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Randomized Controlled Trial
. 2019 Jul;13(4):796-798.
doi: 10.1177/1932296819851785. Epub 2019 May 20.

Automated Feedback Messages With Shichifukujin Characters Using IoT System-Improved Glycemic Control in People With Diabetes: A Prospective, Multicenter Randomized Controlled Trial

Affiliations
Randomized Controlled Trial

Automated Feedback Messages With Shichifukujin Characters Using IoT System-Improved Glycemic Control in People With Diabetes: A Prospective, Multicenter Randomized Controlled Trial

Tomoko Kobayashi et al. J Diabetes Sci Technol. 2019 Jul.
No abstract available

Keywords: automated lifestyle intervention system; internet of things; smartphone application; type 2 diabetes.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1a.
Figure 1a.
An overview of the IoT system. Bluetooth-enabled body weight (BW) meter, Bluetooth-enabled blood pressure (BP) meter, and Bluetooth-enabled activity tracker (Omron Healthcare, Japan) —all of which could transmit measurement data over the internet to the Cloud Server—were provided to patients (measurement devices). Patients’ data on BW, BP, and daily activity were wirelessly transmitted to their smartphone, which then sent these data to the Cloud Server via the internet. The data were summarized and presented to patients as well as their primary care physicians to review their lifelogging data on the smartphone or web. The data were also sent to the automated data analysis system, which evaluated collected data and generated advice automatically (database and analysis system). This advice was presented to the patients via the smartphone application “Shichifukujin-app” (Feedback system). The “Shichifukujin app” was newly developed for this study and presented supportive advice or warning messages together with facial expressions of “Shichifukujin” twice a week based on their analyzed lifelogging data.
Figure 1b.
Figure 1b.
The seven deities of good luck (role and support attention message). Each Shichifukujin character sent supportive advice or warning messages according to the patients’ data transmission status, the total number of steps per day, exercise above a certain intensity, BP, weight change, and comprehensive evaluation. For example, Jurojin smiled and encouraged patients to maintain their BP control when their BP management state was favorable, whereas he appeared to be sad with increased BP or sent alert messages when the patient displayed extremely high BP levels such as systolic BP > 180 mmHg and/or diastolic BP > 110 mmHg.

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