Implementation of Customized Health Information Technology in Diabetes Self Management Programs

2011 ◽  
Vol 25 (2) ◽  
pp. 63-70 ◽  
Author(s):  
Susan Alexander ◽  
Karen H. Frith ◽  
Louise O'Keefe ◽  
Michael A. Hennigan
2012 ◽  
Vol 2 (3) ◽  
pp. 147-157 ◽  
Author(s):  
Diane K. King ◽  
Deborah J. Toobert ◽  
Jennifer Dickman Portz ◽  
Lisa A. Strycker ◽  
Alyssa Doty ◽  
...  

2018 ◽  
Vol 17 (2) ◽  
pp. 49-58 ◽  
Author(s):  
Robert J. Lucero ◽  
Rosario Jaime-Lara ◽  
Yamnia I. Cortes ◽  
Joan Kearney ◽  
Maribel Granja ◽  
...  

Purpose: As a first step toward developing a web-based Family-Health Information Management System intervention, we explored Hispanic dementia family caregiver’s knowledge, use, and awareness of self-management principles and skills to address health and health care needs for themselves and the person with dementia (PWD). Method: Twenty caregivers and 11 caregiver counselors attended an English or Spanish language focus group ranging from 4 to 6 participants. We conducted a directed content analysis informed by Lorig and Holman’s conceptualization of self-management. Results: A complement of six skills (i.e., problem solving, decision making, resource utilization, patient–provider partnership, action planning, and self-tailoring) to achieve one of three tasks (i.e., emotional, medical, and role management) can fully represent Hispanic dementia family caregivers’ ability to self-manage health and health care needs. While not prominent in our study, caregivers and caregiver counselors pointed out existing and potential uses of personal consumer technology to schedule reminders and search for resources. Discussion: A broad conceptualization of self-management may be necessary to understand Hispanic dementia family caregiver’s ability and needs to address emotional, medical, and role challenges of caregiving. Conclusions: These findings and advances in the use of consumer health information technology support the development of self-management caregiver interventions.


2017 ◽  
Vol 24 (5) ◽  
pp. 1024-1035 ◽  
Author(s):  
Elizabeth M Heitkemper ◽  
Lena Mamykina ◽  
Jasmine Travers ◽  
Arlene Smaldone

Abstract Objective: The purpose of this systematic review and meta-analysis was to examine the effect of health information technology (HIT) diabetes self-management education (DSME) interventions on glycemic control in medically underserved patients. Materials and Methods: Following an a priori protocol, 5 databases were searched. Studies were appraised for quality using the Cochrane Risk of Bias assessment. Studies reporting either hemoglobin A1c pre- and post-intervention or its change at 6 or 12 months were eligible for inclusion in the meta-analysis using random effects models. Results: Thirteen studies met the criteria for the systematic review and 10 for the meta-analysis and represent data from 3257 adults with diabetes (mean age 55 years; 66% female; 74% racial/ethnic minorities). Most studies (n = 10) reflected an unclear risk of bias. Interventions varied by HIT type: computer software without Internet (n = 2), cellular/automated telephone (n = 4), Internet-based (n = 4), and telemedicine/telehealth (n = 3). Pooled A1c decreases were found at 6 months (−0.36 (95% CI, −0.53 and −0.19]; I2 = 35.1%, Q = 5.0), with diminishing effect at 12 months (−0.27 [95% CI, −0.49 and −0.04]; I2 = 42.4%, Q = 10.4). Discussion: Findings suggest that medically underserved patients with diabetes achieve glycemic benefit following HIT DSME interventions, with dissipating but significant effects at 12 months. Telemedicine/telehealth interventions were the most successful HIT type because they incorporated interaction with educators similar to in-person DSME. Conclusion: These results are similar to in-person DSME in medically underserved patients, showing that well-designed HIT DSME has the potential to increase access and improve outcomes for this vulnerable group.


2021 ◽  
pp. 193229682098584
Author(s):  
Min Soon Kim ◽  
Uzma Khan ◽  
Suzanne A. Boren ◽  
Ploypun Narindrarangkura ◽  
Qing Ye ◽  
...  

There is no validated framework to evaluate health information technology (HIT) for diabetes self-management education and support (DSMES). AADE7 Self-Care Behaviors is a patient-centered DSMES designed by the American Association of Diabetes Educators (AADE). We developed a codebook based on the AADE7 Self-Care Behaviors principles as an evaluation framework. In this commentary, we demonstrate the real-life applications of this codebook through three diabetes research studies. The first study analyzed features of mobile diabetes applications. The second study evaluated provider documentation patterns in electronic health records (EHRs) to deliver ongoing patient-centered DSMES. The third study analyzed feedback messages from diabetes apps. We found that this codebook, based on AADE7, can be instrumental as a framework for research, as well as real-life use in HIT for DSMES principles.


Author(s):  
Hannah R. Marston ◽  
Amanda K Hall

Game-based approaches (gamification) can provide ideal strategies for health promotion, prevention, and self-management of chronic conditions. However, there is a need to clearly define components and uses of gamification in healthcare for increased patient engagement in health information technology. Therefore, this chapter aims to define gamification and components of gamification, identify relevant research and examples of gamification in regards to health promotion and prevention, discuss strategies to gamify a health application, and summarize current research in the area of gamification for health promotion/prevention. Finally, this chapter provides an overview of gamification applications and how it can be used for health promotion.


2017 ◽  
Vol 43 (6) ◽  
pp. 576-588 ◽  
Author(s):  
Elizabeth M. Heitkemper ◽  
Lena Mamykina ◽  
Jonathan N. Tobin ◽  
Andrea Cassells ◽  
Arlene Smaldone

Purpose The purpose of this study is to describe the characteristics and technology training needs of underserved adults with type 2 diabetes mellitus (T2DM) who participated in a health information technology (HIT) diabetes self-management education (DSME) intervention. Methods The baseline physiological, psychosocial, and technology use characteristics for 220 adults with poorly controlled T2DM were evaluated. Intervention participants received a 1-time intervention training, which included basic technology help, introduction to the Mobile Diabetes Detective (MoDD) website and text message features, and account activation that included subject-specific tailoring. Four additional on-site sessions for participants needing computer or Internet access or technology support were made available based on need. Data regarding on-site visits for usual care were collected. Data were analyzed using descriptive statistics and bivariate analysis. Results The participants were predominately Hispanic and female with a baseline mean A1C of 10% (86 mmol/mol). Only half of the participants regularly used computers or text messages in daily life. The average introductory MoDD training session lasted 73.6 minutes. Following training, approximately one-third (35%) of intervention participants returned for basic and MoDD-specific technology assistance at their federally qualified health center. The most frequently reported duration for the extra training sessions was 30 to 45 minutes. Conclusions Training and support needs were greater than anticipated. Diabetes educators should assess technology abilities prior to implementing health information technology (HIT) diabetes self-management education (DSME) in underserved adults. Future research must invest resources in technology access, anticipate subject training, and develop new training approaches to ensure HIT DSME use and engagement.


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