scholarly journals Development and preliminary evaluation of a theory-based web and mobile application for self-management of Diabetes type 2 (Preprint)

2020 ◽  
Author(s):  
Raheleh Salari ◽  
Sharareh R.Niakan Kalhori ◽  
Marjan GhaziSaeedi ◽  
Marjan Jeddi ◽  
Mahin Nazari ◽  
...  
Keyword(s):  
Information And Communication Technologies ◽  
Remote Monitoring ◽  
User Satisfaction ◽  
Behavioral Change ◽  
Mobile Apps ◽  
Healthcare Providers ◽  
Mobile App ◽  
Self Management ◽  
Preliminary Evaluation

BACKGROUND As the use of smartphones and mobile apps is increasing, mobile health (mHealth) can be used as a cost-effective option to provide behavioral interventions aimed at educating and promoting self-management for chronic diseases such as diabetes. Although the goal of many existing programs is the same, they usually do not follow the guidelines suggested for evidence-based practices and lack a theoretical foundation. Therefore, this study seizes this increasing demand to develop a self-management program for people with type 2 diabetes and provide a program in Farsi according to the extracted requirements. OBJECTIVE This paper describes the development and preliminary evaluation of a mobile-based diabetes self-management system, which was designed to help people with behavior change and also enable their remote monitoring by healthcare providers. METHODS The development of the system involved: (1) exploring the best mobile apps and papers related to mHealth diabetes self-management (2) conducting an overview with experts and determine the essential capabilities of system (3) selecting which behavioral change and structural theories to be used in the system and (4) developing the mobile app and website (6) evaluating the system with people with diabetes and healthcare providers. RESULTS The developed mobile app includes modules which support several features. Person’s data can be entered or collected, and overviewed in the form of graphs and tables. The foundation of behavioral intervention is Transtheoretical model. Persons were able to receive customized messages based on behavioral change preparation stage using the Kreuter’s tailoring messages algorithm. The developed web site dedicated to healthcare providers which include same capabilities. The results of the preliminary evaluations revealed overall user satisfaction with the system. CONCLUSIONS Information and communication technologies, especially mobile and wearable technologies which use a behavioral theories, can be utilized as a useful tool for facilitating the modification of self-management behaviors and facilitation remote monitoring. However, further research is needed to report the effectiveness of the system in practice.

The efficiency of Developing Mobile Applications Support Diabetes Mellitus Type 2 Self-management: A Systematic Literature Review of Recent Articles, Meta-analysis and Qualitative Assessment (Preprint)

2021 ◽  
Author(s):  
Maryam Mahabadi
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Mobile Applications ◽  
Mobile Apps ◽  
Meta Analysis ◽  
Health Technology ◽  
Mobile App ◽  
Qualitative Assessment ◽  
Self Management

BACKGROUND Applying health technologies, such as mobile applications (apps), is considered as a means of promoting health management. This research aimed to examine the consideration of developing mobile applications (apps), support diabetes mellitus type 2 (DM-2) self-management, via investigating the outcome of original articles. OBJECTIVE (1) To indicate the extend which mobile app developers considered features and specifications defined by the health technology guidelines. (2) To identify the bottlenecks of health technology guidelines by assessing and comparing them. (3) To provide a list of evidence-based recommendations for manufacturers in order to design and develop as well as verify the health mobile apps. METHODS This research is a combination of systematic literature review and meta-analysis as well as qualitative assessment. The systematic literature review and meta-analysis included the articles published within the last six years, to indicate time-related reliability to the content, indexed on Ovid, Embase, Engendering Village, and PubMed. In order to conduct a meta-analysis, the information derived from included articles was adopted in a framework made of qualitative assessment of the well-known health technology guidelines. These guidelines were published by The National Institute for Health and Care Excellence (NICE), World Health Organisation (WHO), Public Health England and the U.S. Food and Drug Administration (FDA). RESULTS After filtering all articles via a PRISMA flowchart, 37 articles were selected for further investigations. The results of the systematic literature review and meta-analysis indicated that almost all articles reported the significant role of apps in improving the health status of the users. Majority of studies were clinical trials conducted to measure the outcomes of interventions using a known mobile app. Technology-related limitations were having access to a smartphone and mobile markets, technology literacy, and malfunction of the systems. Combination of recommendations provided by included articles was conducting further studies with larger sample size to determine barriers and facilitators of available technologies integrated with mobile apps, aimed to provide patient-centred services, in a longer duration of the intervention implementation. On the other hand, the majority of articles did not report the use of any particular guideline. However, by comparing their findings with the results of the qualitative assessment of selected health technology guidelines, evidence-based documents were scarcely reported. Likewise, only a few numbers of articles briefly discussed cost-effectiveness. Almost none of them used an approved tool for evaluating the economic effect of mobile apps. CONCLUSIONS The majority of publications indicated lack of proper adherence to guidelines in designing and examining mobile applications, developed for supporting DM-2 self-management. Furthermore, a comparison of four included guidelines indicated insufficiencies in some perspectives such as safety of recorded information. The list of recommendations, produced by the results of included articles and highlights of included guidelines, facilitates producing standard mobile health apps by manufacturers.

