title: The development of a mobile u-Health program and evaluation for self-diet management for diabetic patients.
abstract: OBJECTIVE
  This study aims to develop a mobile nutritional management program for integration into the already developed web-based program, Diabetes Mellitus Dietary Management Guide (DMDMG) for diabetic patients. Further, we aim to evaluate the amended DMDMG program.
  
  
  METHODS
  The mobile application based on an Android operating system includes three parts: 1) record of diet intake, which allows users to take pictures of the meal and save to later add diet records into DMDMG; 2) an alarm system that rings at each meal time, which reminds users to input the data; 3) displays the diet record and the results of nutrient intake, which can be also viewed through the web program. All three parts are linked to the web-based program. A survey was conducted to evaluate the program in terms of nutrition knowledge, dietary attitude, eating behavior and diet intake by non-equivalent control group design among diabetic patients with 14 DMDMG users and 12 non-user controls after a one-month trial of DMDMG.
  
  
  RESULTS
  Non-users did not use the program, but participated in the weekly off-line nutrition classes for one month. The program users showed increased healthful dietary behavior (P < 0.01) and dietary attitude scores (P < 0.05). More DMDMG users had higher nutrition knowledge scores after one-month trial than non-users. However, dietary intake significantly increased in non-user group for calcium and sodium (P < 0.05) while the user group did not show significant changes.
  
  
  CONCLUSIONS
  The program has created positive changes in patients' dietary life. All the users were satisfied with the program, although some expressed minor difficulties with an unfamiliar mobile app.
authors.affiliation: Department of Food Science and Nutrition, Seoul Women's University, Seoul 01797, Korea.; Department of Food Science and Nutrition, Soonchunhyang University, 22 Soonchunhyang-ro, Shinchang-myun, Asan, Chungnam 31538, Korea.
authors.forename: Yun
authors.initials: Y
authors.lastname: Ahn
authors.affiliation: Nutrition Team, Soonchunhyang University Hospital, Gyeonggi 14584, Korea.; Department of Food Science and Nutrition, Soonchunhyang University, 22 Soonchunhyang-ro, Shinchang-myun, Asan, Chungnam 31538, Korea.
authors.forename: Jeahurn
authors.initials: J
authors.lastname: Bae
authors.affiliation: Department of Food Science and Nutrition, Soonchunhyang University, 22 Soonchunhyang-ro, Shinchang-myun, Asan, Chungnam 31538, Korea.
authors.forename: Hee-Seon
authors.initials: HS
authors.lastname: Kim
keywords: diabetic patients; mobile program; u-Health