The Development of a Monitoring and Early Warning Signs Detecting Application on the Knowledge, Behavior, and FBS of Persons with Diabetes

Abstract

Access to knowledge through applications helps people with diabetes to manage their care, exhibit appropriate behaviors, and control of blood sugar levels. This research and development study aimed to develop and implement evidence triggered and supported application to support diabetic patients. The participants were diabetic patients with android system phones. The research tools were 1) the DM DIARY application, 2) a knowledge questionnaire with a KR-20 confidence value of 0.91 and a behavioral questionnaire with a Cronbach's Alpha reliability of 0.87, and 3) the FBS data record form. All the research tools had acceptable content validity with an index of item-objective congruence (IOC) of 1.00. Data were analyzed by descriptive statistics and Paired t-tests. The research revealed: 1) The participating diabetes patients were unable to control their blood sugar levels. 2) The evidence of 12 base issues related to the participants’ problems. 3)The development of the DM DIARY application was successful and it had an IOC content validity of 1.00, the triangular inspection committees had the same opinion, the application user satisfaction at the highest level. 4) The participants’ average knowledge score after using the application (M = 9.50, SD = 0.74) was higher than at baseline (M = 8.94, SD = 1.08), t(99) = -7.15, p < .001, d = 0.52), their health care behaviors scores  (M = 2.95, SD = 0.03) increased after using the application compared to baseline (M = 2.84, SD = 0.02), t(99) = -37.80, p < .001, d = 3.66), and their FBS (M = 184, SD = 39.74) was lower than before participating in the program (M = 137.46, SD = 34.48), t(99) = 14.14, p < .001, d = 1.17) at statistically significant levels. This application, which was designed to offer knowledge and self-care, guidelines for behavior modification and the prevention of complications, succeeded in its objectives.