Developing and testing an integrated patient mHealth and provider dashboard application system for type 2 diabetes management among Medicaid-enrolled pregnant individuals based on a user-centered approach: Mixed-methods study.
Developing and testing an integrated patient mHealth and provider dashboard application system for type 2 diabetes management among Medicaid-enrolled pregnant individuals based on a user-centered approach: Mixed-methods study.
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DOI：
10.1177/20552076221144181
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发表时间：
2023-01
期刊：
影响因子：
3.9
通讯作者：
Strouse, Robert
中科院分区：
文献类型：
--
作者：
Fareed, Naleef;Swoboda, Christine;Singh, Priti;Boettcher, Emma;Wang, Yiting;Venkatesh, Kartik;Strouse, Robert
量身定制的集成技术解决方案（患者移动健康应用程序和提供商仪表板）可以提供360°的医疗补助登记的怀孕期间2型糖尿病患者（T2D）的视图，可以改善健康结果并解决健康不平等问题。为移动健康和仪表板应用程序开发一组用户规范，根据用户需求开发原型，并收集原型的初步印象，以便随后开发准备部署的改进工具。研究活动遵循双菱形框架和参与式设计思维。活动被分为两个阶段，主要关注参与者的需求和价值的定性调查（阶段1），以及设计、开发和低保真度和高保真度原型的可用性测试（阶段2）。我们确定了在医疗补助登记的T2D患者中体现怀孕经历的主题。患者（n = 7）和提供者（n = 7）表达了对移动健康和仪表板应用程序的一组核心期望。参与者提供反馈以改进移动健康和仪表板。对于这两项申请，参与者报告的NASA任务负荷调查（TLX）分数都在全国TLX分数的第20百分位。数字健康工具有能力改变医疗补助登记的妊娠期T2D患者的医疗保健，目标是控制他们的血糖水平，这是成功怀孕和分娩的前兆。提炼病人和提供者的需求和偏好，然后利用它们，连同先前的研究和理论，开发应用程序，在解决复杂的卫生保健问题方面具有巨大的潜力。
A tailored and integrated technology solution (patient mHealth application and provider dashboard) can provide a 360° view of Medicaid-enrolled patients with type 2 diabetes (T2D) during pregnancy that could improve health outcomes and address health inequities. To develop a set of user specifications for the mHealth and dashboard applications, develop prototypes based on user needs, and collect initial impressions of the prototypes to subsequently develop refined tools that are ready for deployment. Study activities followed a double-diamond framework with a participatory design mindset. Activities were divided into two phases focused on a qualitative inquiry about participant needs and values (phase 1) and design, development, and usability testing of low and high-fidelity prototypes (phase 2). We identified themes that exemplified pregnancy experience among Medicaid-enrolled individuals with T2D. Patients (n = 7) and providers (n = 7) expressed a core set of expectations for the mHealth and dashboard applications. Participants provided feedback to improve the mHealth and dashboard. For both applications, participants reported scores for the NASA Task load Survey (TLX) that were in the 20th percentile of national TLX scores. Digital health tools have the ability to transform health care among Medicaid-enrolled patients with T2D during pregnancy, with the goal of managing their blood glucose levels, which is a precursor to experiencing a successful pregnancy and birth. Distilling patient and provider needs and preferences—then using them, along with prior studies and theory, to develop applications—holds great potential in tackling complicated health care issues.
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DOI：
10.3390/healthcare9010012
发表时间：
2020-12-24
期刊：
Healthcare (Basel, Switzerland)
影响因子：
--
作者：
Bjelica D;Bjelica A;Despotović-Zrakić M;Radenković B;Barać D;Đogatović M
通讯作者：
Đogatović M
影响因子：
7.4
作者：
Asbjørnsen RA;Wentzel J;Smedsrød ML;Hjelmesæth J;Clark MM;Solberg Nes L;Van Gemert-Pijnen JEWC
通讯作者：
Van Gemert-Pijnen JEWC
DOI：
10.1111/j.1479-828x.2010.01204.x
发表时间：
2010-10-01
影响因子：
1.7
作者：
Gartland, Deirdre;Brown, Stephanie;Perlen, Susan
通讯作者：
Perlen, Susan
影响因子：
3.2
作者：
Deshpande, Anjali D.;Harris-Hayes, Marcie;Schootman, Mario
通讯作者：
Schootman, Mario
DOI：
10.1080/14767058.2016.1276558
发表时间：
2018-01-01
影响因子：
1.8
作者：
Allen, Allison J.;Snowden, Jonathan M.;Caughey, Aaron B.
通讯作者：
Caughey, Aaron B.