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Diabetes Technol Ther. 2015 Jul;17(7):455-61. doi: 10.1089/dia.2014.0341. Epub 2015 Feb 18.

Older Adult Self-Efficacy Study of Mobile Phone Diabetes Management.

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1 Division of Gerontology, Department of Epidemiology and Public Health, University of Maryland School of Medicine , Baltimore, Maryland.
2 Pharmaceutical Health Services Research, University of Maryland School of Pharmacy , Baltimore, Maryland.


The purpose of this study was to evaluate participant self-efficacy and use of a mobile phone diabetes health intervention for older adults during a 4-week period. Participants included seven adults (mean age, 70.3 years) with type 2 diabetes cared for by community-based primary care physicians. Participants entered blood glucose data into a mobile phone and personalized patient Internet Web portal. Based on blood glucose values, participants received automatic messages and educational information to self-manage their diabetes. Study measures included prior mobile phone/Internet use, the Stanford Self-Efficacy for Diabetes Scale, the Stanford Energy/Fatigue Scale, the Short Form-36, the Patient Health Questionnaire-9 (depression), the Patient Reported Diabetes Symptom Scale, the Diabetes Stages of Change measure, and a summary of mobile system use. Participants had high self-efficacy and high readiness and confidence in their ability to monitor changes to control their diabetes. Participants demonstrated ability to use the mobile intervention and communicate with diabetes educators.

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