Motivating people to sustain healthy lifestyles using persuasive technology: A pilot study of Korean Americans with prediabetes and type 2 diabetes
Open accessAbstract
Objective To test the efficacy of a hybrid model of the self-help intervention program (hSHIP), which combines a mobile version of SHIP (mSHIP) and personal coaching, to address unique cultural and motivational factors for optimal self-management of type 2 diabetes and prediabetes among Korean Americans (KAs).Methods A single-group feasibility study design was used. The hSHIP utilizes texts and motivational counseling based on well-tested intervention content for KAs. To facilitate the dissemination of hSHIP, we developed a web application adopting the principles of persuasive technology to motivate behavior changes.Results Feasibility assessment found that hSHIP was well accepted by both participants and community health workers who delivered the intervention. An average of 1.3% A1C reduction (from 7.8% to 6.5%) was achieved by KAs with diabetes (n = 165), 51.5% of whom lowered their A1C below 6.5% in 6-months. No one with prediabetes (n = 50) progressed to diabetes. Other clinical outcomes (e.g., weight, depression, and blood pressure) also improved significantly; 41.2% were able to reduce or discontinue antidiabetic drugs.Conclusion The feasibility and initial efficacy of hSHIP were demonstrated.Practice implication This hybrid diabetes self-management model is a viable tool for traditionally underserved groups with diabetes or prediabetes.
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The long-term sustainable effects of digital health on behavioral changes remain uncertain.
“Nevertheless, the long-term sustainable effects of digital health on behavioral changes remains uncertain19,20,84.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [84]
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Influential
- Authors
- Kim, M. T., Kim, K. B., Nguyen, T. H., Ko, J., Zabora, J., Jacobs, E., & Levine, D.
- Affiliations
- The University of Texas at Austin (US)
- Korean Resource Center (US)
- Boston College (US)
- Johns Hopkins University (US)
- Corresponding author
- Kim, Kim Byeng
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2019-04
- Volume
- 102
- Issue
- 4
- Pages
- 709-717
- ISSN
- 0738-3991 (ISSN-L)
- PMC
- PMC6440831
- OpenAlex
- W2899441375
- Cited by
- 28
- References
- 38
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 2 · 2021: 5 · 2020: 1 · 2019: 2
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Technology Innovation and the Industrial Strategic Technology Development Program
- Development of Smart Healthcare System and Pilot Project for Military Personnel and Global Healthcare (10053704)
- Korean Ministry of Trade, Industry, and Energy
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- persuasive technology, Korean Americans, prediabetes, type 2 diabetes, diabetes self-management, mobile health, self-help intervention, personal coaching, motivational counseling, HbA1c, community health workers, underserved populations, cultural factors in health behavior
- MeSH terms
- Culturally Appropriate Technology, Healthy Lifestyle, Self-Management, Adult, Asian, Diabetes Mellitus, Type 2, Feasibility Studies, Female, Humans, Male, Motivation, Pilot Projects, Prediabetic State
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