{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:53:47Z","timestamp":1780552427773,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,2,22]],"date-time":"2017-02-22T00:00:00Z","timestamp":1487721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["26460858"],"award-info":[{"award-number":["26460858"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\/Introduction<\/jats:title><jats:p>Preventing dropout is crucial in managing diabetes. Accordingly, we investigated whether patients who had dropped out of diabetic care are suitable candidates for the use of mobile technologies \u2013 such as smartphone applications \u2013 to support self\u2010management (<jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth), which might help prevent dropout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We carried out a cross\u2010sectional study in Tokyo, Japan. Patients aged 20 years or older who were clinically diagnosed as diabetic and who regularly visited the outpatient unit at the University of Tokyo Hospital were recruited between August 2014 and March 2015. Data were collected through face\u2010to\u2010face structured interviews, physical measurements and medical records. Participants were asked whether they were willing to use <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth after being shown DialBetics \u2013 an <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth application for diabetics \u2013 as an example, and about their history of dropout and previous <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth experience. Data were analyzed by multivariate logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 307 patients with type 1 and type 2 diabetes, 34 (11.1%) had previously dropped out from diabetic care. Multivariate analysis identified previous <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth experience as a negative predictor of dropout (odds ratio 0.211, <jats:italic>P<\/jats:italic> = 0.023). Of those 34 patients, 27 (79.4%) expressed willingness to use <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth, a significantly higher percentage than for those who had never dropped out (51.5%, <jats:italic>P<\/jats:italic> = 0.002). After adjusting for confounders, history of dropout remained a strong predictor of willingness (odds ratio 3.870, <jats:italic>P<\/jats:italic> = 0.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients who previously dropped out of diabetic care <jats:italic>are<\/jats:italic> suitable candidates for <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth. Future studies must evaluate whether <jats:styled-content style=\"fixed-case\">mH<\/jats:styled-content>ealth is effective for preventing repeated dropout and improving glycemic control among this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.12613","type":"journal-article","created":{"date-parts":[[2016,12,25]],"date-time":"2016-12-25T05:30:25Z","timestamp":1482643825000},"page":"542-549","source":"Crossref","is-referenced-by-count":18,"title":["Previous dropout from diabetic care as a predictor of patients' willingness to use mobile applications for self\u2010management: A cross\u2010sectional study"],"prefix":"10.1111","volume":"8","author":[{"given":"Satoko","family":"Yamaguchi","sequence":"first","affiliation":[{"name":"Department of Ubiquitous Health Informatics Graduate School of Medicine University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayo","family":"Waki","sequence":"additional","affiliation":[{"name":"Department of Ubiquitous Health Informatics Graduate School of Medicine University of Tokyo Tokyo Japan"},{"name":"Department of Diabetes and Metabolic Diseases Graduate School of Medicine The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuko","family":"Tomizawa","sequence":"additional","affiliation":[{"name":"Department of Ubiquitous Health Informatics Graduate School of Medicine University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Waki","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Metabolic Diseases Graduate School of Medicine The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhito","family":"Nannya","sequence":"additional","affiliation":[{"name":"Department of Pathology and Tumor Biology Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaomi","family":"Nangaku","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Endocrinology Graduate School of Medicine University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Kadowaki","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Metabolic Diseases Graduate School of Medicine The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Ohe","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics Graduate School of Medicine The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7258.405"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(94)70190-3"},{"issue":"1","key":"e_1_2_7_4_1","first-page":"S1","article-title":"Standards of medical care in Diabetes\u20102016","volume":"39","author":"American Diabetes Association","year":"2016","journal-title":"Diabetes Care"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.291.6505.1330"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1277"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pdi.1960090104"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.15.11.1477"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-33"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.45.1609"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8227(94)90114-7"},{"key":"e_1_2_7_12_1","unstructured":"NodaM YamazakiK HayashinoY et al.Guideline against discontinuation of diabetes care.2014. 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