scholarly journals I have most of my asthma under control and I know how my asthma acts: Users’ perceptions of asthma self-management mobile app tailored for adolescents

2019 ◽  
Vol 26 (1) ◽  
pp. 342-353 ◽  
Author(s):  
Tali Schneider ◽  
Laura Baum ◽  
Alman Amy ◽  
Couluris Marisa
Keyword(s):  
Mobile Apps ◽  
Healthcare Providers ◽  
Disease Status ◽  
Mobile App ◽  
Self Management ◽  
Management Skills ◽  
Know How ◽  
Asthma Status ◽  
User Friendly ◽  
Medical Advances

Asthma continues to be the leading chronic condition among US adolescents. Despite medical advances, many adolescents face uncontrolled asthma mainly due to insufficient self-management skills. Mobile apps pose a promising adjunct to in-clinic asthma care. However, little is known about the usability and effectiveness of such technology. In all, 20 adolescents participated in a 3-month trial to test an asthma app tailored to their age. Qualitative data on adolescents’ experience with the app were inquired. Overall, participants thought the app was functional and user-friendly. The majority expressed that the app assisted them with asthma self-management through tracking of asthma status and text reminders to test their peak flow regularly. They indicated external factors that limited app use and suggested improvements to make the app more engaging and appealing to adolescents. The tested app provides a feasible means to assist adolescent in developing self-management skills, tracking disease status, and communicating with healthcare providers.

Mobile Health Applications to Support COVID-19 Self-management: Review and Evaluation

2021 ◽  
Author(s):  
Sahar Khenarinezhad ◽  
Ehsan Ghazanfari Savadkoohi ◽  
Leila Shahmoradi
Keyword(s):  
Mobile Health ◽  
Mobile Apps ◽  
Healthcare Providers ◽  
Vital Signs ◽  
Complete Information ◽  
Self Management ◽  
Management Measures ◽  
Management Procedures ◽  
Mobile Health Applications ◽  
Health Applications

Aim: During the epidemic and with an increase in coronavirus (COVID-19) disease prevalence, emergency care is essential to help people stay informed and undertake self-management measures to protect their health. One of these self-management procedures is the use of mobile apps in health. Mobile health (mHealth) applications include mobile devices in collecting clinical health data, sharing healthcare information for practitioners and patients, real-time monitoring of patient vital signs, and the direct provision of care (via mobile telemedicine). Mobile apps are increasing to improve health, but before healthcare providers can recommend these applications to patients, they need to be sure the apps will help change patients' lifestyles. Method: A search was conducted systematically using the keywords "Covid-19," "Coronavirus," "Covid-19, and Self-management" at the "Apple App Store". Then we evaluated the apps according to MARS criteria in May 2020. Results: A total of 145 apps for COVID-19 self-management were identified, but only 32 apps met our inclusion criteria after being assessed. The overall mean MARS score was 2.9 out of 5, and more than half of the apps had a minimum acceptability score (range 2.5-3.9). The "who academy" app received the highest functionality score. Who Academy, Corona-Care and First Responder COVID-19 Guide had the highest scores for behavior change. Conclusion: Our findings showed that few apps meet the quality, content, and functionality criteria for Covid-19 self-management. Therefore, developers should use evidence-based medical guidelines in creating mobile health applications so that, they can provide comprehensive and complete information to both patients and healthcare provider.

