Exploring the Challenges and Opportunities of Health Mobile Apps for Individuals with Type 2 Diabetes Living in Rural Communities

Peng, Wei; Yuan, Shupei; Holtz, Bree

doi:10.1089/tmj.2015.0180

Cited by 82 publications

(101 citation statements)

References 32 publications

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“…The use of mHealth in diabetes care has been reported as useful in improving trends, but interventions have not been tested over a period of time sufficient to determine long-term engagement [28,29]. A recent study has called for patients to be more engaged in the design and development process [30]. Other studies have explored the wants and needs of an app for people with diabetes.…”

Section: Introductionmentioning

confidence: 99%

Developing a Patient-Centered mHealth App: A Tool for Adolescents With Type 1 Diabetes and Their Parents

Holtz¹,

Murray²,

Hershey³

et al. 2017

JMIR Mhealth Uhealth

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BackgroundType 1 diabetes (T1D) afflicts approximately 154,000 people under 20 years of age. Three-quarters of adolescents are not achieving glycosylated hemoglobin (HbA1c) targets, which leads to negative health outcomes. Mobile health (mHealth), the use of technology in health, has been used successfully to improve health in many chronic conditions, including diabetes.ObjectiveThe purpose of this study was to use patient-centered research methods to inform and improve the design and functionality of our T1D app, MyT1DHero, and to provide insight for others who are designing a health app for adolescents and parents.MethodsThis study included data from focus groups with participants recruited from the Juvenile Diabetes Research Foundation (JDRF) southeast Michigan’s family network. All data collected during the sessions were audio-recorded, transcribed, and coded.ResultsFour key themes were identified: (1) diabetes is unpredictable, (2) negative and frustrated communication, (3) motivations to use an app, and (4) feedback specific to our app.ConclusionsA patient-centered approach was used to assist in the development of an app for adolescents with T1D. Participants were satisfied with overall app design; customization, interactivity, and tangible rewards were identified as being necessary for continued use. Participants believed the app would help improve the communication between parents and adolescents. Many apps developed in the health context have not used a patient-centered design method or have seen vast improvements in health. This paper offers suggestions to others seeking to develop apps for adolescents and their parents.

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Section: Introductionmentioning

confidence: 99%

Developing a Patient-Centered mHealth App: A Tool for Adolescents With Type 1 Diabetes and Their Parents

Holtz¹,

Murray²,

Hershey³

et al. 2017

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…These arguments bring up another important point -much attention in mHealth intervention research is placed on the barriers of acceptance and hypothetical facilitators [28][29][30], and less on practical solutions to not only use PGD but moreover to consider services that could support the use of PGD and mHealth.…”

Section: Discussionmentioning

confidence: 99%

How mHealth can facilitate collaboration in diabetes care: qualitative analysis of co-design workshops

Bradway

Morris

Giordanengo³

et al. 2020

Preprint

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Background: Individuals with diabetes are using mobile health (mHealth) to make and track their decisions regarding self-management. However, individuals can understand even more about their diabetes by sharing these patient-gathered data (PGD) with health professionals. We conducted experience-based co-design (EBCD) workshops, with the aim of gathering end-users’ needs and expectations for a PGD-sharing system. Methods: The first workshop (2017) included patients with Type 2 Diabetes (T2D) (n=4) and general practitioners (GPs) (n=3). The second workshop (2018) included patients with Type 1 Diabetes (T1D) (n=5), diabetes specialists (n=2) and a nurse. The workshops involved two sessions: separate morning sessions for patients and healthcare providers (HCPs), followed by a joint lunch and afternoon session for all participants together. A discussion guide was used to gather input regarding end-users’ expectations for the system. Participants then created and explained their own ideas for a data-sharing system, using paper-prototypes. Workshops were audio recorded, transcribed and translated from Norwegian to English. Inductive thematic analysis was performed. Results: The main emergent themes were mHealth technologies’ impacts on end-users, and functionalities of a data-sharing system. Patients and providers agreed that PGD could be used by HCPs to provide more concrete self-management recommendations. Participants made paper-prototypes to explain which data types to gather and display, and how the systems could be used to facilitate shared-decision making. However, all also agreed that a data-sharing system alone was not enough to achieve the full effect of mHealth. Conclusion: Participants’ feedback revealed that both patients and HCPs alike acknowledge that for mHealth integration to be successful, not only must the technology be validated but feasible changes throughout the healthcare education and practice must be addressed. Only then can both sides be adequately prepared for mHealth data-sharing in diabetes consultations. Subsequently, the design of the joint workshop sessions demonstrated that involving both participant groups in the same sessions led to efficient and concrete discussions about realistic solutions and limitations of sharing mHealth data in consultations.

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“…Ding et al [29] report that two participants withdrew because the app was unable to function on their personal smartphone. Peng et al [30] stated that even though the app functioned correctly, participants did not necessarily use it if other strategies, such as paper logbooks, already satisfied their needs. What is not clear from this study is at what point participants disengaged, immediately or after a trial period?…”

Section: Convenience and Accessibilitymentioning

confidence: 99%

“…The impact of perceived rewards on motivation has already been mentioned, but these studies failed to quantify this effect or report the impact across time. One additional study highlighted that, over time, aRMT became burdensome and this affected one participants' motivation to engage [30]. Others reported that boredom had a negative impact on engagement [32].…”

Section: Motivationmentioning

confidence: 99%

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Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings (Preprint)

Simblett¹,

Greer²,

Matcham³

et al. 2018

Preprint

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Exploring the Challenges and Opportunities of Health Mobile Apps for Individuals with Type 2 Diabetes Living in Rural Communities

Cited by 82 publications

References 32 publications

Developing a Patient-Centered mHealth App: A Tool for Adolescents With Type 1 Diabetes and Their Parents

Developing a Patient-Centered mHealth App: A Tool for Adolescents With Type 1 Diabetes and Their Parents

How mHealth can facilitate collaboration in diabetes care: qualitative analysis of co-design workshops

Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings (Preprint)

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