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Background Patient-reported outcomes (PROs) are increasingly being used in the management of type 2 diabetes (T2D) to integrate data from patients’ perspective into clinical care. To date, the majority of PRO tools have lacked patient and provider involvement in their development, thus failing to meet the unique needs of end users, and lack the technical infrastructure to be integrated into the clinic workflow. Objective This study aims to apply a systematic, user-centered design approach to develop i-Matter (investigating a mobile health [mHealth] texting tool for embedding patient-reported data into diabetes management), a theory-driven, mobile PRO system for patients with T2D and their primary care providers. Methods i-Matter combines text messaging with dynamic data visualizations that can be integrated into electronic health records (EHRs) and personalized patient reports. To build i-Matter, we conducted semistructured group and individual interviews with patients with T2D and providers, a design thinking workshop to refine initial ideas and design the prototype, and user testing sessions of prototypes using a rapid-cycle design (ie, design-test-modify-retest). Results Using an iterative user-centered process resulted in the identification of 6 PRO messages that were relevant to patients and providers: medication adherence, dietary behaviors, physical activity, sleep quality, quality of life, and healthy living goals. In user testing, patients recommended improvements to the wording and timing of the PRO text messages to increase clarity and response rates. Patients also recommended including motivational text messages to help sustain engagement with the program. The personalized report was regarded as a key tool for diabetes self-management by patients and providers because it aided in the identification of longitudinal patterns in the PRO data, which increased patient awareness of their need to adopt healthier behaviors. Patients recommended adding individualized tips to the journal on how they can improve their behaviors. Providers preferred having a separate tab built into the EHR that included the personalized report and highlighted key trends in patients’ PRO data over the past 3 months. Conclusions PRO tools that capture patients’ well-being and the behavioral aspects of T2D management are important to patients and providers. A clinical trial will test the efficacy of i-Matter in 282 patients with uncontrolled T2D. Trial Registration ClinicalTrials.gov NCT03652389; https://clinicaltrials.gov/ct2/show/NCT03652389

Legal Education has its own realm of pedagogy that for quite some time have remained to be resistant to change. However, with the advent of an exponentially improving technology, it cannot be denied that a certain degree of transformation to legal education has been adapted by law schools. While the benefits are arguably evident, the extent and effectivity of these pedagogical tools have remained to be murky. This paper provides a brief overview on legal education and how technology pressures it to transform. It discusses how legal academics adapt to the changing need of times and how technology has become useful in furthering the potential of legal education. Many academicians who employ the use of technology realize its potential from the natural desire of 21st century learners to increase interaction over social media platforms and their unparalleled improvement in terms of digital literacy. The effect of using this however was noted to be a double-edged sword. On one hand, it was able to be a reliable support in teaching the law to students. At the same time, it presents several problems including academic dishonesty, loss of focus, misinformation, and passive learning. An increasing gap between web-connected learners versus those who are not is also stressed. In conclusion, the need to effectively integrate technology to legal education is key to making lawyers who are more prepared to real life applications. The attempt to integrate technology, when effectively done, will be beneficial to learners of the law.

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