Usability of mobile applications: A Concept Analysis to be used in health promotion (Preprint)

2021 ◽  
Author(s):  
Po-Jen Kung ◽  
Ching-Min Chen
Keyword(s):  
Health Promotion ◽  
Information And Communication Technologies ◽  
User Experience ◽  
Mobile Applications ◽  
User Satisfaction ◽  
Concept Analysis ◽  
Mobile App ◽  
Model Case ◽  
Antecedents And Consequences ◽  
Definition Of

BACKGROUND Following the rise of health awareness in modern societies, health promotion has attracted progressively more attention in both academia and industry. This, along with the evolution of information and communication technologies, has resulted in the development of several mobile applications used in health promotion. Unfortunately, users of the applications have not achieved their goals, since many applications have not provided a smooth user experience. OBJECTIVE To clearly identify the defining attributes of mobile app usability in the context of health promotion in order to guide the design of apps which provide smooth user experience. METHODS It is thus first necessary to conduct an exploration into app usability, for which this study applies the concept analysis method by Walker and Avant, which includes: (1) identifying the use of the concept, (2) determining the defining attributes, (3) constructing a model case, (4) constructing model, contrary, borderline, and related cases, (5) identifying antecedents and consequences, and (6) defining empirical referents. RESULTS We then derive a unified definition of usability from the healthcare perspective—that the defining attributes of "usability of mobile application" are: efficiency, user satisfaction, and learnability. CONCLUSIONS It is concluded that mobile applications with these attributes could achieve their designed goals and reach maximal efficacy, since users would continue using the app on a regular basis, and would recommend it to others.

Mobile App Interventions to Improve Medication Adherence Among Type 2 Diabetes Mellitus Patients: A Systematic Review of Clinical Trials

2021 ◽  
pp. 193229682110600
Author(s):  
Tarani Prakash Shrivastava ◽  
Shikha Goswami ◽  
Rahul Gupta ◽  
Ramesh K. Goyal
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Clinical Trials ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Mobile Apps ◽  
Mobile App ◽  
Risk Of Bias ◽  
Improve Medication Adherence

Background: Medication adherence in type 2 diabetes mellitus (T2DM) patients is often suboptimal resulting in complications. There has been a growing interest in using mobile apps for improving medication adherence. Objective: The objective of this work was to systematically review the clinical trials that have used mobile app–based interventions in T2DM patients for improving medication adherence. Methodology: A systematic search was performed to identify published clinical trials between January 2008 and December 2020 in databases—PubMed, Cochrane Library, and Google Scholar. All studies were assessed for risk of bias using quality rating tool from the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seven clinical studies having 649 participants were studied. The median sample size was 58 (range = 41-247) and the median age of participants was 53.2 (range = 48-69.4) years. All studies showed improvements in adherence; however, only three studies reported statically significant improvements in adherence measures. Selected studies were deemed as unclear in their risk of bias and the most common source of risk of bias among the studies was the absence of objective outcome assessment. Conclusions: Mobile apps appear to be effective interventions to help improve medication adherence in T2DM patients compared with conventional care strategies. The features of the App to improvise medical adherence cannot be defined based on the meta-analysis because of heterogeneity of study designs and less number of sample size. Systematically planned studies would set up applicability of mobile apps in the clinical management of T2DM.

scholarly journals Mobile applications for breast cancer survivorship and self-management: A systematic review

2020 ◽  
Vol 26 (4) ◽  
pp. 2892-2905
Author(s):  
Akshat Kapoor ◽  
Priya Nambisan ◽  
Elizabeth Baker
Keyword(s):  
Breast Cancer ◽  
Social Networking ◽  
Breast Cancer Survivors ◽  
Mobile Apps ◽  
Healthcare Providers ◽  
Geographical Location ◽  
Self Management ◽  
Inclusion Criteria ◽  
Cancer Treatments ◽  
Daily Lives

