Theory-Based Mobile Self-Management Interventions and Behavior Change Techniques for Type 2 Diabetes Patients: A Scoping Review.

Purpose: This review aimed to analyze the use of behavior change techniques (BCTs) and the degree of theory implementation using a theory coding scheme (TCS) in mobile self-management interventions for type 2 diabetes mellitus (T2DM). Methods: In this scoping review, four electronic databases (PubMe...

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Publicado en:Korean Journal of Adult Nursing Vol. 37; no. 4; pp. 368 - 384
Autores principales: Moon, Heeae, Hwang, Sun-Kyung
Formato: research systematic review tables/charts Journal Article
Publicado: Korean Society of Adult Nursing Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 37
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      pub: Korean Society of Adult Nursing
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        10.7475/kjan.2025.0530
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        atl: Theory-Based Mobile Self-Management Interventions and Behavior Change Techniques for Type 2 Diabetes Patients: A Scoping Review.
      aug:
        au:
          Moon, Heeae
          Hwang, Sun-Kyung
        affil: PhD Candidate, Department of Nursing, The Graduate School, Pusan National University, Yangsan, Korea
      sug:
        subj:
          Diabetes Mellitus, Type 2 Therapy
          Diabetic Patients
          Self-Management
          Smartphone
          Telehealth
          Health Behavior
          Conceptual Framework
          Behavioral Changes
          Human
          Scoping Review
          Funding Source
          PubMed
          Embase
          CINAHL Database
          Descriptive Statistics
      ab: Purpose: This review aimed to analyze the use of behavior change techniques (BCTs) and the degree of theory implementation using a theory coding scheme (TCS) in mobile self-management interventions for type 2 diabetes mellitus (T2DM). Methods: In this scoping review, four electronic databases (PubMed, EMBASE, CINAHL, and CENTRAL) and gray literature sources were searched. Studies were independently screened according to predefined criteria. The BCT taxonomy was used to categorize techniques, and the TCS was applied to evaluate the quality of theory implementation. Results: Seventeen randomized controlled trials were included. Twenty-five unique BCTs were identified (mean, 8.1 per study). Commonly used BCTs included social support (unspecified) (n=14), instructions on how to perform a behavior (n=14), feedback on behavior (n=11), and prompts/cues (n=11). Techniques related to capability, such as habit formation, rewards, framing/reframing, and verbal persuasion, were rare (n=1 study each). TCS scores ranged from 5 to 15 (mean, 10.3). All included studies cited a theory, used it to select intervention techniques, and employed randomization. However, no study used the findings to refine the theory, and only one conducted a mediational analysis of theoretical constructs. Conclusion: Mobile T2DM self-management interventions commonly rely on a limited range of BCTs and show restricted theoretical application beyond basic implementation. Future interventions should employ a broader array of BCTs and apply theories more rigorously, including tailoring interventions, empirically testing theoretical mechanisms, and refining theories based on results to increase their effectiveness.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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