Participant experiences in a smartphone-based health coaching intervention for type 2 diabetes: A qualitative inquiry
Abstract
Introduction: We investigated the experience of individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in an intervention in which the key elements were the provision of a smartphone and self-monitoring software. The interviews focused on use of a smartphone and the effects on motivation for health behavior change. Methods: This was a qualitative evaluation of participants in a larger T2DM self-management randomized controlled trial (RCT) conducted at the Black Creek Community Health Centre (BCCHC) in Toronto, Canada (ClinicalTrials.gov Identifier: NCT02036892). The study is based on semi-structured interviews ( n = 11) that were audio taped and analyzed with a thematic analytic approach. The RCT compared the effectiveness of six months of smartphone-based self-monitoring and health coaching with a control group who received health coaching without internet or smartphone-based assistance. Results: Qualitative data analyses resulted in derivation of four major themes that describe participant experience: (a) ‘smartphone and software’, describes smartphone use in relation to health behavior change; (b) ‘health coach’ describes how client/health coach relationships were assisted by smartphone use; (c) ‘overall experience’ describes perceptions of the overall intervention; and (d) ‘frustrations in managing chronic conditions’ describes difficulties with the complexities of T2DM management from a patient perspective. Discussion: Findings suggest that interventions with T2DM assisted by smartphone software and health coaches actively engage individuals in improved hemoglobin A1c (HbA1c) control.
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Past successes with text messaging-assisted interventions (with critical medical outcomes) further influenced the emphasis on text messaging between navigator coaches and patients.
“Past successes with text messaging–assisted interventions (with critical medical outcomes) [18-20] further influenced the emphasis on text messaging between navigator coaches and patients.”
From Online Mindfulness-Based Cognitive Behavioral Therapy Intervention for Youth With Major Depressive Disorders: Randomized Controlled Trial. (2021) · cites this paper as [20]
Our experiences with navigation coaching include assisting patients with type 2 diabetes to reduce hemoglobin A1c blood levels and assisting individuals in undertaking colorectal cancer screening.
“Our experiences with navigation coaching include assisting patients with type 2 diabetes to reduce hemoglobin A1c blood levels [18-20] and assisting individuals in undertaking colorectal cancer screening [25].”
From Online Mindfulness-Based Cognitive Behavioral Therapy Intervention for Youth With Major Depressive Disorders: Randomized Controlled Trial. (2021) · cites this paper as [20]
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T2DM Self-Management via Smartphone Applications: A Systematic Review and Meta-Analysis
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“Online CBT-M research with student and adult populations has yielded psychometric and neurophysiological [10-20] benefits in single-arm and randomized controlled trials (RCTs).”
Self-citation
- Authors
- Pludwinski, S., Ahmad, F., Wayne, N., & Ritvo, P.
- Affiliations
- York University (CA)
- University Health Network (CA)
- Corresponding author
- Ritvo, Paul
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2015-07-21
- Volume
- 22
- Issue
- 3
- Pages
- 172-178
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2283882437
- Cited by
- 65
- References
- 15
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 6 · 2018: 12 · 2017: 6 · 2016: 3 · 2015: 1
- FWCI
- 13.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- YorkSpace (York University) (submittedVersion)
- Funders
- Public Health Agency of Canada
- Health Canada
- 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 › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- type 2 diabetes, health behavior change, patient experience, chronic disease self-management, HbA1c control, diabetes self-management
- MeSH terms
- Smartphone, Mentoring, Adult, Aged, Canada, Counseling, Diabetes Mellitus, Type 2, Female, Health Promotion, Glycated Hemoglobin, Humans, Male, Middle Aged, Motivation, Self Care, Social Support, Health Behavior, Disease Management, Qualitative Research
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