The use of mobile technology and mobile apps has become pervasive in our daily lives for completing a variety of daily tasks. Mobile health (mHealth) apps can provide an accessible platform for self-management among breast cancer (BC) survivors, as they recover from not just the intensive cancer treatments, but also their associated side-effects. They also offer a means to learn about survivorship topics and connect with peer survivors online, irrespective of their geographical location. This study is an attempt to assess the availability and characterize the self-management features of free mobile apps for breast cancer survivors on the Google Play (Android) and Apple App Store (iOS). Out of 249 such apps for the Android, only eight satisfied initial criteria, while only one of 174 iOS apps that met inclusion criteria was included for further analysis. A content analysis of the nine apps that met inclusion criteria was conducted to assess the inclusion of the following mHealth self-management features derived from the Chronic Care Model: symptom tracking; survivorship education; information-sharing with family and/or caregivers; scheduling follow-up visits; personal alerts and reminders; and social networking. Survivorship education was found to be the most common self-management feature among the apps reviewed, followed by social networking. The results of this study highlight the dearth of available mHealth resources for BC survivors. Future efforts in app development should involve survivors and healthcare providers to ensure comprehensive resources that address their unmet needs are made more accessible.

scholarly journals Development and Evaluation of a Computer-Based, Self-Management Tool for People Recently Diagnosed with Type 2 Diabetes

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Alison O. Booth ◽  
Carole Lowis ◽  
Steven J. Hunter ◽  
Moira Dean ◽  
Chris R. Cardwell ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Computer Program ◽  
User Satisfaction ◽  
Controlled Trial ◽  
Intervention Group ◽  
Management Tool ◽  
Self Management ◽  
Control Group ◽  
Computer Based

Aim. The purpose of this study was to develop and evaluate a computer-based, dietary, and physical activity self-management program for people recently diagnosed with type 2 diabetes.Methods. The computer-based program was developed in conjunction with the target group and evaluated in a 12-week randomised controlled trial (RCT). Participants were randomised to the intervention (computer-program) or control group (usual care). Primary outcomes were diabetes knowledge and goal setting (ADKnowl questionnaire, Diabetes Obstacles Questionnaire (DOQ)) measured at baseline and week 12. User feedback on the program was obtained via a questionnaire and focus groups.Results. Seventy participants completed the 12-week RCT (32 intervention, 38 control, mean age 59 (SD) years). After completion there was a significant between-group difference in the “knowledge and beliefs scale” of the DOQ. Two-thirds of the intervention group rated the program as either good or very good, 92% would recommend the program to others, and 96% agreed that the information within the program was clear and easy to understand.Conclusions. The computer-program resulted in a small but statistically significant improvement in diet-related knowledge and user satisfaction was high. With some further development, this computer-based educational tool may be a useful adjunct to diabetes self-management. This trial is registered with clinicaltrials.gov NCT numberNCT00877851.

scholarly journals User Retention and Engagement With a Mobile App Intervention to Support Self-Management in Australians With Type 1 or Type 2 Diabetes (My Care Hub): Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Mary D Adu ◽  
Usman H Malabu ◽  
Aduli EO Malau-Aduli ◽  
Aaron Drovandi ◽  
Bunmi S Malau-Aduli
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Mobile App ◽  
Self Management ◽  
Promising Tool ◽  
Extended Access ◽  
Explanatory Mixed Methods ◽  
Mobile Health Apps

