Patients and healthcare workers experience with a mobile application for self-management of diabetes in Qatar: A Cross-sectional qualitative study (Preprint)

2020 ◽  
Author(s):  
Alaa Abd-Alrazaq ◽  
Noor Suleiman ◽  
Khaled Baagar ◽  
Noor Jandali ◽  
Ibrahem Abdalhakam ◽  
...  
Keyword(s):  
Mobile Application ◽  
Diabetes Management ◽  
Health Workers ◽  
Self Management ◽  
Diabetic Patients ◽  
Mena Region ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Previous Communication ◽  
Communication Methods

BACKGROUND Diabetes mellitus (DM) is highly prevalent in Qatar and the Middle East and North Africa (MENA) region. Mobile health (m-health) can improve communications between diabetic patients and medical teams and this, in turn, may enhance engagement and self-management. Droobi is a multi-language mobile application designed to support self-management of patients with DM. OBJECTIVE The study aimed to explore experiences of patients and educators about their communication before and after implementation of Droobi, a diabetes management app. METHODS We interviewed a convenience sample consisting of 9 patients and 5 nurse educators. Before interviews, Droobi was downloaded to participants’ mobile phone, and their profile on the application was created. To ensure optimum usage experience, all participants received education on how to use Droobi. Participants used Droobi for 6 to 12 weeks. All interviews were audio recorded, transcribed by professionals, and thematically analyzed. RESULTS Two main themes were generated from participants’ responses. The first theme relates to experiences of patients and educators about their communication before Droobi and consists of 3 sub-themes: (1) how patients communicated with medical team before Droobi (previous methods), (2) adoption of previous communication methods, and (3) shortcomings of previous communication methods. The second theme relates to experiences of patients and educators about their communication after Droobi and consists of 4 sub-themes: (1) adoption of Droobi, (2) advantages of Droobi, (3) shortcomings of Droobi, and (4) improvements suggested by educators and patients. Findings suggest that Droobi provided a more efficient and convenient way for communication between health workers and patients, yet multiple shortcomings and several suggestions for improvements were noted. CONCLUSIONS Droobi has the potential to overcome disadvantages of previous communication methods, thereby increasing diabetic patient self-management. However, continuing use of Droobi is a factor for continuing its long-term viability and eventual success. Future work should continue on evaluating the Droobi app and to include a number of different stakeholders (e.g., diabetic patients, educators, doctors, researchers) when developing the upcoming Droobi version taking into account the limitations and suggestions put forth by the end-users. Further studies are needed to assess the clinical and cost effectiveness of Droobi in Qatar and the MENA region together with investigating factors affecting its initial and continued use.

scholarly journals Assessment of knowledge of Saudi female teenagers & their mothers regarding management of type I diabetes in the City of Abha

2017 ◽  
Vol 7 (9) ◽  
pp. 121
Author(s):  
Salwa Ibrahim Beshi ◽  
Salma Moawad ◽  
Sahar M. Yakout
Keyword(s):  
Parental Monitoring ◽  
Diabetes Management ◽  
Type I Diabetes ◽  
Diabetes Education ◽  
Self Management ◽  
Type I ◽  
Diabetes Knowledge ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Female Teenagers

Background: Diabetes is predicted to become the seventh leading cause of death in the world by the year 2030. In adolescence self-image is being constructed and diabetes self-care becomes an integral part of daily life. Diabetes management is better when parents remain involved in diabetes care through parental monitoring, a construct frequently measured as parents’ overall knowledge of their adolescents’ illness management. The main aim of this study was to assess the Knowledge of Saudi Female Teenagers and Their Mothers Regarding Management of type I Diabetes in the Abha.Methods: The study was carried out in Abha diabetic center. A descriptive, cross-sectional design was used. A non-probability, convenience sample of diabetic Saudi female teenagers (150) and their mothers (150) was required. The researcher prepared a two-sheet questionnaire. The questionnaire was developed from a modified Simplified Diabetes Knowledge Test (DKT) derived from the Revised Diabetes Knowledge Scale, developed by Lloyd (2011) and Fitzgerald (1998), diabetes self-management and the day care diabetes education questionnaire.Results: More the two third of mothers 30 years old and more, and 46% their level of education secondary school and more but more than two third were home wife. On the other hand, more than two third of diabetic teenage were their age 16-19 years, and 50% intermediate school age. The teenager girls and their mothers (72%, 63%) respectively not participate at any classes related to health education about management. Although only 7% not have any diabetic complication and statistical analysis show highly significant different between response of mothers and their daughters. In general, it is obvious that most of the mother do not aware or do not carefully follow their daughters in respect of diabetes self-management through diet, physical practice and blood glucose level. Also, mothers’ characteristics do not influence on daughters' knowledge level about diabetes self-management. The only factor that has a significant influence on teen females' knowledge was the duration since diagnosed as diabetic.Conclusions: According to the results of the study, it is concluded that both mother and their daughter had lack of awareness and knowledge in most of aspects of diabetes management so the researcher suggested family-based interventions, implementation of home visit programs and integrated ongoing programs of education, monitoring and support for young people and their families living with diabetes are needed. Further research needs and the paradigm used in the present study should be expanded to include fathers, other family members and friends.

