - 16
IS  - 6
KW  - diabetes mellitus
KW  - type 2
KW  - health coaching
KW  - telehealth
AB  - Background: Lower socioeconomic strata (SES) populations have higher chronic disease risks. Smartphone-based interventions can support adoption of health behaviors that may, in turn, reduce the risks of type 2 diabetes-related complications, overcoming the obstacles that some patients may have with regular clinical contact (eg, shiftwork, travel difficulties, miscommunication). Objective: The intent of the study was to develop and test a smartphone-assisted intervention that improves behavioral management of type 2 diabetes in an ethnically diverse, lower SES population within an urban community health setting. Methods: This single-arm pilot study assessed a smartphone application developed with investigator assistance and delivered by health coaches. Participants were recruited from the Black Creek Community Health Centre in Toronto and had minimal prior experience with smartphones. Results: A total of 21 subjects consented and 19 participants completed the 6-month trial; 12 had baseline glycosylated hemoglobin (HbA1c) levels >7.0% and these subjects demonstrated a mean reduction of 0.43% (SD 0.63) (P<.05) with minimal changes in medication. Conclusions: This project supported the feasibility of smartphone-based health coaching for individuals from lower SES with minimal prior smartphone experience. 
SN  - 1438-8871
UR  - http://www.jmir.org/2014/6/e149/
UR  - https://doi.org/10.2196/jmir.3180
UR  - http://www.ncbi.nlm.nih.gov/pubmed/24907918
DO  - 10.2196/jmir.3180
ID  - info:doi/10.2196/jmir.3180
ER  -