Women’s Usage Behavior and Perceived Usefulness with Using a Mobile Health Application for Gestational Diabetes Mellitus: Mixed-Methods Study

Surendran, Shilpa; Lim, Chang Siang; Koh, Gerald Choon Huat; Yew, Tong Wei; Tai, E Shyong; Foong, Pin Sym

doi:10.3390/ijerph18126670

Cited by 20 publications

(58 citation statements)

References 42 publications

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“…Mobile applications and their importance for the contemporary user have been discussed in many research studies covering almost every aspect of life. In the area of health, the topic was discussed, among others, by: S. Surendran et al [62], J. Li et al [63] and H. Zhang et al [64]. In the field of economics, the importance and possibilities of using mobile applications were examined by H. Ouyang et al [65], A. Ngubelanga [66], H. Karjaluoto [67] and many others.…”

Section: Discussionmentioning

confidence: 99%

The Role of Eco-Apps in Encouraging Pro-Environmental Behavior of Young People Studying in Poland

2021

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Nowadays, protection of the natural environment is the fundamental duty and challenge of humanity. Adverse environmental changes make it necessary to encourage behaviors that will reduce our negative impact. Due to the development of media, information reaches consumers through various channels. New media, including mobile applications, are becoming increasingly popular. Their potential impact on young consumers cannot be overestimated as young people are able to modify their attitudes, behaviors and habits more easily than older ones. The main aim of this study was to recognize the use of eco-applications as a new source of information in the field of pro-environmental behavior of young people studying in Poland. The research objectives included the identification of pro-environmental behaviors most often declared by students, verifying their recognition and use of eco-applications, and determining the features of eco-app design expected by young users. The study involved the methods of desk research, in-depth interview and computer-assisted web interviewing (CAWI). The empirical material obtained from 772 students representing Generation Z underwent quantitative and qualitative analysis, which allowed for the verification the proposed hypotheses. The respondents most often declared pro-environmental behavior in the household context. As regards eco-apps, the respondents were most likely to recognize applications promoted via traditional media. The main feature expected of eco-app design was ease of use, which does not mean that users expected the app to be in Polish, as this criterion was relatively low rated. The Mann-Whitney test and the Kruskal-Wallis test revealed relationships between such variables as gender, place of residence or income and pro-environmental behavior, the use of selected eco-apps and the expected features of eco-app design.

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Section: Discussionmentioning

confidence: 99%

The Role of Eco-Apps in Encouraging Pro-Environmental Behavior of Young People Studying in Poland

2021

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“…Of the 17 articles, 4 (24%) were published in Norway [25][26][27][28], and 3 (18%) were published in Spain [29][30][31], followed by China (n=3, 18%) [32][33][34], Singapore (n=2, 12%) [35,36], the United States (n=1, 6%) [37], Australia (n=1, 6%) [38], France (n=1, 6%) [39], the United Kingdom (n=1, 6%) [40], and Israel (n=1, 6%) [41]. A total of 35% (6/17) of the studies were multicenter randomized controlled trials (RCTs) [25,26,32,33,37,38], 29% (5/17) were single-center RCTs [29,34,36,40,41], 6% (1/17) were non-RCTs [30], 6% (1/17) had an experimental design [31], 18% (3/17) were qualitative studies [27,28,39], and 6% (1/17) had a mixed methods design [35]. The study interventions included a web-based telemedicine system [30][31][32][33][37][38][39], web-based applications [29,35,36,…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…A total of 35% (6/17) of the studies were multicenter randomized controlled trials (RCTs) [25,26,32,33,37,38], 29% (5/17) were single-center RCTs [29,34,36,40,41], 6% (1/17) were non-RCTs [30], 6% (1/17) had an experimental design [31], 18% (3/17) were qualitative studies [27,28,39], and 6% (1/17) had a mixed methods design [35]. The study interventions included a web-based telemedicine system [30][31][32][33][37][38][39], web-based applications [29,35,36,41], and mHealth apps [25][26][27][28]34,40] (Table 2). [31], 2020 [35], 2021…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…The study interventions included a web-based telemedicine system [30][31][32][33][37][38][39], web-based applications [29,35,36,41], and mHealth apps [25][26][27][28]34,40] (Table 2). [31], 2020 [35], 2021…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…In the Habits-GDM enrollment phase, those who were included in the study were required to be able to use a mobile phone and navigate through the application. The intervention interviews conducted showed that only 3 out of 9 users (33%) reported that all the information was in one place, and 3 out of 12 users (25%) said that they had difficulties in searching for features in the diet-tracking function while using the application [35,36].…”

Section: Display and Organization-simple Navigationmentioning

confidence: 99%

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Cultural and Digital Health Literacy Appropriateness of App- and Web-Based Systems Designed for Pregnant Women With Gestational Diabetes Mellitus: Scoping Review