scholarly journals Glucorio – Diabetes Management System

2020 ◽  
Vol 6 (2) ◽  
pp. 124-128
Author(s):  
Muhammad Lukman Roslan ◽  
Nur Afiqah Rahma Nosruddin ◽  
Hafizah Mansor
Keyword(s):  
Chronic Diseases ◽  
Mobile Application ◽  
Diabetes Management ◽  
Data Transfer ◽  
Self Management ◽  
Critical Conditions ◽  
Diabetic Patients ◽  
Wireless Data ◽  
Glucose Levels ◽  
Health Quality

Diabetes mellitus is a disease known as the “silent killer” disease that can lead to other chronic diseases. To prevent chronic diseases in diabetic patients, diabetes self-management plays an important role. Our mobile application, ‘Glucorio’ is designed as a tool to help patients in self-management of diabetes. Glucorio is a mobile phone-based diabetes logbook that can be connected to Accu-Chek Guide glucometer through wireless data transfer (Bluetooth) that automates the process of transferring and recording of data. Additionally, the users can also enter the data manually; data such as physical activity, food intake, eating habit tracking and many more. All the records are displayed in the form of charts and graphs to help both patients and doctors in understanding the data clearly through visualisation. The patients can therefore monitor their glucose levels, and this helps them to control their sugar intake. Thus, the patients can improve their health quality and avoid critical conditions in the future

scholarly journals Smartphone usage in diabetic patients and their intention to use it for self-management: a cross-sectional study

2019 ◽  
Author(s):  
Fatemeh Rangraz Jeddi ◽  
Ehsan Nabovati ◽  
Rahele Hamidi ◽  
Reihane Sharif
Keyword(s):  
Mobile Phones ◽  
Diabetes Management ◽  
Cross Sectional Study ◽  
Self Management ◽  
The Internet ◽  
Diabetic Patients ◽  
Intention To Use ◽  
Type Ii ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Mobile health has potential for promotion of self-management in patients with chronic diseases. This study was conducted to investigate smartphone usage in type II diabetic patients and their intention to use it for self-management.Methods This cross-sectional study was conducted in 2018 with 176 type II diabetic patients visiting a specialized diabetes clinic and two endocrinology and metabolism specialists in north of Iran. Data were collected using a validated questionnaire containing items on demographic characteristics, disease information, use of mobile phones, smartphones and the internet, and intention to use smartphones for diabetes self-management.Results The majority of the participants had mobile phones (94.9%), smartphones (61.1%), and daily access to the internet (81.3%), and used phones two hours per day on average (80.1%). They mostly used mobile phones to contact friends (89.2%) and search for information (50.6%), and their greatest intention for using smartphones and the internet for self-management was related to dietary planning (96%), checking blood glucose (90.9%), and contacting specialists (87.5%). Younger participants were more interested in using smartphone applications (apps) (P<0.001). About half of the participants argued that using apps can be interesting (54%) and useful (50%) for diabetes management, and intended to use apps much more in future (48.3%).Conclusions Type II diabetic patients are interested in using smartphones for diabetes self-management. Their intention to use mobile phones and the internet rather related to dietary planning, checking blood glucose, and contacting specialists. Most patients believed using apps can be beneficial and interesting for the diabetes management.

