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- Title
Use of digital mobile apps on exercise may change the behavioural attitude of the south Asian population to improve glycaemic control.
- Authors
Bhattacharyya, M.
- Abstract
Background: The development of poor glycaemic control despite oral non-insulin therapy may be due to the behavioural attitude of the south Asian population. It has been linked to lack of physical activity and resistance to insulin over time. Aims: To study: whether digital apps in personal phones and regular physical activity have helped to improve glycaemic control; the effectiveness of personal interventions, alone or in combination, in improving glycaemic control in the community setting; and to evaluate the impact of these interventions on reducing the HbA1c. Method: We studied 109 patients in primary care, with 56 patients receiving personal intervention. 56 had patient-based interventions and monitored physical activity on personal phones. Use of self-educational materials and digital apps on their phones alone resulted small changes in HbA1c after 3 months of exercise prescribing. Results: 56 patients effectively reduced HbA1c. Multi-faceted interventions combining physicians' input and patient education with digital apps were successful in reducing HbA1c from 69 mmol/mol (8.5%) to 55 mmol/mol (7.2%). 53 patients who did not participate or engage had poor glycaemic control reflected in their HbA1c. Conclusions: Interactive digital apps and step counts appeared to be more effective than physician reminders of increased physical activity. The effectiveness of using digital apps in patients' personal mobile phones and exercise prescribing depends to a large degree on the particular human behaviour and the barriers to change in the south Asian community. No single intervention can be recommended for all behaviours in any setting. Multi-faceted interventions on many levels may be successfully applied to communities after addressing local barriers to change. Patient-based interventions and physician attitude to use digital apps show promise and innovative methods, such as these, deserve further study.
- Subjects
ASIA; ENGLAND; DIABETES prevention; CONFERENCES &; conventions; HEALTH attitudes; HEALTH behavior; PHYSICAL activity; MOBILE apps; GLYCEMIC control
- Publication
Diabetes & Primary Care, 2019, Vol 21, Issue 5, p185
- ISSN
1466-8955
- Publication type
Article