The Effectiveness of a Traditional Chinese Medicine-Based Mobile Health App for Individuals With Prediabetes: Randomized Controlled Trial.

body constitution health-related quality of life mHealth app meridian energy prediabetes traditional Chinese medicine

Journal

JMIR mHealth and uHealth
ISSN: 2291-5222
Titre abrégé: JMIR Mhealth Uhealth
Pays: Canada
ID NLM: 101624439

Informations de publication

Date de publication:
20 06 2023
Historique:
received: 27 07 2022
accepted: 25 05 2023
revised: 05 01 2023
medline: 22 6 2023
pubmed: 20 6 2023
entrez: 20 6 2023
Statut: epublish

Résumé

Traditional Chinese medicine (TCM) theories assert that body constitution and meridian energy lay the foundation for disease prevention. TCM-based health concepts have not yet been incorporated into mobile health (mHealth) apps for individuals with prediabetes. The aim of this study was to examine the effectiveness of a TCM mHealth app for individuals with prediabetes. This randomized controlled trial recruited 121 individuals with prediabetes at a teaching hospital in New Taipei City between February 2020 and May 2021. The participants were randomly assigned to the TCM mHealth app group (n=42), ordinary mHealth app group (n=41), or control group (n=38). All participants received the usual care that included 15-20 minutes of health education about the disease, along with healthy diet and exercise encouragement. The ordinary mHealth app included physical activity (PA), diet, and disease education, along with individual records. The TCM mHealth app additionally included qi and body constitution information, along with constitution-based PA and diet advice. The control group received the usual care alone and did not have access to any app. Data were collected at baseline, at the end of the 12-week intervention, and 1 month after the intervention. Body constitution, including yang-deficiency, yin-deficiency, and phlegm-stasis, was measured according to the Body Constitution Questionnaire, with higher scores indicating a greater deficiency. Body energy was examined using the Meridian Energy Analysis Device. The Short-Form 36 questionnaire was used to evaluate health-related quality of life (HRQOL), which yielded physical component scores and mental component scores, with higher scores indicating better physical and mental aspects of HRQOL, respectively. Compared to the control group, the TCM mHealth app group showed greater improvement in hemoglobin A Use of either the ordinary or TCM mHealth app improved HRQOL among individuals with prediabetes. Compared to the outcomes of controls not using any app, use of the TCM mHealth app was effective at improving HbA ClinicalTrials.gov NCT04096989; https://clinicaltrials.gov/ct2/show/NCT04096989.

Sections du résumé

BACKGROUND
Traditional Chinese medicine (TCM) theories assert that body constitution and meridian energy lay the foundation for disease prevention. TCM-based health concepts have not yet been incorporated into mobile health (mHealth) apps for individuals with prediabetes.
OBJECTIVE
The aim of this study was to examine the effectiveness of a TCM mHealth app for individuals with prediabetes.
METHODS
This randomized controlled trial recruited 121 individuals with prediabetes at a teaching hospital in New Taipei City between February 2020 and May 2021. The participants were randomly assigned to the TCM mHealth app group (n=42), ordinary mHealth app group (n=41), or control group (n=38). All participants received the usual care that included 15-20 minutes of health education about the disease, along with healthy diet and exercise encouragement. The ordinary mHealth app included physical activity (PA), diet, and disease education, along with individual records. The TCM mHealth app additionally included qi and body constitution information, along with constitution-based PA and diet advice. The control group received the usual care alone and did not have access to any app. Data were collected at baseline, at the end of the 12-week intervention, and 1 month after the intervention. Body constitution, including yang-deficiency, yin-deficiency, and phlegm-stasis, was measured according to the Body Constitution Questionnaire, with higher scores indicating a greater deficiency. Body energy was examined using the Meridian Energy Analysis Device. The Short-Form 36 questionnaire was used to evaluate health-related quality of life (HRQOL), which yielded physical component scores and mental component scores, with higher scores indicating better physical and mental aspects of HRQOL, respectively.
RESULTS
Compared to the control group, the TCM mHealth app group showed greater improvement in hemoglobin A
CONCLUSIONS
Use of either the ordinary or TCM mHealth app improved HRQOL among individuals with prediabetes. Compared to the outcomes of controls not using any app, use of the TCM mHealth app was effective at improving HbA
TRIAL REGISTRATION
ClinicalTrials.gov NCT04096989; https://clinicaltrials.gov/ct2/show/NCT04096989.

Identifiants

pubmed: 37338977
pii: v11i1e41099
doi: 10.2196/41099
pmc: PMC10337399
doi:

Banques de données

ClinicalTrials.gov
['NCT04096989']

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e41099

Informations de copyright

©Hsueh-Wen Chung, Chen-Jei Tai, Polun Chang, Wen-Lin Su, Li-Yin Chien. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 20.06.2023.

