Older Adult Self-Efficacy Study of Mobile Phone Diabetes Management

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


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Blood Glucose* / analysis
  • Cell Phone*
  • Depression
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / psychology*
  • Diabetes Mellitus, Type 2 / therapy
  • Female
  • Humans
  • Internet / statistics & numerical data
  • Male
  • Monitoring, Physiologic / methods
  • Professional-Patient Relations
  • Self Care / methods
  • Self Care / psychology*
  • Self Efficacy*
  • Surveys and Questionnaires
  • Symptom Assessment / methods
  • Telemedicine / methods*


  • Blood Glucose