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 proceedingConference contributionScientificpeer-review


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 languageEnglish
Title of host publicationCaring is Sharing - Exploiting the Value in Data for Health and Innovation
Subtitle of host publicationProceedings of MIE 2023
EditorsMaria Hagglund, Madeleine Blusi, Stefano Bonacina, Lina Nilsson, Inge Cort Madsen, Sylvia Pelayo, Anne Moen, Arriel Benis, Lars Lindskold, Parisis Gallos
PublisherIOS Press
Number of pages2
ISBN (Electronic)978-1-64368-389-8
ISBN (Print) 978-1-64368-388-1
Publication statusPublished - 18 May 2023
Publication typeA4 Article in conference proceedings
EventMedical Informatics Europe - Gothenburg, Sweden
Duration: 22 May 202325 May 2023
Conference number: 33rd

Publication series

NameStudies in Health Technology and Informatics
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


ConferenceMedical Informatics Europe
Abbreviated titleMIE


  • 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


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