Learning experience design of an mHealth self-management intervention for adolescents with type 1 diabetes.

Learning experience design of an mHealth self-management intervention for adolescents with type 1 diabetes.
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DOI:
10.1007/s11423-022-10160-6
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发表时间:
2022
期刊:
Educational technology research and development : ETR & D
影响因子:
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其他
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1型糖尿病(T1D)是一种可导致严重损害健康的终身慢性疾病。T1D治疗方案是复杂的,对青少年来说是一个特别的挑战,他们经常经历一些治疗依从性障碍(例如,健忘,计划和组织挑战,压力)。糖尿病之旅是一个游戏化的移动健康项目,旨在通过减少青少年的依从性障碍和提高执行功能技能来改善糖尿病的自我管理。以情境性理论为基础,以社会技术-教学可用性框架为指导,糖尿病之旅采用学习体验设计方法进行设计、开发和评估。这种方法在连续近似模型设计过程中应用了设计思维方法。迭代设计和形成性评估跨三个设计阶段进行,并且在每个阶段之后实现改进。用户测试阶段的结果表明,糖尿病之旅是一个用户友好的移动健康程序,具有高可用性,有望加强青少年糖尿病自我管理。讨论了社会技术-教学可用性框架的社会维度对未来设计师和研究人员的影响。在设计移动健康应用程序时,提出了对框架的扩展,以扩展社会维度,包括社会文化和上下文考虑。在发展心理教育干预措施时,必须考虑学习的教学和社会文化层面。
Type 1 diabetes (T1D) is a lifelong and chronic condition that can cause severely compromised health. The T1D treatment regimen is complex, and is a particular challenge for adolescents, who frequently experience a number of treatment adherence barriers (e.g., forgetfulness, planning and organizational challenges, stress). Diabetes Journey is a gamified mHealth program designed to improve T1D self-management through a specific focus on decreasing adherence barriers and improving executive functioning skills for adolescents. Grounded in situativity theory and guided by a sociotechnical-pedagogical usability framework, Diabetes Journey was designed, developed, and evaluated using a learning experience design approach. This approach applied design thinking methods within a Successive Approximation Model design process. Iterative design and formative evaluation were conducted across three design phases, and improvements were implemented following each phase. Findings from the user testing phase indicate Diabetes Journey is a user-friendly mHealth program with high usability that holds promise for enhancing adolescents' T1D self-management. Implications for future designers and researchers are discussed regarding the social dimension of the sociotechnical-pedagogical usability framework. An extension to the framework is proposed to extend the social dimension to include socio-cultural and contextual considerations when designing mHealth applications. Consideration of the pedagogical and sociocultural dimensions of learning is imperative when developing psychoeducational interventions.
青年 1 型糖尿病自我管理目标设定的特征及其与 HbA1c 的关联:灵活的生活方式赋权变革试验。
DOI: 10.1111/pedi.13099
发表时间: 2020-11
期刊: Pediatric diabetes
影响因子: 3.4
作者:
Cristello Sarteau A;Crandell J;Seid M;Kichler JC;Maahs DM;Wang J;Mayer-Davis E
通讯作者: Mayer-Davis E