Ryan Shaw, associate professor; Qing Yang, assistant professor; Angel Barnes, clinical research nurse; Daniel Hatch, biostatistician III; PhD students Jackie Vaughn and Anna Diane; PhD alumni Allison Lewinski; and Dori Steinberg, associate professor, publish an article entitled "Self-monitoring Diabetes with Multiple Mobile Health Devices" in the Journal of the American Medical Informatics Association. Co-authors include experts from Duke School of Medicine, Durham Veterans Affairs Medical Center, and the College of Nursing at New York University.

Abstract

Objective: The purpose of this study was to examine the use of multiple mobile health technologies to generate and transmit data from diverse patients with type 2 diabetes mellitus (T2DM) in between clinic visits. We examined the data to identify patterns that describe characteristics of patients for clinical insights.

Methods: We enrolled 60 adults with T2DM from a US healthcare system to participate in a 6-month longitudinal feasibility trial. Patient weight, physical activity, and blood glucose were self-monitored via devices provided at baseline. Patients also responded to biweekly medication adherence text message surveys. Data were aggregated in near real-time. Measures of feasibility assessing total engagement in device submissions and survey completion over the 6 months of observation were calculated.

Results: It was feasible for participants from different socioeconomic, educational, and racial backgrounds to use and track relevant diabetes-related data from multiple mobile health devices for at least 6 months. Both the transmission and engagement of the data revealed notable patterns and varied by patient characteristics.

Discussion: Using multiple mobile health tools allowed us to derive clinical insights from diverse patients with diabetes. The ubiquitous adoption of smartphones across racial, educational, and socioeconomic populations and the integration of data from mobile health devices into electronic health records present an opportunity to develop new models of care delivery for patients with T2DM that may promote equity as well.