BACKGROUND Mobile health apps are commonly used to support diabetes self-management (DSM). However, there is limited research assessing whether such apps are able to meet the basic requirements of retaining and engaging users. OBJECTIVE This study aimed to evaluate participants’ retention and engagement with My Care Hub, a mobile app for DSM. METHODS The study employed an explanatory mixed methods design. Participants were people with type 1 or type 2 diabetes who used the health app intervention for 3 weeks. Retention was measured by completion of the postintervention survey. Engagement was measured using system log indices and interviews. Retention and system log indices were presented using descriptive statistics. Transcripts were analyzed using content analysis to develop themes interpreted according to the behavioral intervention technology theory. RESULTS Of the 50 individuals enrolled, 42 (84%) adhered to the study protocol. System usage data showed multiple and frequent interactions with the app by most of the enrolled participants (42/50, 84%). Two-thirds of participants who inputted data during the first week returned to use the app after week 1 (36/42, 85%) and week 2 (30/42, 71%) of installation. Most daily used features were tracking of blood glucose (BG; 28/42, 68%) and accessing educational information (6/42, 13%). The interview results revealed the app’s potential as a behavior change intervention tool, particularly because it eased participants’ self-care efforts and improved their engagement with DSM activities such as BG monitoring, physical exercise, and healthy eating. Participants suggested additional functionalities such as extended access to historical analytic data, automated data transmission from the BG meter, and periodic update of meals and corresponding nutrients to further enhance engagement with the app. CONCLUSIONS The findings of this short-term intervention study suggested acceptable levels of participant retention and engagement with My Care Hub, indicating that it may be a promising tool for extending DSM support and education beyond the confines of a physical clinic.

Wireless and Mobile Technologies Improving Diabetes Self-Management

2011 ◽  
pp. 136-156 ◽  
Author(s):  
Eirik Årsand ◽  
Naoe Tatara ◽  
Gunnar Hartvigsen
Keyword(s):  
Information And Communication Technologies ◽  
Communication Technologies ◽  
Mobile Technologies ◽  
Self Management ◽  
Future Research ◽  
Management Tools ◽  
Information And Communication ◽  
Future Research Directions

The technological revolution that has created a vast health problem due to a drastic change in lifestyle also holds great potential for individuals to take better care of their own health. This is the focus of the presented overview of current applications, and prospects for future research and innovations. The presented overview and the main goals of the systems included are to utilize information and communication technologies (ICT) as aids in self-management of individual health challenges, for the disease Diabetes, both for Type 1 and Type 2 diabetes. People with diabetes are generally as mobile as the rest of the population, and should have access to mobile technologies for managing their disease. Forty-seven relevant studies and prototypes of mobile, diabetes-specific self-management tools meeting our inclusion criteria have been identified; 27 publicly available products and services, nine relevant patent applications, and 31 examples of other disease-related mobile self-management systems are included to provide a broader overview of the state of the art. Finally, the reviewed systems are compared, and future research directions are suggested.

PP064 Registration Of Healthcare Mobile Apps In Brazil

2017 ◽  
Vol 33 (S1) ◽  
pp. 100-101
Author(s):  
Benefran Bezerra ◽  
Eduardo Alves
Keyword(s):  
Information And Communication Technologies ◽  
Mobile Apps ◽  
New Technology ◽  
Mobile App ◽  
Class I ◽  
Classification Rule ◽  
Postal Code ◽  
Class Iii ◽  
Technical Standards ◽  
Regulatory Instruments

INTRODUCTION:The use of applications (app) on mobile phones to health care is a trend. Its applications range from the use as energy calculators, monitoring clinical parameters, as well association with medical devices, personal health records or used to request appointments (1). Thus, it is intended to evaluate the regulatory instruments available in Brazil as to their sufficiency to analyze this new technology.METHODS:Assessment of regulatory instruments for mobile app registration by the Brazillian Health Regulatory Agency (Anvisa) (2). The main variables in the form of Class I and II are: Submission type, Postal Code, Electronic Site, Product code, Classification Rule, Class, Indication of Use / Purpose, Principle of Operation, Platform, Target Audience, Type of Environment, Compatibility, Safety Characteristics, Technical Standards used, Product Origin.RESULTS:Since 2010, the registration of software in Anvisa has been observed. The evaluation of Class I and II software is performed through the registration analysis to be completed by the requesting company. Class III (high risk) software is registered as a medical device embedded software (2).Anvisa's analysis of the software still depends directly on the application for registration of the companies. In this way most of the analyzed software are for use by health professionals and health services.CONCLUSIONS:There are Brazilian regulations for health products with software registration forecast, however its use as a health service still lacks studies mainly with the trends of new information and communication technologies (3).The regulation of mobile applications becomes difficult because applications are freely downloaded in virtual stores, their domains are usually in foreign territory and their use is given directly by the user.

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