Experience of diabetes self-management with mobile applications: a focus group study among older people with diabetes

2018 ◽  
Vol 6 (2) ◽  
pp. 262 ◽  
Author(s):  
Qing Ye ◽  
Suzanne A Boren ◽  
Uzma Khan ◽  
Eduardo J Simoes ◽  
Min Soon Kim

Background: The number of mobile diabetes self-management applications (apps) has risen. However, it is not certain whether these apps provide effective diabetes self-management for older people with diabetes. In this study, we aim to identify barriers in features and usability related to the needs of older people with diabetes for diabetes self-management applications.Methods: We conducted focus groups with 10 older people with diabetes (mean age = 69 years old). Based on the data saturation theory, there were 2 focus groups. Participants completed a set of diabetes self-management tasks using 9 representative diabetes self-management applications on iPads. We collected information regarding demographics, diabetes history, health literacy and prior experience using mobile devices and diabetes self-management applications. We asked participants’ preferences, concerns and needs for diabetes self-management application features. The System Usability Scale (0-100) measured overall usability. Thematic analysis identified the barriers that older participants encountered as they interacted with the diabetes self-management applications.Results: Participants found mobile applications inadequate for features on Healthy Coping and Problem Solving. The features that participants liked most for the diabetes self-management applications were documentation, information and goal setting. Thematic analysis revealed that usability was their primary concern about diabetes self-management applications in managing diabetes conditions. The average System Usability Scale score was 48 out of 100, which is considered not acceptable.Conclusions: This study suggests current diabetes self-management applications do not provide evidence-based, usable features for diabetes self-management and may not fulfill the needs of older people with diabetes.

2021 ◽  
pp. 204946372110260
Author(s):  
Daniel Whibley ◽  
Kevin Stelfox ◽  
Alasdair L Henry ◽  
Nicole KY Tang ◽  
Anna L Kratz

Objective: Suboptimal sleep and physical activity are common among people living with osteoarthritis (OA) and simultaneous improvements in both may have a beneficial impact on pain. This study aimed to gather perspectives of people living with OA on important aspects to incorporate in a hybrid sleep and physical activity improvement intervention for OA pain management. Design: Qualitative study using two rounds of two focus groups. Setting and participants: Focus groups were conducted with adults living with OA-related chronic pain and sleep disturbances. Eighteen people attended focus groups in January 2020 and, of these, 16 attended subsequent focus groups in February 2020. Methods: Discussion at the first round of focus groups informed generation of prototype intervention materials that were shared, discussed and refined at the second round of focus groups. Thematic analysis was used to identify themes and sub-themes from the data. Results: Three themes, each with three sub-themes, were identified: facilitators of engagement with the intervention (sub-themes: motivational language, accountability and education); barriers to engagement (sub-themes: suboptimal interaction with healthcare practitioners, recording behaviour as burdensome/disruptive and uncertainty about technique) and characteristics of a physical activity intervention component (sub-themes: tailored, sustainable and supported). Conclusion: We have identified important aspects to incorporate into the design and delivery of a hybrid sleep and physical activity improvement intervention for OA pain management. Insights will be incorporated into intervention materials and protocols, with feasibility and acceptability assessed in a future study.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049829
Author(s):  
Elizabeth Tyler ◽  
Fiona Lobban ◽  
Rita Long ◽  
Steven H Jones

ObjectivesAs awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD.DesignA qualitative focus group study.SettingThree focus groups were conducted at a university in the North West of England.ParticipantsEight people took part in the focus groups; six older adults with BD, one carer and one friend.ResultsParticipant’s responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people.ConclusionsParticipants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term ‘recovery’ in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).