CURRENT STATUS OF PHYSICAL ACTIVITY AND SOME FACTORS RELATED TO ENOUGH PHYSICAL ACTIVITY IN DIABETES AT LONG HO DISTRICT HEALTH CENTER, VINH LONG PROVINCE IN 2021

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao
Keyword(s):  
Physical Activity ◽  
Health Center ◽  
Local Governments ◽  
Health Workers ◽  
Current Status ◽  
Multivariable Logistic Regression Analysis ◽  
Diabetic Patients ◽  
Average Intensity ◽  
District Health ◽  
Cross Sectional

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.

scholarly journals Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study

JMIR Diabetes ◽  
10.2196/17890 ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. e17890
Author(s):  
Karim Zahed ◽  
Farzan Sasangohar ◽  
Ranjana Mehta ◽  
Madhav Erraguntla ◽  
Khalid Qaraqe
Keyword(s):  
Blood Sugar ◽  
Online Survey ◽  
Diabetes Management ◽  
Nonparametric Tests ◽  
Mobile App ◽  
Survey Study ◽  
Management Tool ◽  
False Alarms ◽  
Diabetic Patients ◽  
Cross Sectional

Background Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood. Objective This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia. Methods A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney U test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity. Results Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (P<.001), and age, with the older population reporting lower noticeability than the young and middle age groups (P<.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices. Conclusions Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.

scholarly journals Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

2021 ◽  
Vol 11 (1) ◽  
pp. 124-132
Author(s):  
Sh Sugiharto ◽  
Wiwiek Natalya ◽  
Bambang Widjanarko Otok
Keyword(s):  
Community Health Centers ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Management Training ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
Self Management ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Ramadan Fasting

Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services. 

scholarly journals COVID-19 related misconceptions among older adults in Bangladesh: findings from a cross-sectional study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 216
Author(s):  
Sabuj Kanti Mistry ◽  
ARM Mehrab Ali ◽  
Uday Narayan Yadav ◽  
Nafis Md. Irfan ◽  
Binod Rayamajhee ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Workers ◽  
Multiple Linear Regression Model ◽  
Cross Sectional Study ◽  
Message Delivery ◽  
Cross Sectional ◽  
Related Information ◽  
Cumulative Score ◽  
Cross Sectional Design ◽  
Communication Methods

Background The COVID-19 has been appeared as the most remarkable global calamity of this century. Just as the COVID-19 spread throughout the world, so as the rumour and misconceptions related to it. The present study aimed to explore the prevalence of COVID-19 related misconceptions and its correlates among the older adults in Bangladesh. Methods The study followed a cross-sectional design and was conducted among 1032 participants aged 60 years and above from Bangladesh. Information was collected on 14 different locally relevant misconceptions related to the spread, prevention, and treatment of COVID-19, scored each misconception as one, and obtained a cumulative score, ranging from 0 to 14, with a higher score indicating a higher level of misconceptions. A multiple linear regression model explored the factors associated with misconceptions. Results The most common misconceptions were, all returning migrants carrying COVID-19 (45.5%), wearing personal protective equipment (PPE) in outdoors (80.1%), not going to the funeral of people died of COVID-19 (45.2%), its prevention by nutritious food (57.6%) and drinking water (39.4%), and doctor can cure COVID-19 (49.9%). Misconceptions were higher among the participants who were living alone, whose family members were not responsive to their needs during COVID-19, and who received COVID-19 related information from Radio/TV and health workers. These misconceptions were less likely among those who were aged 70-79 years, who had pre-existing non-communicable chronic conditions, who were overwhelmed by COVID-19, and who felt themselves at highest risk of COVID-19. Conclusion Overall, we found that misconceptions were prevalent among the older adults in Bangladesh. Government and other relevant stakeholders should take immediate actions to address the prevalent misconceptions through using appropriate channels, media, and message delivery systems, and applying evidence-based risk communication methods.

scholarly journals Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study (Preprint)

2020 ◽  
Author(s):  
Karim Zahed ◽  
Farzan Sasangohar ◽  
Ranjana Mehta ◽  
Madhav Erraguntla ◽  
Khalid Qaraqe
Keyword(s):  
Blood Sugar ◽  
Online Survey ◽  
Diabetes Management ◽  
Nonparametric Tests ◽  
Mobile App ◽  
Survey Study ◽  
Management Tool ◽  
False Alarms ◽  
Diabetic Patients ◽  
Cross Sectional

