Development and Evaluation of Theory-Based Diabetes Support Services

Abstract

Technology-enabled support services for diabetes can fulfill patient demand to care for diabetes independently. Patients benefit from such services after greater adoption of the services in healthcare systems. Unfortunately, conventional service development fails to thoroughly understand patient care support, making it difficult to achieve the desired design, and posing substantial challenges in adopting these services. Thus, previously developed services in many cases are not as patients expected, as evidenced by their low acceptance among patients. To solve this problem, adequate strategies must be developed by incorporating theoretical knowledge as a solid foundation in order to improve service design. This study develops technology-enabled diabetes support services based on the self-care theory. A set of self-care service scenarios is also established and combined with theoretical concepts. The developed services consist of a nurse-led consultation service and a mobile application service. Additionally, user acceptance is confirmed by assessing patient perceptions of the diabetes support services in a group of patients with diabetes (N=27). Results of analysis reveal that patients respond favorably toward the services. Patient preference and perceived ease of use attest to their intention to use the services. Greater adoption of the services can be anticipated, owing to a higher levels of preference and higher perceived ease of use. This study demonstrated that the self-care theory can be linked to nursing informatics research and chronic care clinical practices.

Development and Evaluation of a Smartphone Application for Managing Gestational Diabetes Mellitus

“…The low average scores are likely because this study only provided an app service; however, the study of Guo et al [ 29 ] provided not only app service but also nurse-led consultation service. If the subjects in the study of Guo et al [ 29 ] had questions or concerns arose, they were encouraged to call or meet the care manager in person. In addition, because GDM is related to fetus outcomes, the anxiety of GDM patients is higher than that of general DM patients.…”

“…The user acceptance of the app was evaluated after one week of use. Acceptance scores were relatively low compared to the evaluation results of Guo et al's DM management smartphone app [ 29 ]. The low average scores are likely because this study only provided an app service; however, the study of Guo et al [ 29 ] provided not only app service but also nurse-led consultation service.…”

“…Acceptance scores were relatively low compared to the evaluation results of Guo et al's DM management smartphone app [ 29 ]. The low average scores are likely because this study only provided an app service; however, the study of Guo et al [ 29 ] provided not only app service but also nurse-led consultation service. If the subjects in the study of Guo et al [ 29 ] had questions or concerns arose, they were encouraged to call or meet the care manager in person.…”

Mobile Applications for Patient-centered Care Coordination: A Review of Human Factors Methods Applied to their Design, Development, and Evaluation

“…This surely would be a step towards more patient-centered care coordination. We didn't find any medical Table 3 Papers published in 2013-2014 that reported on both the design/development and evaluation (in practice) of a patient mobile health application to support an aspect of care coordination Study Gilliam, 2014 [47] Guo, 2013 [48] Mira, 2014 [46] Mobile application 1. 'Self-care theory', relevant literature, and the Taiwan Association of Diabetes were used to develop a set of initial app functions 2.…”

Assessing quality of glycemic control: Hypo- and hyperglycemia, and glycemic variability using mobile self-monitoring of blood glucose system

“…The design and evaluation of the DSCS project have been described in detail elsewhere, 22,23 including the system development and the intervention effect measured using a questionnaire. The DSCS system has been found to increase knowledge and behavioral change, 23 and patients have positive attitude toward using the system.…”