TY - JOUR T1 - Willingness of patients with diabetes to use an ICT-based self-management tool: a cross-sectional study JF - BMJ Open Diabetes Research & Care JO - BMJ Open Diab Res Care DO - 10.1136/bmjdrc-2016-000322 VL - 5 IS - 1 SP - e000322 AU - Tomomi Shibuta AU - Kayo Waki AU - Nobuko Tomizawa AU - Ayumi Igarashi AU - Noriko Yamamoto-Mitani AU - Satoko Yamaguchi AU - Hideo Fujita AU - Shigeko Kimura AU - Katsuhito Fujiu AU - Hironori Waki AU - Yoshihiko Izumida AU - Takayoshi Sasako AU - Masatoshi Kobayashi AU - Ryo Suzuki AU - Toshimasa Yamauchi AU - Takashi Kadowaki AU - Kazuhiko Ohe Y1 - 2017/02/01 UR - http://drc.bmj.com/content/5/1/e000322.abstract N2 - Objectives To examine the prevalence of the willingness of patients with diabetes to use a self-management tool based on information and communication technology (ICT) such as personal computers, smartphones, and mobile phones; and to examine the patient characteristics associated with that willingness.Research design and methods We conducted a cross-sectional interview survey of 312 adults with diabetes at a university hospital in an urban area in Japan. Participants were classified into 2 groups: those who were willing to use an ICT-based self-management tool and those who were unwilling. Multiple logistic regression analysis was used to identify factors associated with the willingness, including clinical and social factors, current use of ICT, self-management practices, self-efficacy, and diabetes-related emotional distress.Results The mean age of the 312 participants was 66.3 years (SD=11.5) and 198 (63%) were male. Most of the participants (93%) had type 2 diabetes. Although only 51 (16%) currently used ICT-based self-management tools, a total of 157 (50%) expressed the willingness to use such a tool. Factors associated with the willingness included: not having nephropathy (OR=2.02, 95% CI 1.14 to 3.58); outpatient visits once a month or more (vs less than once a month, OR=2.13, 95% CI 1.13 to 3.99); current use of personal computers and/or smartphones (OR=4.91, 95% CI 2.69 to 8.98); and having greater diabetes-related emotional distress (OR=1.10, 95% CI 1.01 to 1.20).Conclusions Approximately half of the patients showed interest in using an ICT-based self-management tool. Willing patients may expect ICT-based self-management tools to complement outpatient visits and to make self-management easier. Starting with patients who display the willingness factors might optimize programs based on such tools. ER -