Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors

Hilkka Liedes; Elina Mattila; Anita Honka; Pilvikki Absetz; Kirsikka Aittola; Suvi Manninen; Niina Lintu; Ursula Schwab; Aino Maija Eloranta; Adil Umer; Tanja Tilles-Tirkkonen; Reija Männikkö; Ilona Ruotsalainen; Mark Van Gils; Jaana Lindström; Timo Lakka; Jussi Pihlajamäki; Anna Leena Vuorinen

doi:10.3233/SHTI230328

Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors

Hilkka Liedes, Elina Mattila, Anita Honka, Pilvikki Absetz, Kirsikka Aittola, Suvi Manninen, Niina Lintu, Ursula Schwab, Aino Maija Eloranta, Adil Umer, Tanja Tilles-Tirkkonen, Reija Männikkö, Ilona Ruotsalainen, Mark Van Gils, Jaana Lindström, Timo Lakka, Jussi Pihlajamäki, Anna Leena Vuorinen

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Scientific › peer-review

Abstract

Type 2 diabetes (T2D) can be prevented or delayed through a healthy lifestyle. Digital behavior change interventions (DBCIs) may offer cost-effective and scalable means to support lifestyle changes. This study investigated associations between user engagement with a habit-formation-based DBCI, the BitHabit app, and changes in T2D risk factors over 12 months in 963 participants at risk of T2D. User engagement was characterized by calculating use metrics from the BitHabit log data. User ratings were used as a subjective measure of engagement. The use metrics and user ratings were the strongest associated with improvements in diet quality. Weak positive associations were observed between the use metrics and changes in waist circumference and body mass index. No associations were found with changes in physical activity, fasting plasma glucose, or plasma glucose two hours after an oral glucose tolerance test. To conclude, increased use of the BitHabit app can have beneficial impacts on T2D risk factors, especially on diet quality.

Original language	English
Title of host publication	Caring is Sharing - Exploiting the Value in Data for Health and Innovation
Subtitle of host publication	Proceedings of MIE 2023
Editors	Maria Hagglund, Madeleine Blusi, Stefano Bonacina, Lina Nilsson, Inge Cort Madsen, Sylvia Pelayo, Anne Moen, Arriel Benis, Lars Lindskold, Parisis Gallos
Publisher	IOS Press
Pages	1009-1010
Number of pages	2
ISBN (Electronic)	978-1-64368-389-8
ISBN (Print)	978-1-64368-388-1
DOIs	https://doi.org/10.3233/SHTI230328
Publication status	Published - 18 May 2023
Publication type	A4 Article in conference proceedings
Event	Medical Informatics Europe - Gothenburg, Sweden Duration: 22 May 2023 → 25 May 2023 Conference number: 33rd

Publication series

Name	Studies in Health Technology and Informatics
Volume	302
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	Medical Informatics Europe
Abbreviated title	MIE
Country/Territory	Sweden
City	Gothenburg
Period	22/05/23 → 25/05/23

Keywords

Diabetes
digital health intervention
effective engagement
eHealth

Publication forum classification

Publication forum level 1

ASJC Scopus subject areas

Biomedical Engineering
Health Informatics
Health Information Management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3233/SHTI230328Licence: CC BY-NC

SHTI-302-SHTI230328-3Final published version, 153 KBLicence: CC BY-NC

https://urn.fi/URN:NBN:fi:tuni-202309208340Licence: CC BY-NC

Cite this

Liedes, H., Mattila, E., Honka, A., Absetz, P., Aittola, K., Manninen, S., Lintu, N., Schwab, U., Eloranta, A. M., Umer, A., Tilles-Tirkkonen, T., Männikkö, R., Ruotsalainen, I., Van Gils, M., Lindström, J., Lakka, T., Pihlajamäki, J., & Vuorinen, A. L. (2023). Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors. In M. Hagglund, M. Blusi, S. Bonacina, L. Nilsson, I. C. Madsen, S. Pelayo, A. Moen, A. Benis, L. Lindskold, & P. Gallos (Eds.), Caring is Sharing - Exploiting the Value in Data for Health and Innovation: Proceedings of MIE 2023 (pp. 1009-1010). (Studies in Health Technology and Informatics; Vol. 302). IOS Press. https://doi.org/10.3233/SHTI230328

Liedes, Hilkka ; Mattila, Elina ; Honka, Anita et al. / Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors. Caring is Sharing - Exploiting the Value in Data for Health and Innovation: Proceedings of MIE 2023. editor / Maria Hagglund ; Madeleine Blusi ; Stefano Bonacina ; Lina Nilsson ; Inge Cort Madsen ; Sylvia Pelayo ; Anne Moen ; Arriel Benis ; Lars Lindskold ; Parisis Gallos. IOS Press, 2023. pp. 1009-1010 (Studies in Health Technology and Informatics).

