1.Health Storylines mobile application and self-management among chronically ill patients: A quasi-experimental research design.
Rainier C. Moreno-Lacalle ; Kieren Paola G. Agbayani ; Jamee Rose Alog ; Erika Phoenix F. Antalan ; Rona Lynn Alexia D. Aspiras ; Patrice Brynn S. Astudillo ; Angelica E. Balbalin ; Jesser Paul D. Bogbog ; Ivan Louie T. Bosque ; Angelika E. Carame ; Madelaine R. Cenizal ; Reena Aleia R. Corpuz ; Daphne Angelyn Jacinto
Acta Medica Philippina 2026;60(7):76-83
BACKGROUND
Self-management is crucial for individuals with chronic illnesses. While mobile applications (mAPPs) have emerged to support diverse health needs, evidence regarding their efficacy for self-management among chronically ill Filipino patients is inconsistent and limited, particularly in provincial settings.
OBJECTIVETo investigate the effectiveness of the Health Storylines mAPP compared to a traditional pamphlet for enhancing self-management among individuals with chronic illnesses in Baguio City, Philippines.
METHODSWe conducted a two-arm quasi-experimental study with 33 participants diagnosed with cancer, type 2 diabetes, or heart disease/hypertension. Participants were recruited via convenience sampling and allocated to an intervention group (n=17), which used the Health Storylines mAPP for four weeks, or a comparison group (n=16), which received a traditional pamphlet. Selfmanagement was assessed pre- and post-intervention using the Self-Management Assessment Scale (SMASc).
RESULTSParticipants demonstrated a high level of selfmanagement at baseline (μ=5.20, SD=0.70). After four weeks, the intervention group showed a non-significant decrease in self-management scores (from μ=5.25 to 5.00, p=0.27), while the comparison group exhibited a non-significant increase (from μ=5.19 to 5.37, p=0.61). There was no statistically significant difference in posttest self-management scores between the two groups (U=83.50, p=0.23).
CONCLUSIONIn a population of chronically ill patients already proficient in managing their condition, the Health Storylines mAPP had a marginal impact on selfmanagement, while the use of a traditional pamphlet showed a slight positive effect. The findings suggest that for this population, familiar, low-barrier resources remain valuable, and mHealth interventions must account for baseline self-management capabilities and digital literacy. Chronic Illness; Health Storylines mAPP; Self-management; mHealth; Philippines.
Chronic Disease ; Chronic Illness ; Self Care ; Self-management ; Telemedicine
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