Connecting smartphone and wearable fitness tracker data with a nationally used electronic health record system for diabetes education to facilitate behavioral goal monitoring in diabetes care: Protocol for a pragmatic multi-site randomized trial

Jing Wang, Deidra Carroll Coleman, Justin Kanter, Brad Ummer, Linda Siminerio

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: Mobile and wearable technology have been shown to be effective in improving diabetes self-management; however, integrating data from these technologies into clinical diabetes care to facilitate behavioral goal monitoring has not been explored. Objective: The objective of this paper is to report on a study protocol for a pragmatic multi-site trial along with the intervention components, including the detailed connected health interface. This interface was developed to integrate patient self-monitoring data collected from a wearable fitness tracker and its companion smartphone app to an electronic health record system for diabetes self-management education and support (DSMES) to facilitate behavioral goal monitoring. Methods: A 3-month multi-site pragmatic clinical trial was conducted with eligible patients with diabetes mellitus from DSMES programs. The Chronicle Diabetes system is currently freely available to diabetes educators through American Diabetes Association-recognized DSMES programs to set patient nutrition and physical activity goals. To integrate the goal-setting and self-monitoring intervention into the DSMES process, a connected interface in the Chronicle Diabetes system was developed. With the connected interface, patient self-monitoring information collected from smartphones and wearable fitness trackers can facilitate educators' monitoring of patients' adherence to their goals. Feasibility outcomes of the 3-month trial included hemoglobin A1c levels, weight, and the usability of the connected system. Results: An interface designed to connect data from a wearable fitness tracker with a companion smartphone app for nutrition and physical activity self-monitoring into a diabetes education electronic health record system was successfully developed to enable diabetes educators to facilitate goal setting and monitoring. A total of 60 eligible patients with type 2 diabetes mellitus were randomized into either group 1) standard diabetes education or 2) standard education enhanced with the connected system. Data collection for the 3-month pragmatic trial is completed. Data analysis is in progress. Conclusions: If results of the pragmatic multi-site clinical trial show preliminary efficacy and usability of the connected system, a large-scale implementation trial will be conducted. Trial Registration: ClinicalTrials.gov NCT02664233; https://clinicaltrials.gov/ct2/show/NCT02664233 (Archived by WebCite at http://www.webcitation.org/6yDEwXHo5).

Original languageEnglish (US)
Article numbere10009
JournalJournal of Medical Internet Research
Volume20
Issue number4
DOIs
StatePublished - Apr 2018
Externally publishedYes

Keywords

  • Behavior modification
  • Connected health
  • Diabetes
  • Electronic health record
  • Goal setting
  • Lifestyle intervention
  • Mobile health
  • Randomized clinical trial
  • Self-monitoring
  • Wearable devices

ASJC Scopus subject areas

  • Health Informatics

Fingerprint Dive into the research topics of 'Connecting smartphone and wearable fitness tracker data with a nationally used electronic health record system for diabetes education to facilitate behavioral goal monitoring in diabetes care: Protocol for a pragmatic multi-site randomized trial'. Together they form a unique fingerprint.

Cite this