From Wary Wearers to d-Embracers: Personas of Readiness to Use Diabetes Devices

Tanenbaum, Molly L.; Adams, Rebecca N.; Iturralde, Esti; Hanes, Sarah; Barley, Regan C.; Naranjo, Diana; Hood, Korey K.

doi:10.1177/1932296818793756

Cited by 36 publications

(29 citation statements)

References 29 publications

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“…Yet, here, too, rates of adherence are suboptimal. Not small proportion of patients may decline to adopt new technology and others enthusiastically adopt it only to abandon it thereafter, or wear it at high cost to quality of life, disillusioned by factors such as inaccuracy, inconvenience, and social interference . The new technology does not in any way obviate the need for improving patient self‐management behaviors.…”

Section: Discussionmentioning

confidence: 99%

Glucose management for rewards: A randomized trial to improve glucose monitoring and associated self‐management behaviors in adolescents with type 1 diabetes

et al. 2019

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Background This randomized, controlled trial evaluated a monetary‐based reinforcement intervention for increasing self‐monitoring of blood glucose (SMBG) among youth with poorly controlled type 1 diabetes. Methods After a 2‐week baseline, 60 participants were randomized to enhanced usual care (EUC) or Reinforcers. The Reinforcers group earned monetary rewards for SMBG and associated behaviors such as uploading glucose meters. Reinforcers were withdrawn at 24 weeks. A follow‐up evaluation occurred at 36 weeks. Results Participants in the reinforcers group increased the proportion of days they completed ≥4 SMBG from 14.6% at baseline to 64.4%, 47.5%, and 37.8% at 6, 12, and 24 weeks, respectively. In contrast, EUC participants declined from 22.7% at baseline to 17.5%, 10.5%, and 11.1% (Ps < .01 vs EUC at all time points). Group differences were attenuated but remained significant after withdrawal of reinforcers. Effect sizes for SMBG were very large during reinforcement and large after withdrawal of reinforcers. In the reinforcers group, mean A1c dropped from 9.5% ± 1.2% at baseline to 9.0% ± 1.3% at week 6 and 9.0% ± 1.4% at week 12. For EUC, A1c was 9.2% ± 0.2% at baseline and ranged from 9.2% ± 1.5% to 9.6% ± 1.6% throughout the study (P < .05 vs EUC). Group differences in A1c were no longer significant at weeks 24 and 36. Effect sizes for A1c were small during reinforcement and also after withdrawal of reinforcement. Conclusions Monetary‐based reinforcement of adolescents with type 1 diabetes caused durable increases in SMBG. Modification of the reinforcement structure may be needed to sustain improved metabolic control in this challenging age group.

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Section: Discussionmentioning

confidence: 99%

Glucose management for rewards: A randomized trial to improve glucose monitoring and associated self‐management behaviors in adolescents with type 1 diabetes

et al. 2019

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“…It is also possible that those who are educated on technology use and prescribed insulin pumps already possess more favorable traits including responsibility, enthusiasm, understanding, and better selfcare. 52 There are several limitations to the current study. First, the use of cross-sectional analyses cannot clarify the direction or causality in these relationships.…”

Section: Discussionmentioning

confidence: 92%

“…For example, lower reported SRH among those injecting insulin may be the result of poorer overall glucose control, compounded by perceived difficulties with managing intensive insulin therapy in daily life. Those who are chosen to receive an insulin pump may possess more favorable traits, 52 which may limit the inferences made here. This sample may not generalize to other populations, particularly less ethnically diverse or non-urban groups.…”

Section: Discussionmentioning

confidence: 99%

Glycemic control and self‐rated health among ethnically diverse adolescents with type 1 diabetes

et al. 2019

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Objective: Patient-reported outcomes have received increased attention as treatment outcomes and indicators of wellbeing. A1c has been criticized as lacking patient-centered relevance because individuals are often unaware of their A1c, and studies also often fail to show a benefit of intensive control on quality of life. The goal of the present study was to examine self-rated health (SRH) in relation to diabetes self-care behaviors, socioeconomic factors, treatment regimen characteristics, and glycemic control among predominately Hispanic and African American adolescents with type 1 diabetes (T1D). Methods: Adolescents with T1D (N = 84) were recruited for a cross-sectional study evaluating psychosocial factors and identity development. SRH, self-care behaviors, treatment regimen, and demographic variables were collected through self-report while glycemic control (A1c) was determined through chart review.

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“…Three studies had crossovers (and were thus double-counted) across the domains (a) UX design and health [46], (b) UX design and market research [48], and (c) market research and health [16]. We identified six studies pioneering the use of personas in unique contexts that were not prevalent enough to be considered under overarching professional domains, that explored applications of personas in film character development [7,35], and psychology [10].…”

Section: Resultsmentioning

confidence: 99%

Information Design for Personas in Four Professional Domains of User Experience Design, Healthcare, Market Research, and Social Media Strategy

Guan¹,

Salminen²,

Nielsen³

et al. 2021

Proceedings of the Annual Hawaii International Conference on System Sciences

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Practitioners in user-centric industries have increasingly recognized the applicability of personas. However, the methods used to create personas in different domains remain inconsistent and unsystematic. We analyzed 51 studies focused on designing personas for professional purposes and find the practice most prevalent in the user experience (UX) design, healthcare, market research, and social media strategy domains. Within these domains, UX design personas are characterized by their focus on user activity and goals, market research personas on customers' lifestyles, health personas on medical patients' physical symptoms, and social media strategy personas on interactions within online communities. We identify and compare the elements in the personas. Based on this, we provide guidelines for professionals interested in developing personas for recruiting users, understanding barriers to positive user experience, and building online communities, including how to represent persona details related to lifestyle, contexts of product usage, and scaling of online data.

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From Wary Wearers to d-Embracers: Personas of Readiness to Use Diabetes Devices

Abstract: These clinically meaningful personas of device readiness can inform tailored interventions targeting barriers and psychosocial needs to increase device uptake.

Cited by 36 publications

References 29 publications

Glucose management for rewards: A randomized trial to improve glucose monitoring and associated self‐management behaviors in adolescents with type 1 diabetes

Glucose management for rewards: A randomized trial to improve glucose monitoring and associated self‐management behaviors in adolescents with type 1 diabetes

Glycemic control and self‐rated health among ethnically diverse adolescents with type 1 diabetes

Information Design for Personas in Four Professional Domains of User Experience Design, Healthcare, Market Research, and Social Media Strategy

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