BACKGROUND Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood. OBJECTIVE This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia. METHODS A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney <i>U</i> test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity. RESULTS Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (<i>P</i>&lt;.001), and age, with the older population reporting lower noticeability than the young and middle age groups (<i>P</i>&lt;.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices. CONCLUSIONS Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.

scholarly journals Analisis Profil dan Faktor-Faktor yang Memengaruhi Perilaku Kepatuhan Pengobatan untuk Pasien Diabetes Mellitus Lanjut Usia

2019 ◽  
pp. 114-125
Author(s):  
Andi Makkulawu ◽  
Adji Prayitno Setiadi ◽  
Tri Budi Wahyuni Rahardjo ◽  
Eko Setiawan
Keyword(s):  
Diabetes Mellitus ◽  
Support Groups ◽  
Health Workers ◽  
Profile Analysis ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Related Factors ◽  
Cross Sectional ◽  
Adherence Behaviour

Adherence with medication is one of the important factors in controlling blood glucose levels in patients with diabetes mellitus (DM), which in turn also determines the risk of diabetic complications. The profile and factors that influence adherence behaviour in the use of medication in elderly diabetic patients in Indonesia, especially in East Surabaya, are not yet known. The purpose of this study was to identify profiles and factors that influence the behavior of drug use adherence in elderly DM patients. A cross-sectional study was conducted in 32 Karang Werda or support groups for elderly in East Surabaya. Identification of the respondent’s level of adherence was carried out using the Adherence to Refill and Medication Scale (ARMS) questionnaire while the contributing factors towards adherence behaviour were identified using a published questionnaire. Both questionnaires have been validated in elderly people living in Surabaya. Result of adherence profile analysis was expressed in terms of percentage while determinant factors analysis was identified by using the highest mean among 14 sub-domains included in the questionnaire. In total, 281 elderly diabetic patients were recruited in this study. It was identified that 67.26% of the respondents were classified as non-adherence patients. The dominant factors that contribute to the behavior of medication adherence in elderly diabetic patients were social support, product-related factors, health workers, and emotional factors. Appropriate interventions to optimize the use of medications in elderly diabetic patients need to be identified and implemented according to the identified contributing factors.

scholarly journals Predictors of Online Patient Portal Use among a Diverse Sample of Emerging Adults: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Julie A. Wright ◽  
Julie E Volkman ◽  
Suzanne G Leveille ◽  
Daniel J. Amante
Keyword(s):  
Health Literacy ◽  
Emerging Adults ◽  
Patient Engagement ◽  
Self Management ◽  
Healthcare Team ◽  
Patient Portal ◽  
Patient Portals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample

BACKGROUND Self-management of health is becoming increasingly more influenced by Health IT as online patient portals become more common. Patient portals allow patients direct access to their health information and opportunities to engage with their healthcare team. Data suggest that e-Health literacy is an important skill for using portals. Emerging adults (EA; ages 18-29), while generally healthy, are regular users of the healthcare system. A good understanding about their use of online patient portals and how their e-Health literacy skills impact their use is lacking. OBJECTIVE To describe patient portal use and explore the predictors of portal use among a diverse sample of EAs. METHODS A convenience sample, cross-sectional survey study was conducted at two universities. Demographics, healthcare visits, e-Health literacy, patient engagement and use of patient portal features (administrative and clinical) were asked. Logistic regression models were used to examine factors associated with portal use. RESULTS Of the 340 EAs (76% female, 65% white, 47% low income), 54% reported having patient portal access. Of those reporting access, 77% used at least 1 portal feature and 23% reported using none. Significant predictors were patient engagement (OR 1.08, 95% CI 1.04-1.13, p=.001;) and total encounters (OR 1.23, 95% CI 1.05-1.44, p=.009;) but not e-Health literacy. Hispanic and Asian EAs were more likely to be frequent users of clinical portal features than white EAs (Hispanic, OR 2.97, 95%CI 1.03-8.52 p=.043; and Asian, OR 4.28, 95%CI 1.08-16.89, p=.038). CONCLUSIONS Surprisingly, e-Health literacy did not predict use of patient portals in this diverse sample of EAs. Moreover, there may be ethnic differences that are important for healthcare systems to consider. Interventions to promote patient portal use, an essential self-management skill, should include strategies to increase patient engagement with patient portals in EA populations. CLINICALTRIAL N/A

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