SBIR Phase I: Digital Self-Management Intervention for Empowering Youth with Type 1 Diabetes

这个小型企业创新研究(SBIR)第一阶段项目的更广泛影响/商业潜力是通过提供一个负担得起的全面移动平台来监控健康行为、跟踪生物识别、培养自我同理心/赋权以及通过游戏化的应用程序开发健康的糖尿病自我管理实践(DSM)，从而改变1型糖尿病(T1D)社区青年患者的生活体验。与传统的T1D治疗和预防方案相比，遵守DSM行为是一个严格的问题，尽管游戏技术中发现的功能的使用已被证明在慢性病应用程序中具有激励作用。针对公共健康的数据跟踪应用程序被认为可以在个人和人群的饮食、健康、情绪和遵从性方面产生隐藏的趋势，识别可能有助于积极行为改变的行为模式。通过利用游戏、同理心和社交互动的激励力量的深远和可访问的干预，卫生专业人员可以利用这种干预来鼓励长期参与数据跟踪，这反过来又创建了丰富的数据集，用于挖掘T1D体验的未知趋势，促进T1D知识的增长，丰富T1D青年的生活质量，并以经济高效的方式简化患者与提供者的沟通，使整个医疗保健系统受益。拟议的项目旨在更好地了解数字技术在需求侧管理中的负担，重点强调技术作为糖尿病教育、需求侧管理、患者与提供者之间的沟通、情绪健康、社交和认知发展，以及积极的行为改变。T1D诊断代表了美国超过175,000名青年，尽管在移动医疗的其他领域取得了重大进展，但许多家庭仍难以获得显著改善其子女生活质量和健康结果的T1D工具。为了满足这一需求，本研究的目标是设计一个功能齐全的面向青年的原型，主演是一只具有同理心的虚拟宠物，能够收集多个用户数据流并通过教学模块进行教学。在与糖尿病社区的利益相关者进行可用性研究期间收集的数据将提供对用户有效性、效率和满意度的洞察，而可行性研究还采用了访谈、调查和大声思考协议，将在一周的时间内洞察应用程序在日常生活中的实际使用情况。在进行了这两项研究之后，将对会议记录和日志文件数据进行分析，目的是提高扩大产品使用和取得成功的可行性。

The broader impact/commercial potential of this Small Business Innovation Research (SBIR) Phase I project is to transform the life experiences of youth patients in the Type 1 Diabetes (T1D) community by providing an affordable, comprehensive mobile platform for monitoring health behaviors, tracking biometrics, fostering self-empathy/empowerment, and developing healthy diabetes self-management practices (DSM) through a gamified app. Adherence to DSM behaviors is an exacting issue with conventional T1D treatment and prevention regimens, though the use of features found in gaming technologies has been shown to be motivating in apps for chronic illnesses. Data-tracking applications meant for public health are believed to yield hidden trends on diet, fitness, mood, and compliance in both individuals and populations, identifying behavioral patterns that may be useful for positive behavior change. With a far-reaching and accessible intervention leveraging the motivational power of games, empathy, and social interaction, health professionals can use this intervention to encourage long-term engagement with data-tracking, which in turn creates rich data sets for tapping into the unseen trends of T1D experiences, contributing to the growing body of T1D knowledge, enriching T1D youth's quality of life, and streamline patient-provider communications in a cost-effective way that benefits the health care system as a whole.The proposed project aims to provide a better understanding of the affordances of digital technologies in DSM, with emphases on the role of technology as a facilitator of diabetes education, DSM, patient-provider communications, emotional wellness, social and cognitive development, and positive behavior change. T1D diagnoses represent more than 175,000 youth in the United States, and despite significant headway in other areas of mobile health, many families struggle to access T1D tools that dramatically improve the quality of life and health outcomes of their children. To meet this demand, the objectives of this research begin with engineering a full-featured youth-facing prototype¯starring an empathetic virtual pet¯capable of collecting multiple streams of user data and teaching via instructional modules. Data collected during usability studies with stakeholders in the diabetes community will provide insight into effectiveness, efficiency, and satisfaction of users, while a feasibility study also employing interviews, surveys, and think aloud protocols will offer insight into the practical use of the app in everyday life over a weeklong period. After both of these studies have been conducted, transcripts of recorded sessions and log file data will be analyzed, with the goal of improving the feasibility of extended product usage and success.