scholarly journals Health Care Professionals’ Clinical Perspectives and Acceptance of a Blood Glucose Meter and Mobile App Featuring a Dynamic Color Range Indicator and Blood Sugar Mentor: Online Evaluation in Seven Countries

10.2196/13847 ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. e13847 ◽  
Author(s):  
Mike Grady ◽  
Usha Venugopal ◽  
Katia Robert ◽  
Graham Hurrell ◽  
Oliver Schnell
Keyword(s):  
Health Care ◽  
Blood Glucose ◽  
Health Literacy ◽  
Blood Sugar ◽  
Health Care Professionals ◽  
Mobile App ◽  
Office Visits ◽  
Color Range ◽  
Glucose Meter ◽  
Range Indicator

Background Despite many new therapies and technologies becoming available in the last decade, people with diabetes continue to struggle to achieve good glycemic control. Innovative and affordable solutions are needed to support health care professionals (HCPs) to improve patient outcomes. Objective To gather current self-management perceptions of HCPs in seven countries and investigate HCP satisfaction with a new glucose meter and mobile app featuring a dynamic color range indicator and a blood sugar mentor. Methods A total of 355 HCPs, including 142 endocrinologists (40.0%), 108 primary care physicians (30.4%), and 105 diabetes nurses (29.6%), were recruited from the United Kingdom (n=50), France (n=50), Germany (n=50), India (n=54), Algeria (50), Canada (n=51), and the United States (n=50). HCPs experienced the OneTouch Verio Reflect glucose meter and the OneTouch Reveal mobile app online from their own office computers using interactive demonstrations via webpages and multiple animations. After providing demographic and clinical practice insights, HCPs responded to statements about the utility of the system. Results Concerning current practice, 83.1% (295/355) of HCPs agreed that poor numeracy or health literacy was a barrier for their patients. A total of 85.9% (305/355) and 92.1% (327/355) of HCPs responded that type 2 diabetes (T2D) and type 1 diabetes (T1D) patients were aware of what represented a low, in-range, or high blood glucose result. Only 62.0% (220/355) felt current glucose meters made it easy for patients to understand if results were in range. A total of 50.1% (178/355) and 78.0% (277/355) of HCPs were confident that T1D and T2D patients took action for low or high results. A total of 87.0% (309/355) agreed that the ColorSure Dynamic Range Indicator could help them teach patients how to interpret results and 88.7% (315/355) agreed it made them more aware of hyper- and hypoglycemic results so they could take action. A total of 83.7% (297/355) of HCPs agreed that the Blood Sugar Mentor feature gave personalized guidance, insight, and encouragement so patients could take action. A total of 82.8% (294/355) of HCPs also agreed that the Blood Sugar Mentor provided real-time guidance to reinforce the goals HCPs had set so patients could take steps to manage their diabetes between office visits. After experiencing the full system, 85.9% (305/355) of HCPs agreed it was beneficial for patients with lower numeracy or health literacy; 96.1% (341/355) agreed that it helped patients understand when results were low, in range, or high; and 91.0% (323/355) agreed that the way it displayed diabetes information would make patients more inclined to act upon results. A total of 89.0% (316/355) of HCPs agreed that it would be helpful for agreeing upon appropriate in-range goals for their patients for their next clinic visit. Conclusions This multi-country online study provides evidence that HCPs were highly satisfied with the OneTouch Verio Reflect meter and the OneTouch Reveal mobile app. Each of these use color-coded information and the Blood Sugar Mentor feature to assist patients with interpreting, analyzing, and acting upon their blood glucose results, which is particularly beneficial to keep patients on track between scheduled office visits.

scholarly journals Health Care Professionals’ Clinical Perspectives & Satisfaction with a Blood Glucose Meter and Mobile App featuring a Dynamic Color Range Indicator and Blood Sugar Mentor: Online Evaluation in the United Kingdom, France, Germany, India, Algeria, Canada and the United States (Preprint)

2019 ◽  
Author(s):  
Mike Grady ◽  
Usha Venugopal ◽  
Katia Robert ◽  
Graham Hurrell ◽  
Oliver Schnell
Keyword(s):  
United States ◽  
Blood Glucose ◽  
Health Literacy ◽  
Blood Sugar ◽  
The United States ◽  
Mobile App ◽  
Office Visits ◽  
The United Kingdom ◽  
Glucose Meter ◽  
Range Indicator

