Integration of Mobile Technology in Diabetes Self-Management Education: The Effectiveness of Android App-Based DM Calendar on Self-Efficacy and HbA1c Levels in Type 2 Diabetes Mellitus Patients
Abstract
Purpose of the study: Aims to improve the patient's ability and confidence in taking care of himself. This study aims to analyze the effectiveness of Android application-based DM calendar as a DSME medium on self-efficacy and HbA1c levels in Type 2 Diabetes Mellitus patients.
Methodology: The study used a quasi-experimental design with a pretest–posttest approach of the control group, involving 60 Type 2 DM patients who were divided into intervention and control groups. The intervention group received an Android app's DM calendar-based DSME for 12 weeks, while the control group received conventional education.
Main Findings: The results showed a significant increase in self-efficacy in the intervention group compared to the control group, accompanied by a larger and statistically significant decrease in HbA1c levels.
Novelty/Originality of this study: The novelty of this study lies in the integration of Android-based digital calendars as an adaptive educational medium that supports patients' daily routines, thereby strengthening the role of mobile technology in multidisciplinary and sustainable diabetes management.
References
G. Cera, A. Mlouk, E. Cera, and A. Shumeli, “The impact of entrepreneurship education on entrepreneurial intention. A quasi-experimental research design,” J. Compet., vol. 12, no. 1, pp. 39–56, 2020, doi: 10.7441/joc.2020.01.03.
L. R. Peralta et al., “Health literacy of adolescents ’ responses to a workshop focusing on food , nutrition , climate change and digital technology solutions in Oceania : a multi ‑ site pilot study in Vanuatu,” BMC Public Health, vol. 25, no. 648, 2025, doi: 10.1186/s12889-025-21865-7.
J. Holguin-Alvarez, J. Cruz-Montero, J. Ruiz-Salazar, R. L. Atoche Wong, and I. Merino-Flores, “Effects of feedback dynamics and mixed gamification on cognitive underachievement in school,” Contemp. Educ. Technol., vol. 17, no. 1, pp. 1–25, 2025, doi: 10.30935/cedtech/15717.
S. Trentepohl, J. Waldeyer, J. Fleischer, J. Roelle, D. Leutner, and J. Wirth, “How Did it get so late so soon? the effects of time management knowledge and practice on students’ time management skills and academic performance,” Sustain., vol. 14, no. 9, 2022, doi: 10.3390/su14095097.
T. Chacko, “Emerging pedagogies for effective adult learning: From andragogy to heutagogy,” Arch. Med. Heal. Sci., vol. 6, no. 2, p. 278, 2018, doi: 10.4103/amhs.amhs_141_18.
I. Bakkenes, J. D. Vermunt, and T. Wubbels, “Teacher learning in the context of educational innovation: Learning activities and learning outcomes of experienced teachers,” Learn. Instr., vol. 20, no. 6, pp. 533–548, 2010, doi: 10.1016/j.learninstruc.2009.09.001.
E. F. S. Rini and F. T. Aldila, “Practicum Activity: Analysis of science process skills and students’ critical thinking skills,” Integr. Sci. Educ. J., vol. 4, no. 2, pp. 54–61, 2023, doi: 10.37251/isej.v4i2.322.
N. F. Saidin, N. D. A. Halim, and N. Yahaya, “A review of research on augmented reality in education: Advantages and applications,” Int. Educ. Stud., vol. 8, no. 13, pp. 1–8, 2015, doi: 10.5539/ies.v8n13p1.
J. Maknun, “Implementation of Guided Inquiry Learning Model to Improve Understanding Physics Concepts and Critical Thinking Skill of Vocational High School Students,” Int. Educ. Stud., vol. 13, no. 6, p. 117, 2020, doi: 10.5539/ies.v13n6p117.
L. Cleven, J. Krell-roesch, C. R. Nigg, and A. Woll, “The association between physical activity with incident obesity , coronary heart disease , diabetes and hypertension in adults : a systematic review of longitudinal studies published after 2012,” BMC Public Health, vol. 20, no. 726, pp. 1–15, 2020, doi: 10.1186/s12889-020-08715-4.
M. T. Ho, P. Mantello, and Q. H. Vuong, “Emotional AI in education and toys: Investigating moral risk awareness in the acceptance of AI technologies from a cross-sectional survey of the Japanese population,” Heliyon, vol. 10, no. 16, p. e36251, 2024, doi: 10.1016/j.heliyon.2024.e36251.
A. Almonacid-Fierro, R. Vargas-Vitoria, R. S. De Carvalho, and M. A. Fierro, “Impact on teaching in times of COVID-19 pandemic: A qualitative study,” Int. J. Eval. Res. Educ., vol. 10, no. 2, pp. 432–440, 2021, doi: 10.11591/ijere.v10i2.21129.
N. Ruiz and M. Gallagher, “Rural education imaginaries in digital education policy: an analysis of CONPES 3988 in Colombia,” Int. J. Educ. Dev., vol. 113, no. February 2024, p. 103222, 2025, doi: 10.1016/j.ijedudev.2025.103222.
M. Ben Ouahi, D. Lamri, T. Hassouni, and E. M. Al Ibrahmi, “Science teachers’ views on the use and effectiveness of interactive simulations in science teaching and learning,” Int. J. Instr., vol. 15, no. 1, pp. 277–292, 2022, doi: 10.29333/iji.2022.15116a.
S. Pöntinen and S. Räty-Záborszky, “Student-initiated aspects as starting points for teaching digital competence in the early years of primary education,” Pedagogies, vol. 17, no. 3, pp. 227–250, 2022, doi: 10.1080/1554480X.2020.1870469.
V. Czok, M. Krug, S. Müller, J. Huwer, and H. Weitzel, “Learning effects of augmented reality and game-based learning for science teaching in higher education in the context of education for sustainable development,” Sustain., vol. 15, no. 21, 2023, doi: 10.3390/su152115313.
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