At this time the application for mobile applications on an industrial scale and companies are still considered very lacking for it’s application, it is because the industry that is currently running is still likely to use a desktop. Which with the mobile application opportunity and understanding of technology from everyone in the company, business process automation can be done more efficiently through mobile applications. Planning of this people management system aims to resolve the problem experienced by one of the telecommunications companies in Indonesia, which at present employees find it very difficult to make requests for overtime, leave and claims, because the current system is still in desktop or manual form filling which still depends on the office network environment. Therefore, a mobile application-based People Management System (PMS) will be made in which the process will run in real time and can be done anywhere. For the initial stages of development planning Mobile applications for People Management System (PMS) will greatly help the company problems mentioned earlier. By using Heuristic Task Analysis (HTA) as a method for reviewing the effectiveness of work and activities that are not properly carried out, so it can be obtained desirable productivity (Stanton, 2006)., and the System Usability Scale (SUS) method for interface testing which is carried out directly by end users (Martoyo & Falahah,2015). Based on the provisions of the System Usability Scale score, the assessment results of 10 respondents for the People management system application of 79.0 where the score is the Acceptability Ranges in the Acceptable category and are in grade B. From these results it is felt that there is still need for further development because current planning is for the initial planning phase, there needs to be further development to improve the performance of the company and comfort for employees.


2021 ◽  
Vol 12 ◽  
Author(s):  
Sonam Zamir ◽  
Felicity Allman ◽  
Catherine Hagan Hennessy ◽  
Adrian Haffner Taylor ◽  
Ray Brian Jones

BackgroundVideo-calls have proven to be useful for older care home residents in improving socialization and reducing loneliness. Nonetheless, to facilitate the acceptability and usability of a new technological intervention, especially among people with dementia, there is a need for user-led design improvements. The current study conducted focus groups with an embedded activity with older people to allow for a person-centered design of a video-call intervention.MethodsTwenty-eight residents across four care homes in the South West of England participated in focus groups to aesthetically personalize and ‘dress-up’ the equipment used in a video-call intervention. Each care home was provided with a ‘Skype on Wheels’ (SoW) device, a wheelable ‘chassis’ comprising an iPad or tablet for access to Skype, and a telephone handset. During the focus group, residents were encouraged to participate in an activity using colorful materials to ‘dress-up’ SoW. Comments before, during and after the ‘dress up’ activity were audio recorded. Framework analysis was used to analyze the focus group data.ResultsOlder people, including seven with dementia were able to interact with and implement design changes to SoW through aesthetic personalization. Themes arising from the data included estrangement, anthropomorphism, reminiscence, personalization, need for socialization versus fear of socialization and attitudes toward technology. After this brief exposure to SoW, residents expressed the likelihood of using video-calls for socialization in the future.ConclusionCare home residents enjoy engaging with new technologies when given the opportunity to interact with it, to personalize it and to understand its purpose. Low cost aesthetic personalization of technologies can improve their acceptability, usability, and implementation within complex care environments.


2021 ◽  
Author(s):  
Krishma Labib ◽  
Natalie Evans ◽  
Rea Scepanovic ◽  
Panagiotis Kavouras ◽  
Andrea Reyez Elizondo ◽  
...  

Education is important for fostering research integrity (RI). Although RI training (a formal element of RI education) is increasingly provided, there is little knowledge on how research stakeholders view institutional RI education and training policies. Here, we present insights about research stakeholders’ views on what research institutions should take into account when developing and implementing RI education and training policies. We conducted 30 focus groups, engaging 147 participants in 8 European countries. Using a mixed deductive-inductive thematic analysis, we identified five themes: 1) RI education should be available to all; 2) education and training approaches and goals should be tailored; 3) motivating trainees is essential; 4) both formal and informal educational formats are necessary; and 5) institutions should take into account various individual, institutional, and system-of-science factors when implementing RI education. Our findings suggest that institutions should make RI education attractive for all, and tailor training to disciplinary-specific contexts.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245198
Author(s):  
Eva Visser ◽  
Brenda Leontine Den Oudsten ◽  
Marjan Johanna Traa ◽  
Taco Gosens ◽  
Jolanda De Vries