BACKGROUND Despite many new therapies and technologies becoming available in the last decade, people with diabetes continue to struggle to achieve good glycemic control. Innovative and affordable solutions are needed to support healthcare professionals (HCPs) to improve patient outcomes OBJECTIVE To gather current self-management perceptions of HCPs in seven countries and investigate HCP satisfaction with a new glucose meter and mobile app featuring a dynamic color range indicator and a blood sugar mentor METHODS A total of 355 HCPs, including 142 endocrinologists, 108 primary care physicians, and 105 nurses, were recruited from the United Kingdom (n=50), France (n=50), Germany (n=50), India (n=54), Algeria (50), Canada (n=51) and the United States (n=50). HCPs experienced the OneTouch Verio Reflect glucose meter and OneTouch Reveal mobile app online from their own office computer using interactive demonstrations (via webpages and multiple animations). After providing demographic and clinical practice insights, HCPs responded to statements about the utility of the system. RESULTS Concerning current practice, 83% (295/355) of HCPs agreed poor numeracy or health literacy was a barrier for their patients. 86% (305/355) and 92% (327/355) of HCPs responded that type 2 (T2D) and type 1 (T1D) patients were aware what represented a low, in-range or high blood glucose result. Only 62% felt current glucose meters made it easy for patients to understand if results were in-range. 50% (178/355) and 78% (277/35) were confident that T2D and T1Ds took action for low or high results. 87% (309/355) agreed the ColorSure Dynamic Range Indicator could help them teach patients how to interpret results and 89% (323/355) agreed it made them more aware of hyper and hypoglycemic results so they could take action. 86% (305/355) agreed the Blood Sugar Mentor feature, gave personalized guidance, insight, and encouragement so patients could take action. 86% (305/355) also agreed the Blood Sugar Mentor provided real-time guidance to reinforce the goals HCPs had set, so patients could take steps to manage diabetes between office visits. After experiencing the full system, 86% (305/355) agreed it was beneficial for patients with lower numeracy or health literacy, 96% (341/355) that it helped patients understand when results were low, in-range or high and 91% (323/355) agreed the way it displayed diabetes information would make patients more inclined to act upon results. 89% (316/355) agreed it would be helpful for agreeing appropriate in-range goals for their patients next clinic visit. CONCLUSIONS This multi-country online study provides evidence that HCPs were highly satisfied with the OneTouch Verio Reflect meter and OneTouch Reveal mobile app, which each use color-coded information and a Blood Sugar Mentor feature to assist patients with interpreting, analyzing and acting upon their blood glucose results, which is particularly beneficial to keep patients on track between scheduled office visits CLINICALTRIAL none

scholarly journals Patients With Diabetes Using a New Glucose Meter With Blood Sugar Mentor and Dynamic Color Range Indicator Features Show Improved Interpretation and Willingness to Act on Blood Glucose Results (ASCEND Study)

2020 ◽  
pp. 193229682094987 ◽  
Author(s):  
Mike Grady ◽  
Hilary Cameron ◽  
Laurence B. Katz
Keyword(s):  
Blood Glucose ◽  
Blood Sugar ◽  
Diabetes Management ◽  
Color Range ◽  
Patients With Diabetes ◽  
Degree Of Satisfaction ◽  
Glucose Meter ◽  
Interactive Exercises ◽  
High Degree ◽  
Range Indicator

Background We examined whether dynamic color range indicator (DCRI) and blood sugar mentor (BSM) features in a new blood glucose meter could improve interpretation of results and encourage patient action. Methods One hundred and thirty three people with type 2 (T2D) ( n = 73) or type 1 diabetes (T1D) ( n = 60) evaluated information first without and then with DCRI or BSM guidance using interactive exercises. Results Subjects improved their ability to categorize results into low, in range, or high glycemic ranges by 29% (T2D) and 22% (T1D) (each P < .001). There was significantly greater willingness to act on high and low results shown with DCRI or BSM screens. Subjects also expressed a high degree of satisfaction with these features. Conclusions Use of DCRI and BSM in this meter may help patients improve their diabetes management decisions.

Digital Diabetes Care System Observations from a market acceptance evaluation study in Vietnam (Preprint)

2019 ◽  
Author(s):  
Tran Quang Khanh ◽  
Pham Nhu Hao ◽  
Eytan Roitman ◽  
Baruch Marganitt ◽  
Avivit Cahn
Keyword(s):  
Health Care ◽  
Blood Glucose ◽  
Health Care Professional ◽  
Diabetes Care ◽  
Health Care Professionals ◽  
Mobile App ◽  
Physician Satisfaction ◽  
Diabetes Clinic ◽  
Blood Glucose Monitor ◽  
Hba1c Levels