Références

Evid Based Complement Alternat Med. 2019 Aug 14;2019:3098095
pubmed: 31485244
Diabetes Res Clin Pract. 2010 Oct;90(1):15-21
pubmed: 20727611
Health Qual Life Outcomes. 2003 Nov 26;1:72
pubmed: 14641915
J Acupunct Meridian Stud. 2010 Mar;3(1):1-9
pubmed: 20633509
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Evid Based Complement Alternat Med. 2014;2014:309403
pubmed: 25093025
Qual Life Res. 2000;9(6):675-83
pubmed: 11236857
Forsch Komplementmed. 2008 Dec;15(6):327-34
pubmed: 19142042
J Med Internet Res. 2015 Oct 23;17(10):e240
pubmed: 26499966
JMIR Mhealth Uhealth. 2020 Jul 15;8(7):e15448
pubmed: 32459651
Nutr Diabetes. 2016 Sep 19;6(9):e231
pubmed: 27643726
Med Care. 1994 Jan;32(1):40-66
pubmed: 8277801
Bull World Health Organ. 2009 Jan;87(1):39-50
pubmed: 19197403
PLoS One. 2020 Nov 20;15(11):e0242415
pubmed: 33216783
Prev Med. 2017 Jul;100:194-207
pubmed: 28456513
Complement Ther Med. 2014 Aug;22(4):670-82
pubmed: 25146072
Complement Ther Med. 2015 Apr;23(2):233-41
pubmed: 25847561
Int J Gen Med. 2021 Oct 21;14:6991-7001
pubmed: 34707390
Med Care. 1993 Mar;31(3):247-63
pubmed: 8450681
PLoS One. 2016 Dec 9;11(12):e0167123
pubmed: 27935988
Diabetes Care. 2014 Jan;37 Suppl 1:S81-90
pubmed: 24357215
Am J Prev Med. 2011 May;40(5 Suppl 2):S151-3
pubmed: 21521588
Prev Chronic Dis. 2017 Dec 07;14:E130
pubmed: 29215975
Evid Based Complement Alternat Med. 2019 Sep 16;2019:8218013
pubmed: 31636687
J Acad Nutr Diet. 2017 Mar;117(3):404-421.e36
pubmed: 28236962
J Tradit Chin Med. 2016 Jun;36(3):326-31
pubmed: 27468547
J Clin Epidemiol. 1998 Nov;51(11):903-12
pubmed: 9817107
Diabetes Care. 2017 Oct;40(10):1331-1341
pubmed: 28500215
Test (Madr). 2009 May 1;18(1):1-43
pubmed: 21218187
World J Diabetes. 2015 Mar 15;6(2):296-303
pubmed: 25789110
J Integr Med. 2020 Sep;18(5):363-368
pubmed: 32636157
Forsch Komplementmed. 2012;19(5):234-41
pubmed: 23128097
Br J Sports Med. 2010 Aug;44(10):704-9
pubmed: 18927159
Evid Based Complement Alternat Med. 2018 Aug 6;2018:9469703
pubmed: 30174715
J Altern Complement Med. 2003 Apr;9(2):235-41
pubmed: 12804076
Evid Based Complement Alternat Med. 2020 Oct 14;2020:3628036
pubmed: 33123206
JMIR Mhealth Uhealth. 2020 Jul 8;8(7):e17842
pubmed: 32459631
Ann Agric Environ Med. 2012;19(1):109-15
pubmed: 22462455
N Engl J Med. 2002 Feb 7;346(6):393-403
pubmed: 11832527
Sci Rep. 2015 Nov 03;5:15913
pubmed: 26525282
Evid Based Complement Alternat Med. 2011;2011:878391
pubmed: 21052557
Front Med. 2012 Mar;6(1):1-7
pubmed: 22460443
Complement Ther Med. 2021 Jan;56:102607
pubmed: 33220452
BMC Public Health. 2014 Jun 06;14:568
pubmed: 24906450
J Med Internet Res. 2011 Dec 31;13(4):e126
pubmed: 22209829
Am J Chin Med. 2019;47(3):495-506
pubmed: 31023059
Am J Chin Med. 2004;32(3):417-25
pubmed: 15344425
Curr Opin Pharmacol. 2009 Dec;9(6):787-93
pubmed: 19758844

Auteurs

Hsueh-Wen Chung (HW)

Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan.

Chen-Jei Tai (CJ)

Tai's Traditional Chinese Medicine Clinic, Taipei City, Taiwan.
Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan.

Polun Chang (P)

Institute of Biomedical Informatics, National Yang Ming Chiao Tung University, Taipei City, Taiwan.

Wen-Lin Su (WL)

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
School of Medicine, Tzu Chi University, Hualien, Taiwan.

Li-Yin Chien (LY)

Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH