Type 1 diabetes self-management: developing a web-based telemedicine application

Ayatollahi, Haleh; Hasannezhad, Mostafa; Fard, Hedieh Saneei; Haghighi, Mehran Kamkar

doi:10.1177/1833358316639456

Cited by 34 publications

(48 citation statements)

References 36 publications

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“…These findings were similar to results of other studies. [50][51][52] In all of these studies, applications were at the "good" level from the user's perspective. In most of these studies, application usability evaluation was conducted solely from the perspective of a group of users.…”

Section: Discussionmentioning

confidence: 99%

Enhancing Asthma Patients' Self-Management through Smartphone-Based Application: Design, Usability Evaluation, and Educational Intervention

et al. 2019

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Objective The aim of this study was to design and evaluate a smartphone-based application for improving self-management in patients with asthma and evaluate its effects on their knowledge. Methods In this applied research, based on the Clinical Practice Guideline and a systematic review, a questionnaire was designed to determine the application information content and functionality requirements by 15 pediatric and adult asthma and allergy specialist. Then the application was designed and developed using Adobe Air software on the Android operating system. Usability evaluation of the mobile application was performed using the standard questionnaire for user interaction satisfaction (QUIS), which completed by 30 patients with asthma, 8 information technology (IT) specialists, and 2 asthma and allergy specialists. Self-management knowledge of 30 asthma patients was measured using a researcher-made questionnaire before and after using the application. Results The number of specialists in the both Delphi rounds was 15 and the mean work experiences were 17.6 years. The most important elements for asthma self-management were avoiding exposure to allergen and triggers (96%), drug treatment (94.6%), and how to use the therapeutic tools (92.4%), and the most important functionalities were alerting the patients when they did not control asthma (92%), setting reminders for timely drug use (85.4%) and therapeutic tools (82.6%), recording prescription drugs (82.6%), and peak flow meter values (82%). Usability evaluation showed that 30 patients with asthma, 8 IT specialists, and 2 physicians evaluated the application at a “good” level. The mean score of the patients' knowledge before intervention was 2.43 ± 0.95 which after intervention was significantly increased to 4.3 ± 0.56 (p < 0.001). Conclusion Considering the desirable outcomes of application evaluation and a positive impact of this educational intervention on asthma patients' knowledge, it is possible to use mobile-based self-management programs to help these patients to manage illness and gain knowledge and self-management skills.

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Section: Discussionmentioning

confidence: 99%

Enhancing Asthma Patients' Self-Management through Smartphone-Based Application: Design, Usability Evaluation, and Educational Intervention

et al. 2019

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“…Since the interest in integrating the BG profile with lifestyle information has been increasing, smart applications to facilitate data integration are needed. For example, the web-applications presented in [16,17] allow the patients to autonomously report performed physical activity, insulin intake, and details on the consumption of carbohydrates. The collected data can be accessed both by the patient and by his/her diabetologist, who can remotely monitor the progress of the patient in diabetes management.…”

Section: Introductionmentioning

confidence: 99%

Patient-Generated Health Data Integration and Advanced Analytics for Diabetes Management: The AID-GM Platform

Salvi

Bosoni

Tibollo

et al. 2019

Sensors

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Diabetes is a high-prevalence disease that leads to an alteration in the patient’s blood glucose (BG) values. Several factors influence the subject’s BG profile over the day, including meals, physical activity, and sleep. Wearable devices are available for monitoring the patient’s BG value around the clock, while activity trackers can be used to record his/her sleep and physical activity. However, few tools are available to jointly analyze the collected data, and only a minority of them provide functionalities for performing advanced and personalized analyses. In this paper, we present AID-GM, a web application that enables the patient to share with his/her diabetologist both the raw BG data collected by a flash glucose monitoring device, and the information collected by activity trackers, including physical activity, heart rate, and sleep. AID-GM provides several data views for summarizing the subject’s metabolic control over time, and for complementing the BG profile with the information given by the activity tracker. AID-GM also allows the identification of complex temporal patterns in the collected heterogeneous data. In this paper, we also present the results of a real-world pilot study aimed to assess the usability of the proposed system. The study involved 30 pediatric patients receiving care at the Fondazione IRCCS Policlinico San Matteo Hospital in Pavia, Italy.

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“…Diabetes management is a demanding situation (1). Insulin injection, healthy eating style developed for the diabetes and physical activity are important in diabetes management and the individuals with diabetes should learn how to keep the balance between these factors (2). A close health professional-patient relationship, individualized care and education are must for reaching a good glysemic level in case of the individuals with diabetes (3).…”

Section: Introductionmentioning

confidence: 99%

“…Diabetes education should cover the child with diabetes and his/her family and should be provided by a team of professionals formed of doctor, nurse, dietitian, and psychologist (5). The individuals with diabetes should contact the diabetes team more frequently to maintain the normal interval in the blood glucose levels and prevent complications of diabetes and should access to health services continuously (2,3). However, reasons such as failure of increase in the number of health professionals evenly while the number of patients with diabetes gradually increasing, patient diversity observed in the polyclinics, time limitation cause the traditional u n c o r r e c t e d p r o o f interventions to be completely inadequate in self-management of patients (6,7).…”

Section: Introductionmentioning

confidence: 99%

Effect of Telehealth System on Glycemic Control in Children and Adolescents with Type 1 Diabetes

Döğer¹,

Bozbulut²,

Acar³

et al. 2018

Jcrpe

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Type 1 diabetes self-management: developing a web-based telemedicine application

Cited by 34 publications

References 36 publications

Enhancing Asthma Patients' Self-Management through Smartphone-Based Application: Design, Usability Evaluation, and Educational Intervention

Enhancing Asthma Patients' Self-Management through Smartphone-Based Application: Design, Usability Evaluation, and Educational Intervention

Patient-Generated Health Data Integration and Advanced Analytics for Diabetes Management: The AID-GM Platform

Effect of Telehealth System on Glycemic Control in Children and Adolescents with Type 1 Diabetes

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