BACKGROUND Digital technologies are gaining an important role in the management of patients with diabetes. The GlucoMe solution integrates multiple aspects of diabetes care: 1) Wireless blood glucose monitor - communicates glucose data automatically to any smartphone; 2) Mobile-app - securely transmits real-time blood glucose monitor data for cloud based analyses, and enables 2-way communication between patients and health care professionals; 3) Digital diabetes clinic – analyzes and presents data to the health care professional; and 4) Control tower software provides population management reports and sends individualized alerts. OBJECTIVE Assess clinical outcomes and user satisfaction of incorporating the GlucoMe digital solution in diabetes clinics of a developing country. METHODS Five hospital endocrinology clinics in Vietnam participated in a market acceptance evaluation pilot of the GlucoMe system. The clinics sequentially recruited all patients willing to join, so long as they had a smartphone and access to internet connectivity. Patients were provided with the GlucoMe app and blood glucose monitor and instructed in their use in individual or groups sessions. The digital diabetes clinic and control tower software were installed in the clinic computers. Face-to-face visits were conducted at baseline and at 12 weeks, with monthly digital visits scheduled in the interim and additional digital visits performed as needed. HbA1c levels were measured at baseline and at 12 weeks (±20 days). Treatment modification was at the discretion of the treating physician. Outcome measures included adherence to glucose monitoring, change in glycemic parameters and patient and physician satisfaction as assessed by questionnaires. Only patients completing the pilot were included in data analyses. RESULTS The study recruited 300 patients of whom 279 patients completed the evaluation. Dropout was due to change in internet access availability (18) or death (3). Adherence to glucose measurements gradually declined, yet, at study end 81% of the patients were measuring glucose at least once a week. Digital contact from the health care professional to the patient or vice-versa (excluding automated alerts) occurred in average every 6.2 days. Average glucose levels declined from 170.4±64.6 mg/dl in the first two weeks to 150.8±53.2 mg/dl in the last two weeks (P<0.001) (n=221). HbA1c levels at baseline and 12 weeks were available for only 126 of the patients and declined from 8.3±1.9% to 7.6±1.3 (P<0.001). Over 95% of the physicians and patients stated they would strongly support the broad usage of the GlucoMe platform in diabetes clinics across the country. CONCLUSIONS The GlucoMe digital solution was broadly accepted by both patients and health care professionals and improved glycemic outcomes. The digital platform yielded increased number of patient-health care professional interactions, yet of short duration, enabling judicious allocation of limited time resources. The durability, scalability and cost-effectiveness of this approach merit further study.

scholarly journals Health Care Professionals� Clinical Perspectives on Glycemic Control and Satisfaction With a New Blood Glucose Meter With a Color Range Indicator: Online Evaluation in India, Russia, China, and the United States (Preprint)

2017 ◽  
Author(s):  
Mike Grady ◽  
Laurence Barry Katz ◽  
Pamela Anderson ◽  
Brian Leonard Levy
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Care ◽  
Blood Glucose ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
The United States ◽  
Color Features ◽  
Glucose Meter ◽  
Diabetes Educators

BACKGROUND We previously demonstrated in patients with diabetes that displaying blood glucose results in association with color improved their ability to interpret glucose results. OBJECTIVE The objective of this study was to investigate the perceptions of health care professionals (HCPs) in specific countries about the value of color on a new glucose meter and to determine if HCP perspectives among countries differ on the value of this approach in clinical practice. METHODS A total of 180 HCPs, including 105 endocrinologists, 34 primary care physicians, 25 diabetes educators, and 16 pharmacists, were recruited from India (n=50), Russia (n=50), China (n=50), and the United States (n=30). These HCPs experienced the OneTouch Select Plus Simple glucose meter online from their own office computer using interactive demonstrations (webpages, meter simulator, and video clips). After providing demographic and current clinical practice insights, HCPs responded to questions about the utility of the color-enhanced glucose meter. RESULTS Mean age and years in their current professional role for the 180 HCPs was 41.3 (SD 8.1) and 13.3 (SD 6.8) years for endocrinologists, 41.3 (SD 8.3) and 14.1 (SD 6.8) years for primary care physicians, 37.5 (SD 8.7) and 12.7 (SD 6.8) years for diabetes educators, and 35.9 (SD 5.3) and 9.5 (SD 5.2) years for pharmacists. In all, 88% (44/50) of Russian and 83% (25/30) of American HCPs said their patients find it easy to recognize low, in-range, or high blood glucose results compared to 56% (28/50) of HCPs in China and 42% (21/50) in India. Regardless of country, HCPs had less confidence that their patients act on blood glucose results with 52% (26/50) in Russia, 63% (19/30) in the United States, 60% (30/50) in China, and 40% (20/50) in India responding positively. During the interactive online meter experience, HCPs from all countries responded positively to questions about a meter with color features. After reflecting on the value of this meter, most HCPs strongly agreed or agreed their patients would be more inclined to act on results using a meter with color features (Russia: 92%, 46/50; United States: 70%, 21/30; China: 98%, 49/50; India: 94%, 47/50). They also said that color was particularly useful for patients with lower numeracy or education who may struggle with interpreting results (Russia: 98%, 49/50; United States: 77%, 23/30; China: 100%, 50/50; India: 82%, 41/50). CONCLUSIONS This multicountry online study provides evidence that HCPs had high overall satisfaction with the OneTouch Select Plus glucose meter, which uses color-coded information to assist patients with interpreting blood glucose results. This may be especially helpful in patient populations with low numeracy or literacy and limited access to health care and direct interaction with HCPs.

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