Type 2 Diabetes Patients Benefit from the COMODITY12 mHealth System: Results of a Randomised Trial
Abstract
Patient acceptance is one of the major barriers toward widespread use of mHealth systems. The aim of this study was to assess system operability and whole trial feasibility, including patients' experience with their use of COMMODITY12 mHealth system under. Secondary study aims included assessment of several metabolic parameters as well as patient adherence to the treatment. This was a prospective parallel-arm randomized controlled trial in outpatients diagnosed with DM2, being treated in the primary care settings in Lodz region, Poland, with 6 weeks period of follow-up. Patients opinions were collected with 7-item questionnaire, assessing different aspects of system use, as well as EuroQol-5D-5 L questionnaire, assessing health-related quality of life. Sixty patients (female, 24, male, 36, mean age +/- SD 59.5 +/- 6.8) completed study. All four layers of the COMMODITY12 system proved to work smooth under real-life conditions, without major problems. All dimensions of experience with system use were assessed well, with maximum values for clearness of instructions, and ease of use (4.80, and 4.63, respectively). Health related quality of life, as assessed with cumulative utility measure, improved significantly in COMMODITY12 system users (P < 0.05). mHealth system modestly improved glycaemic and blood pressure control, assuring high level of patient adherence with overall adherence reaching 92.9 %. Study proved that the COMODITY12 system is well accepted by type 2 diabetes patients taking part in clinical trial, leading to several clinical benefits, and improved quality of life. Nevertheless, before future commercialisation of the system, several minor problems identified during the study need to be addressed.
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Of the 12 studies, 7 (58%) demonstrated a benefit of telemonitoring on patient adherence when compared with a comparator.
“Of the 12 studies, 7 (58%) [13,36,42,48,58,59,92] demonstrated a benefit of telemonitoring on patient adherence when compared with a comparator”
From Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis (2022) · cites this paper as [58]
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- Authors
- Kardas, P., Lewandowski, K., & Bromuri, S.
- Affiliations
- Medical University of Lodz (PL)
- HES-SO University of Applied Sciences and Arts Western Switzerland (CH)
- Corresponding author
- Kardas, Przemysław
- Venue
- Journal of Medical Systems
- Published
- 2016-10-08
- Volume
- 40
- Issue
- 12
- Pages
- 259-259
- ISSN
- 0148-5598 (ISSN-L)
- 1573-689X
- OpenAlex
- W2528606494
- Cited by
- 18
- References
- 17
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 1
- FWCI
- 3.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Medical Systems (publishedVersion)
- PubMed (publishedVersion)
- DSpace (Open University in the Netherlands) (submittedVersion)
- Funders
- EU FP7 (287841)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, mobile health, patient acceptance, usability, health-related quality of life, glycemic control, blood pressure control, medication adherence, primary care, mobile health systems
- MeSH terms
- Smartphone, Aged, Blood Glucose, Cost-Benefit Analysis, Diabetes Mellitus, Type 2, Electrocardiography, Female, Heart Rate, Humans, Hypoglycemic Agents, Male, Middle Aged, Patient Acceptance of Health Care, Poland, Primary Health Care, Prospective Studies, Quality of Life, User-Computer Interface, Reproducibility of Results, Telemedicine, Medication Adherence, Remote Sensing Technology, Accelerometry
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