%0 Journal Article
%@ 2561-326X
%I JMIR Publications
%V 8
%N 
%P e49589
%T Effect of the Implementation of a Multiple-Behavior Self-Monitoring Intervention on Dietary Intake in Type 2 Diabetes: Secondary Data Analysis
%A Ko,Jisook
%A Wang,Jing
%A Mbue,Ngozi
%A Schembre,Susan
%A Cron,Stanley
%+ Florida State University, 98 Varsity Way, Tallahassee, FL, FL32306, United States, 1 850 644 3299, jingwang@nursing.fsu.edu
%K electronic diary
%K technology-assisted self-monitoring
%K multiple-behavior intervention
%K type 2 diabetes
%K diabetes
%K self-monitoring
%K monitoring
%K dietary intake
%K monitor
%K carbohydrate intake
%K calories
%K education
%K diabetic
%K e-diary
%K e diary
%K self-care
%D 2024
%7 20.8.2024
%9 Original Paper
%J JMIR Form Res
%G English
%X Background: An electronic diary embedded in a mobile device to monitor lifestyle can be as effective as traditional methods. However, the efficacy of self-monitoring multiple behaviors for dietary intake has not been well studied in people with diabetes. Objective: This study aimed to compare the effect of using technology-assisted self-monitoring versus paper diaries on changes in dietary intake. Methods: This is a secondary analysis of data collected from 39 people with type 2 diabetes as part of a 3-month pilot clinical trial. Changes in energy intake and the contribution of total fat intake and total carbohydrate intake to total calories (%) from baseline to after intervention (3 months) were evaluated. Results: In total, 26 (67%) of the 39 participants preferred mobile diaries over paper diaries. Participants in the mobile diary group showed slightly higher self-monitoring adherence. Linear mixed modeling results indicated a significant overall decrease in total energy intake (P=.005), dietary fat intake (P=.01), and carbohydrate intake (P=.08) from baseline to 3 months. No significant group differences were detected (P>.05). Conclusions: The implementation of a 3-month, multiple-behavior, self-monitoring intervention in Diabetes Self-Management Education programs has resulted in successful reduction in dietary intake (energy, fat, and carbohydrate), whichever self-monitoring method is chosen by participants according to their preferences. Long-term studies are needed to confirm our findings on dietary intake and examine other behavioral and disease outcomes that require monitoring. 
%R 10.2196/49589
%U https://formative.jmir.org/2024/1/e49589
%U https://doi.org/10.2196/49589