• Evaluating the Prolonged Influence of Mobile Health Programs on Glycemic Management and Lifestyle Adjustments Among Older Adults with Type 2 Diabetes
  • Atefe Esmailpour Moalem,1,*
    1. MSc in geriatric nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.


  • Introduction: This study aims to evaluate the long-term effects of mobile health education on glycemic control and lifestyle modifications in older adults with type 2 diabetes. Given the challenges of medication adherence and self-care behaviors, assessing the effectiveness of digital interventions in improving HbA1C levels and health-related behaviors is crucial.
  • Methods: A quasi-experimental study with a pre-test and post-test design was conducted on 90 elderly patients with type 2 diabetes, divided into intervention and control groups. The intervention group used the Idea mobile health app for self-management over three months. Glycemic indicators (HbA1C and FBS) and self-care behavior scores were measured before and after the intervention.
  • Results: After three months, HbA1C levels in the intervention group decreased from 7.25 ± 0.55 to 6.8 ± 0.57 (P<0.001), whereas no significant changes were observed in the control group. Additionally, FBS levels declined from 171 ± 39.8 to 122 ± 13.1 (P<0.001). Significant improvements in self-care behaviors, including medication adherence, dietary habits, physical activity, and blood glucose monitoring, were noted in the intervention group.
  • Conclusion: Findings indicate that mobile health interventions can significantly improve glycemic control and self-care behaviors in older adults with type 2 diabetes. The integration of digital technologies in diabetes management is recommended to enhance long-term treatment adherence and disease management outcomes.
  • Keywords: Type 2 diabetes, older adults, mobile health, self-care, glycemic control