Outcomes of a feasibility trial using an innovative mobile health programme to assist in insulin dose adjustment

Menon, Anish; Fatehi, Farhad; Ding, Hang; Bird, Dominique; Karunanithi, Mohan; Gray, Leonard C.; Russell, Anthony

doi:10.1136/bmjhci-2019-100068

Cited by 7 publications

(5 citation statements)

References 22 publications

(44 reference statements)

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“…MHealth app usability questionnaire has been widely utilized in the United States ( Sengupta et al, 2020 ; Sood et al, 2020 ; Cummins et al, 2021 ), Sweden ( Anderberg et al, 2019 ), Australia ( Menon et al, 2019 ), Spain ( Soriano et al, 2020 ), South Africa ( Gous et al, 2020 ), and other countries. It is mainly used to study the usability of digital healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

Chinese Version of the mHealth App Usability Questionnaire: Cross-Cultural Adaptation and Validation

Zhao

Cao

et al. 2022

Front. Psychol.

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BackgroundMobile health (mHealth) apps have shown the advantages of improving medication compliance, saving time required for diagnosis and treatment, reducing medical expenses, etc. The World Health Organization (WHO) has recommended that mHealth apps should be evaluated prior to their implementation to ensure their accuracy in data analysis.ObjectiveThis study aimed to translate the patient version of the interactive mHealth app usability questionnaire (MAUQ) into Chinese, and to conduct cross-cultural adaptation and reliability and validity tests.MethodsThe Brislin’s translation model was used in this study. The cross-cultural adaptation was performed according to experts’ comments and the results of prediction test. The convenience sampling method was utilized to investigate 346 patients who used the “Good Doctor” (“Good Doctor” is the most popular mHealth app in China), and the reliability and validity of the questionnaire were evaluated as well.ResultsAfter translation and cross-cultural adaptation, there were a total of 21 items and 3 dimensions: usability and satisfaction (8 items), system information arrangement (6 items), and efficiency (7 items). The content validity index was determined to be 0.952, indicating that the 21 items used to evaluate the usability of the Chinese version of the MAUQ were well correlated. The Cronbach’s α coefficient of the total questionnaire was 0.912, which revealed that the questionnaire had a high internal consistency. The values of test-retest reliability and split-half reliability of the Chinese version of the MAUQ were 0.869 and 0.701, respectively, representing that the questionnaire had a good stability.ConclusionThe translated questionnaire has good reliability and validity in the context of Chinese culture, and it could be used as a usability testing tool for the patient version of interactive mHealth apps.

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Section: Introductionmentioning

confidence: 99%

Chinese Version of the mHealth App Usability Questionnaire: Cross-Cultural Adaptation and Validation

Zhao

Cao

et al. 2022

Front. Psychol.

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“…Longitudinal monitoring of behavior, glycemic values, and mental health could be used to identify individuals' needs. Although implementation of eHealth in clinical practice has previously proved challenging, app-based tools have the potential to improve self-management, guide scheduling of in-person visits (ie, triage and prioritizing those who need more frequent visits or a referral to psychologists), and reduce costs [31][32][33]. Furthermore, some people can be hesitant to address mental health issues directly with their health care professionals, and apps might provide a safe opportunity for people to describe their experiences [34].…”

Section: Xsl • Fomentioning

confidence: 99%

Assessing the Content Validity, Acceptability, and Feasibility of the Hypo-METRICS App: Survey and Interview Study

Søholm,

Zaremba,

Broadley

et al. 2023

JMIR Diabetes

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Background The Hypoglycaemia – MEasurement, ThResholds and ImpaCtS (Hypo-METRICS) smartphone app was developed to investigate the impact of hypoglycemia on daily functioning in adults with type 1 diabetes mellitus or insulin-treated type 2 diabetes mellitus. The app uses ecological momentary assessments, thereby minimizing recall bias and maximizing ecological validity. It was used in the Hypo-METRICS study, a European multicenter observational study wherein participants wore a blinded continuous glucose monitoring device and completed the app assessments 3 times daily for 70 days. Objective The 3 aims of the study were to explore the content validity of the app, the acceptability and feasibility of using the app for the duration of the Hypo-METRICS study, and suggestions for future versions of the app. Methods Participants who had completed the 70-day Hypo-METRICS study in the United Kingdom were invited to participate in a brief web-based survey and an interview (approximately 1h) to explore their experiences with the app during the Hypo-METRICS study. Thematic analysis of the qualitative data was conducted using both deductive and inductive methods. Results A total of 18 adults with diabetes (type 1 diabetes: n=10, 56%; 5/10, 50% female; mean age 47, SD 16 years; type 2 diabetes: n=8, 44%; 2/8, 25% female; mean age 61, SD 9 years) filled out the survey and were interviewed. In exploring content validity, participants overall described the Hypo-METRICS app as relevant, understandable, and comprehensive. In total, 3 themes were derived: hypoglycemia symptoms and experiences are idiosyncratic; it was easy to select ratings on the app, but day-to-day changes were perceived as minimal; and instructions could be improved. Participants offered suggestions for changes or additional questions and functions that could increase engagement and improve content (such as providing more examples with the questions). In exploring acceptability and feasibility, 5 themes were derived: helping science and people with diabetes; easy to fit in, but more flexibility wanted; hypoglycemia delaying responses and increasing completion time; design, functionality, and customizability of the app; and limited change in awareness of symptoms and impact. Participants described using the app as a positive experience overall and as having a possible, although limited, intervention effect in terms of both hypoglycemia awareness and personal impact. Conclusions The Hypo-METRICS app shows promise as a new research tool to assess the impact of hypoglycemia on an individual’s daily functioning. Despite suggested improvements, participants’ responses indicated that the app has satisfactory content validity, overall fits in with everyday life, and is suitable for a 10-week research study. Although developed for research purposes, real-time assessments may have clinical value for monitoring and reviewing hypoglycemia symptom awareness and personal impact.

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“…In 1 clinical trial, the use of MDMS reduced the time for insulin dose adjustment from 11 minutes with standard management to 5 minutes with the use of the tool. 36…”

Section: Reduced Need For Contact With Hcpsmentioning

confidence: 99%

New Digital Health Technologies for Insulin Initiation and Optimization for People With Type 2 Diabetes

Kerr

Edelman

Vespasiani³

et al. 2022

Endocrine Practice

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Outcomes of a feasibility trial using an innovative mobile health programme to assist in insulin dose adjustment

Cited by 7 publications

References 22 publications

Chinese Version of the mHealth App Usability Questionnaire: Cross-Cultural Adaptation and Validation

Chinese Version of the mHealth App Usability Questionnaire: Cross-Cultural Adaptation and Validation

Assessing the Content Validity, Acceptability, and Feasibility of the Hypo-METRICS App: Survey and Interview Study

New Digital Health Technologies for Insulin Initiation and Optimization for People With Type 2 Diabetes

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