title: mobile Digital Access to a Web-enhanced Network (mDAWN): Assessing the Feasibility of Mobile Health Tools for Self-Management of Type-2 Diabetes.
abstract: The mobile Digital Access to a Web-enhanced Network (mDAWN) program was implemented as an online, mobile self-management system to support patients with type-2 diabetes and their informal caregivers. Patients used wireless physiological sensors, received text messages, and had access to a secure web platform with health resources and semi-facilitated discussion forum. Outcomes were evaluated using (1) pre and post self-reported health behavior measures, (2) physiological outcomes, (3) program cost, and (4) in-depth participant interviews. The group had significantly decreased health distress, HbA1c levels, and systolic blood pressure. Participants largely saw the mDAWN as providing good value for the costs involved and found the program to be empowering in gaining control over their diabetes. mHealth programs have the potential to improve clinical outcomes through cost effective patient-led care for chronic illness. Further evaluation needs to examine integration of similar mHealth programs into the patient-physician relationship.
authors.affiliation: University of British Columbia, Vancouver, BC, Canada.
authors.forename: Kendall
authors.initials: K
authors.lastname: Ho
authors.affiliation: University of British Columbia, Vancouver, BC, Canada.
authors.forename: Lana
authors.initials: L
authors.lastname: Newton
authors.affiliation: University of British Columbia, Vancouver, BC, Canada.
authors.forename: Allison
authors.initials: A
authors.lastname: Boothe
authors.affiliation: University of British Columbia, Vancouver, BC, Canada.
authors.forename: Helen
authors.initials: H
authors.lastname: Novak-Lauscher
mesh_terms: D017028:Caregivers; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000628:therapy*; D005240:Feasibility Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D015438:Health Behavior; D006801:Humans; D063731:Mobile Applications; D008991:Monitoring, Physiologic / Q000379:methods; D019057:Quality-Adjusted Life Years; D057566:Self Report; D000073278:Self-Management; D061108:Social Media; D017216:Telemedicine; D060145:Text Messaging; D059015:Wireless Technology
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human