Background Injury can have physical, psychological and social consequences. It is unclear which factors have an impact on patients’ wellbeing after injury. This study aimed to explore, using focus groups, patients’ experiences and wellbeing after injury and which factors, impede or facilitate patients’ wellbeing. Methods Trauma patients, treated in the shock room of the Elisabeth-TweeSteden Hospital, the Netherlands, participated in focus groups. Purposive sampling was used. Exclusion criteria were younger than 18 years old, severe traumatic brain injury, dementia, and insufficient knowledge of the Dutch language. The interviews were recorded, transcribed verbatim, and analyzed using coding technique open, axial, and selective coding, based on phenomenological approach. Results Six focus groups (3 to 7 participants) were held before data saturation was reached. In total, 134 patients were invited, 28 (21%) agreed to participate (Median age: 59.5; min. 18 –max. 84). Main reasons to decline were fear that the discussion would be too confronting or patients experienced no problems regarding the trauma or treatment. Participants experienced difficulties on physical (no recovery to pre-trauma level), psychological (fear of dying or for permanent limitations, symptoms of posttraumatic stress disorder, cognitive dysfunction), social (impact on relatives and social support) wellbeing. These are impeding factors for recovery. However, good communication, especially clarity about the injury and expectations concerning recovery and future perspectives could help patients in surrendering to care. Patients felt less helpless when they knew what to expect. Conclusions This is the first study that explored patients’ experiences and wellbeing after injury. Patients reported that their injury had an impact on their physical, psychological, and social wellbeing up to 12 months after injury. Professionals with the knowledge of consequences after injury could improve their anticipation on patients’ need.


Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
T.M.J. Pahlplatz ◽  
M.U. Schafroth ◽  
C. Krijger ◽  
T.H. Hylkema ◽  
C.N. van Dijk ◽  
...  

BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70–80%of TKA patients return to work within three to six months. OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA? METHODS: Focus groups were formed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Three major topics were explored: 1. What was beneficial for RTW after TKA; 2. What was limiting for RTW after TKA; and 3. What additional care would benefit RTW after TKA? RESULTS: Data saturation was reached after four focus groups, comprising 17 participants—nine men and eight women (median age 58, range 52–65). The focus group study identified four main themes that contributed to a successful RTW namely rehabilitation (medical) like post-operative physical therapy, patient characteristics (personal), like motivation to RTW, occupational characteristics (work-related) like build-up in work tasks and medical support (medical) like availability of a walker or crutches. CONCLUSION: According to participants, factors within the following four themes can contribute to a successful return to work: occupational, patient, rehabilitation and medical care. Incorporating these factors into the integrated care pathway for the “young” TKA patients may increase the chances of a successful RTW.


BJPsych Open ◽  
2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Aysegul Dirik ◽  
Justina Kaselionyte ◽  
Domenico Giacco ◽  
Stefan Priebe

Background The value of carer involvement has been extensively researched and promoted. However, the field lacks exploration of conceptual issues, which might help to explain why there are widespread difficulties in putting policy into practice in this area, as implementation rates remain low internationally. Aims This qualitative study explored patients’, carers’ and clinicians’ perspectives on the role of carers in mental healthcare, particularly with regards to in-patient settings. Method Sixteen focus groups were conducted with patients, carers and clinicians who have current or previous experience of in-patient settings. A thematic analysis was conducted on the transcripts, exploring two key domains: (a) what a ‘carer’ is, and (b) how the ‘carer’ role is described within the context of the hospital environment. Results Participants diverged in their opinions of what the ‘carer’ role entails, and the perceived helpfulness of it. Issues unique to the in-patient setting were identified, such as the role of the hospital environment in enabling or being a barrier to carer involvement. These differing perspectives and contextual factors had an impact on the position of carers in the hospital setting, as they could be viewed as helpful, a hindrance or as passive visitors, depending on the perspectives of clinicians. Conclusions More clarity and agreement is needed between patients, carers and clinicians in terms of how the ‘carer’ role is defined. This has the potential to improve carers’ experience of involvement in hospital settings.


Author(s):  
Juan M. Santos-Gago ◽  
Luis M. Álvarez-Sabucedo ◽  
Victor M. Alonso-Rorís ◽  
José L. García-Soidán ◽  
Carmina Wanden-Berghe ◽  
...  

This article introduces SportWoman, a telematic application aimed at giving support in the form of recommendations to women who practice sports, whether professional or amateur or even sporadic practitioners of sports or fitness activities. The platform tries to cover the gap of woman personalization left by mobile applications supporting sports and fitness that currently exist in the market by taking into account the menstrual cycle of women and how this cycle affects them individually. SportsWoman was designed as an Expert System in which information is stored in a Knowledge Base using semantic technologies. In the proposed platform, the knowledge of specialists (physicians and researchers of sports science) is expressed using a particular ontology and a set of rules that, in turn, determine the daily recommendations for each user. SportsWoman has been tested and evaluated by 34 athletes through the well-known System Usability Scale, obtaining a value of 86, which corresponds to an acceptable level of usability with a grade B.


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