@inproceedings{729d056b488a42cdb86344fc3c7a7b81,

title = "Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors",

abstract = "Type 2 diabetes (T2D) can be prevented or delayed through a healthy lifestyle. Digital behavior change interventions (DBCIs) may offer cost-effective and scalable means to support lifestyle changes. This study investigated associations between user engagement with a habit-formation-based DBCI, the BitHabit app, and changes in T2D risk factors over 12 months in 963 participants at risk of T2D. User engagement was characterized by calculating use metrics from the BitHabit log data. User ratings were used as a subjective measure of engagement. The use metrics and user ratings were the strongest associated with improvements in diet quality. Weak positive associations were observed between the use metrics and changes in waist circumference and body mass index. No associations were found with changes in physical activity, fasting plasma glucose, or plasma glucose two hours after an oral glucose tolerance test. To conclude, increased use of the BitHabit app can have beneficial impacts on T2D risk factors, especially on diet quality.",

keywords = "Diabetes, digital health intervention, effective engagement, eHealth",

author = "Hilkka Liedes and Elina Mattila and Anita Honka and Pilvikki Absetz and Kirsikka Aittola and Suvi Manninen and Niina Lintu and Ursula Schwab and Eloranta, {Aino Maija} and Adil Umer and Tanja Tilles-Tirkkonen and Reija M{\"a}nnikk{\"o} and Ilona Ruotsalainen and {Van Gils}, Mark and Jaana Lindstr{\"o}m and Timo Lakka and Jussi Pihlajam{\"a}ki and Vuorinen, {Anna Leena}",

note = "Publisher Copyright: {\textcopyright} 2023 European Federation for Medical Informatics (EFMI) and IOS Press.; Medical Informatics Europe, MIE ; Conference date: 22-05-2023 Through 25-05-2023",

year = "2023",

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doi = "10.3233/SHTI230328",

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series = "Studies in Health Technology and Informatics",

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pages = "1009--1010",

editor = "Maria Hagglund and Madeleine Blusi and Stefano Bonacina and Lina Nilsson and Madsen, {Inge Cort} and Sylvia Pelayo and Anne Moen and Arriel Benis and Lars Lindskold and Parisis Gallos",

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Liedes, H, Mattila, E, Honka, A , Absetz, P, Aittola, K, Manninen, S, Lintu, N, Schwab, U, Eloranta, AM, Umer, A, Tilles-Tirkkonen, T, Männikkö, R, Ruotsalainen, I, Van Gils, M, Lindström, J, Lakka, T, Pihlajamäki, J & Vuorinen, AL 2023, Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors. in M Hagglund, M Blusi, S Bonacina, L Nilsson, IC Madsen, S Pelayo, A Moen, A Benis, L Lindskold & P Gallos (eds), Caring is Sharing - Exploiting the Value in Data for Health and Innovation: Proceedings of MIE 2023. Studies in Health Technology and Informatics, vol. 302, IOS Press, pp. 1009-1010, Medical Informatics Europe, Gothenburg, Sweden, 22/05/23. https://doi.org/10.3233/SHTI230328

Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors. / Liedes, Hilkka; Mattila, Elina; Honka, Anita et al.
Caring is Sharing - Exploiting the Value in Data for Health and Innovation: Proceedings of MIE 2023. ed. / Maria Hagglund; Madeleine Blusi; Stefano Bonacina; Lina Nilsson; Inge Cort Madsen; Sylvia Pelayo; Anne Moen; Arriel Benis; Lars Lindskold; Parisis Gallos. IOS Press, 2023. p. 1009-1010 (Studies in Health Technology and Informatics; Vol. 302).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Scientific › peer-review

