Akademik Veri Yönetim Sistemi
4. Uluslararası 5. Ulusal Halk Sağlığı Hemşireliği Kongresi, Ankara, Türkiye, 16 - 18 Nisan 2025, ss.37, (Özet Bildiri)
Objective: The period that elapses between normal glucose metabolism and evidenced diabetes is known as the “prediabetes stage” and leads to a prognosis of Type 2 diabetes in 5%-10% of the Turkish population. The primary aim of this study is to develop a prediabetes-specific mobile application in Turkish for participants at risk of diabetes that will inform and advise them about healthy eating habits and physical exercise. The study’s second aim is to determine whether participants using the PREDIABE-TR app can record a difference in diabetes-related metabolic parameters by implementing the Mediterranean Diet, engaging in physical activity, and following the recommendations. Materials-Methods: In this two-stage study, the first stage is of methodological design. At this stage, a mobile application was developed for individuals with prediabetes. The second phase is a randomized controlled clinical trial comprising 33 people who met the inclusion criteria and were assigned to the experimental group and 28 who were assigned to the control group by stratified block randomization. The experimental group used the researcher-developed mobile application (PREDIABE-TR) that was created with the input of a software specialist. The Diabetes Checklists mobile application of the Ministry of Health and the Türkiye Nutrition Guide mobile application were introduced to the control group. Ethical approval for the conduct of the study was obtained from Akdeniz University Faculty of Medicine Clinical Studies Ethics Committee (Date: 16.03.2022, No. 192) and institutional approval from the Kütahya Provincial Health Directorate (Date: 26.04.2022, No. 5151). Results: Mediterranean-type dietary behavior increased significantly in the control group. There was a significant decrease in the physical activity level of both groups. In both groups, the proportion of normal blood glucose values increased. There was an increase in systolic blood pressure in the control group and significant decreases in diastolic blood pressure and BMI in the intervention group (p<0.05). The scope (CVI: 0.98) and usability (CVI: 0.91) of the developed PREDIABE-TR application were found to be high. Conclusion: We found the PREDIABE-TR mobile app developed by the researchers to be appropriate in content and easily usable. We determined that compared to those using the PREDIABE-TR mobile app, the participants using the Diabetes Checklists App of the Ministry of Health and the Turkish Nutrition Guide exhibited an improvement in their Mediterranean-type dietary behaviors but both groups generally showed a “low adherence” to the Mediterranean Diet, meaning that they did not sufficiently abide by its recommendations. We observed that the use of the mobile app resulted in a lower level of physical activity, equally in both the intervention and control groups, and that the participants receded from engaging in minimal activity to becoming physically inactive. The use of the mobile app was responsible for the clinically significant result of attaining normal blood glucose levels in both groups.