Interactive Multimedia Tailored to Improve Diabetes Self-Management

The development of consumer mHealth interventions for chronic condition self-management: A systematic review.

“…Inconsistent access to health services [16], especially at home [21], in rural areas [24,26], in realtime and in consideration of environmental factors specific to geographical areas [20] were contextrelated challenges potentially addressed through good mHealth design.…”

“…Eight 'users' of different backgrounds were engaged developing the m.CARAT application [15] and 25 users for AMICA intervention representative of the target population in this case, senior users with limited computer skills [23]. One third (n=5) of the mHealth interventions were not described as being developed with patient or user input [16,17,20,21,24]. None indicated development was initiated by patients themselves.…”

“…Evidence-based information used for content development include the Global Institute for Asthma guidelines [21]; Canadian Asthma Consensus Guidelines [20]; Clinical Practice Guidelines for hypertension management [17], and the 2012 Standards of Medical Care in Diabetes [24]. Two interventions relate to the direct adaption of content from other information sources; the website version of the cancer website [18] and a written asthma action plan [20].…”

“…Design principles were articulated as being user-centred [19,22,23], person-centred [13], interdisciplinary [20,24] or participatory [10,13,19,26]. External frameworks used for mHealth development include; the US Food and Drug…”

“…Development teams described the opportunity to address a gap [25], to provide a novel, comprehensive, multi-component system [15,24] and better support information management [18].…”