TY - GEN

T1 - Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors

AU - Liedes, Hilkka

AU - Mattila, Elina

AU - Honka, Anita

AU - Absetz, Pilvikki

AU - Aittola, Kirsikka

AU - Manninen, Suvi

AU - Lintu, Niina

AU - Schwab, Ursula

AU - Eloranta, Aino Maija

AU - Umer, Adil

AU - Tilles-Tirkkonen, Tanja

AU - Männikkö, Reija

AU - Ruotsalainen, Ilona

AU - Van Gils, Mark

AU - Lindström, Jaana

AU - Lakka, Timo

AU - Pihlajamäki, Jussi

AU - Vuorinen, Anna Leena

N1 - Conference code: 33rd

PY - 2023/5/18

Y1 - 2023/5/18

N2 - Type 2 diabetes (T2D) can be prevented or delayed through a healthy lifestyle. Digital behavior change interventions (DBCIs) may offer cost-effective and scalable means to support lifestyle changes. This study investigated associations between user engagement with a habit-formation-based DBCI, the BitHabit app, and changes in T2D risk factors over 12 months in 963 participants at risk of T2D. User engagement was characterized by calculating use metrics from the BitHabit log data. User ratings were used as a subjective measure of engagement. The use metrics and user ratings were the strongest associated with improvements in diet quality. Weak positive associations were observed between the use metrics and changes in waist circumference and body mass index. No associations were found with changes in physical activity, fasting plasma glucose, or plasma glucose two hours after an oral glucose tolerance test. To conclude, increased use of the BitHabit app can have beneficial impacts on T2D risk factors, especially on diet quality.

AB - Type 2 diabetes (T2D) can be prevented or delayed through a healthy lifestyle. Digital behavior change interventions (DBCIs) may offer cost-effective and scalable means to support lifestyle changes. This study investigated associations between user engagement with a habit-formation-based DBCI, the BitHabit app, and changes in T2D risk factors over 12 months in 963 participants at risk of T2D. User engagement was characterized by calculating use metrics from the BitHabit log data. User ratings were used as a subjective measure of engagement. The use metrics and user ratings were the strongest associated with improvements in diet quality. Weak positive associations were observed between the use metrics and changes in waist circumference and body mass index. No associations were found with changes in physical activity, fasting plasma glucose, or plasma glucose two hours after an oral glucose tolerance test. To conclude, increased use of the BitHabit app can have beneficial impacts on T2D risk factors, especially on diet quality.

KW - Diabetes

KW - digital health intervention

KW - effective engagement

KW - eHealth

U2 - 10.3233/SHTI230328

DO - 10.3233/SHTI230328

M3 - Conference contribution

C2 - 37203555

AN - SCOPUS:85159769385

SN - 978-1-64368-388-1

T3 - Studies in Health Technology and Informatics

SP - 1009

EP - 1010

BT - Caring is Sharing - Exploiting the Value in Data for Health and Innovation

A2 - Hagglund, Maria

A2 - Blusi, Madeleine

A2 - Bonacina, Stefano

A2 - Nilsson, Lina

A2 - Madsen, Inge Cort

A2 - Pelayo, Sylvia

A2 - Moen, Anne

A2 - Benis, Arriel

A2 - Lindskold, Lars

A2 - Gallos, Parisis

PB - IOS Press

T2 - Medical Informatics Europe

Y2 - 22 May 2023 through 25 May 2023

ER -

Liedes H, Mattila E, Honka A , Absetz P, Aittola K, Manninen S et al. Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors. In Hagglund M, Blusi M, Bonacina S, Nilsson L, Madsen IC, Pelayo S, Moen A, Benis A, Lindskold L, Gallos P, editors, Caring is Sharing - Exploiting the Value in Data for Health and Innovation: Proceedings of MIE 2023. IOS Press. 2023. p. 1009-1010. (Studies in Health Technology and Informatics). doi: 10.3233/SHTI230328

Associations between Engagement with the BitHabit Digital Lifestyle Intervention and Changes in Type 2 Diabetes Risk Factors

Abstract

Publication series

Conference

Keywords

Publication forum classification

ASJC Scopus subject areas

UN SDGs

Access to Document

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Cite this