Birati¹,

Yefet²,

Perlitz³

et al. 2022

J Med Internet Res

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Background The prevalence of women diagnosed with gestational diabetes mellitus (GDM) is increasing dramatically. Mobile technologies to enhance patient self-management offer many advantages for women diagnosed with GDM. However, to our knowledge, although mobile health (mHealth) and telemedicine systems for GDM management exist, evidence on their cultural and digital health literacy appropriateness levels is limited. Objective This review aimed to search and assess the literature on mHealth and telemedicine systems designed for women diagnosed with GDM. Our assessment of these technologies focused on their cultural and digital health literacy appropriateness as well as the systems’ effectiveness in improving glycemic control and maternal and infant outcomes. Methods We conducted a scoping review using a framework adapted from Arksey and O’Malley. Four electronic databases were searched for relevant studies: PubMed, MEDLINE (EBSCO), Web of Science, and Scopus. The databases were searched between January 2010 and January 2022. The inclusion criteria were pregnant women diagnosed with GDM, use of telemedicine for monitoring and management, and vulnerable or disadvantaged patients. We used terms related to mobile apps and telemedicine: GDM, vulnerable populations, periphery, cultural appropriateness, and digital health literacy. Studies were screened and selected independently by 2 authors. We extracted the study data on a Microsoft Excel charting table and categorized them into final themes. The results were categorized according to the cultural and digital health literacy features presented. Results We identified 17 studies that reported on 12 telemedicine and mHealth app interventions. We assessed the studies in three domains: cultural appropriateness, digital health literacy, and maternal and infant outcomes. In the literature, we found that existing digital technologies may improve glycemic control and diabetes self-management. However, there is a lack of assessment of cultural and digital health literacy appropriateness for pregnant women diagnosed with GDM. Considerations in app design regarding cultural appropriateness were found in only 12% (2/17) of the studies, and only 25% (3/12) of the interventions scored ≥3 out of 5 in our assessment of digital health literacy. Conclusions mHealth and telemedicine can be an effective platform to improve the clinical management of women with GDM. Although studies published on the use of mHealth and telemedicine systems exist, there is a limited body of knowledge on the digital health literacy and cultural appropriateness of the systems designed for women diagnosed with GDM. In addition, as our study was restricted to the English language, relevant studies may have been excluded. Further research is needed to evaluate, design, and implement better tailored apps regarding cultural and digital literacy appropriateness for enhancing pregnant women’s self-management as well as the effectiveness of these apps in improving maternal and infant health outcomes.

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Gestational diabetes mellitus care re‐imagined: women's experiences of a major model of care change at a large metropolitan hospital

Butten,

Laurie,

Varnfield

et al. 2024

Practical Diabetes

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Background: A gestational diabetes mellitus (GDM) pregnancy has significant psychological, time and resource impacts. In 2020–21, a digitally‐supported radical GDM service redesign was undertaken at a Brisbane tertiary centre, producing substantial cost savings without compromising clinical outcomes.Aims: To describe women's experiences within this new model of care (MOC), specifically the app user experience (MOC) (post), compared with a traditional MOC (pre).Methods: The new MOC was evaluated using a pre–post study design. This MOC included a smartphone app‐to‐clinician blood glucose communication platform. A convenience sample of women were surveyed about care experiences and app use pre‐ and post‐implementation. An additional survey queried user app experience at four weeks’ postpartum.Results: Within the service, 34% (n=24) and 22% (n=48) of women were surveyed pre and post MOC introduction, respectively. Pre‐implementation, 50% (n=12) of women missed work to attend appointments and 75% spent 30–120 minutes at the hospital. Questions regarding understanding GDM, initial dietary changes and glucometer use received similar or slightly lower ratings, pre‐ to post‐implementation. Nearly a quarter of women in the app‐experiences survey (24.2%; n=177) showed high levels of satisfaction with care received (91.5%) and with the app for managing GDM (87.1%). Two experience themes that emerged were Enhanced GDM management and Usability issues.Conclusions: The new MOC reduced time impositions associated with attending appointments. Despite the removal of face‐to‐face visits in the new MOC, women still established a connection with their treating team and maintained their understanding of their GDM management. Copyright © 2024 John Wiley & Sons.

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Women’s Usage Behavior and Perceived Usefulness with Using a Mobile Health Application for Gestational Diabetes Mellitus: Mixed-Methods Study

Cited by 20 publications

References 42 publications

The Role of Eco-Apps in Encouraging Pro-Environmental Behavior of Young People Studying in Poland

The Role of Eco-Apps in Encouraging Pro-Environmental Behavior of Young People Studying in Poland

Cultural and Digital Health Literacy Appropriateness of App- and Web-Based Systems Designed for Pregnant Women With Gestational Diabetes Mellitus: Scoping Review

Gestational diabetes mellitus care re‐imagined: women's experiences of a major model of care change at a large metropolitan hospital

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