title: The development and feasibility of a web-based intervention with diaries and situational feedback via smartphone to support self-management in patients with diabetes type 2.
abstract: OBJECTIVE
  The aim of the study was to develop and test the feasibility of a three months web-based intervention, delivered by a smartphone to support self-management in patients with type 2 diabetes.
  
  
  METHODS
  The intervention included use of a smartphone enabling access to daily web-based diaries and individualized written situational feedback. The participants registered their eating behavior, medication taking, physical activities and emotions three times daily using the mobile device. They also registered their fasting blood glucose level in the morning diary. A therapist had immediate access to submitted diaries and used the situational information to formulate a personalized feedback based on Acceptance Commitment Therapy. The purpose of the diaries and the situational feedback was to stimulate self-management.
  
  
  RESULTS
  Eleven of the fifteen participants included in the study completed the intervention, which was evaluated as supportive and meaningful. Most of the participants reported positive life style changes. The response rate to the daily registration entries was good and few technical problems were encountered.
  
  
  CONCLUSIONS
  The described intervention is feasible and should be tested out in a large-scale study. The developed smartphone application seems a promising tool for supporting patients with type 2 diabetes to make important life style changes.
authors.affiliation: Institute of Nursing, Oslo and Akershus University College, Falbesgate, 5, 0170 Oslo, Norway. andrea.nes@hioa.no
authors.forename: Andréa A G
authors.initials: AA
authors.lastname: Nes
authors.forename: Sandra
authors.initials: S
authors.lastname: van Dulmen
authors.forename: Erlend
authors.initials: E
authors.lastname: Eide
authors.forename: Arnstein
authors.initials: A
authors.lastname: Finset
authors.forename: Olöf Birna
authors.initials: OB
authors.lastname: Kristjánsdóttir
authors.forename: Ida Synnøve
authors.initials: IS
authors.lastname: Steen
authors.forename: Hilde
authors.initials: H
authors.lastname: Eide
mesh_terms: D000368:Aged; D040421:Cell Phone / Q000706:statistics & numerical data*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005240:Feasibility Studies; D005246:Feedback; D005260:Female; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D009664:Norway; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010865:Pilot Projects; D012107:Research Design; D012648:Self Care / Q000379:methods; D017216:Telemedicine / Q000379:methods*