BackgroundChildren with type 1 diabetes and their parents face rigorous procedures for blood glucose monitoring and regulation. Mobile telecommunication systems show potential as an aid for families’ self-management of diabetes.ObjectiveA prototype designed to automatically transfer readings from a child’s blood glucose monitor to their parent’s mobile phone was tested. In this formative stage of development, we sought insights into the appropriateness of the concept, feasibility of use, and ideas for further development and research.MethodsDuring four months, a self-selected sample of 15 children (aged 9 to 15 years) with type 1 diabetes and their parents (n = 30) used the prototype approximately three times daily. Parent and child experiences were collected through questionnaires and through interviews with 9 of the parents.ResultsSystem use was easily integrated into everyday life, and parents valued the sense of reassurance offered by the system. Parents’ ongoing struggle to balance control of their children with allowing independence was evident. For children who measured regularly, use appeared to reduce parental intrusions. For those who measured irregularly, however, parental reminders (eg, “nagging”) appeared to increase. Although increased reminders could be considered a positive outcome, they can potentially increase parent-child conflict and thus also undermine proper metabolic control. Parents felt that system appropriateness tapered off with the onset of adolescence, partly due to a potential sense of surveillance from the child’s perspective that could fuel oppositional behavior. Parental suggestions for further developments included similar alerts of irregular insulin dosages and automatically generated dietary and insulin dosage advice.ConclusionsUser enthusiasm suggests that such systems might find a consumer market regardless of whether or not they ultimately improve health outcomes. Thus, more rigorous studies are warranted to inform guidelines for appropriate use. Potentially fruitful approaches include integrating such systems with theory-based parenting interventions and approaches that can aid in interpreting and responding to experiences of surveillance, virtual presence, and balances of power in e-mediated relationships.

Abstract. The paper describes an empirical study to investigate the state of practice and challenges concerning some key factors in reusing of in-house built components. It also studies the relationship between the companies' reuse level and these factors. We have collected research questions and hypotheses from a literature review and designed a questionnaire. 26 developers from three Norwegian companies filled in the questionnaire based on their experience and attitudes to component reuse and component-based development. Most component-based software engineering articles deal with COTS components, while components in our study are in-house built. The results show that challenges are the same in component related requirements (re)negotiation, component documentation and quality attributes specification. The results also show that informal communications between developers are very helpful to supplement the limitation of component documentation, and therefore should be given more attention. The results confirm that component repositories are not a key factor to successful component reuse.