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dc.contributor.authorBradway, Meghan
dc.contributor.authorMorris, Rebecca L.
dc.contributor.authorGiordanengo, Alain
dc.contributor.authorÅrsand, Eirik
dc.date.accessioned2021-01-07T11:53:31Z
dc.date.available2021-01-07T11:53:31Z
dc.date.issued2020-11-30
dc.description.abstract<i>Background</i> - Individuals with diabetes are using mobile health (mHealth) to track their self-management. However, individuals can understand even more about their diabetes by sharing these patient-gathered data (PGD) with health professionals. We conducted experience-based co-design (EBCD) workshops, with the aim of gathering end-users’ needs and expectations for a PGD-sharing system.<p> <p><i>Methods</i> - <i>N</i> = 15 participants provided feedback about their experiences and needs in diabetes care and expectations for sharing PGD. The first workshop (2017) included patients with Type 2 Diabetes (T2D) (<i>n</i> = 4) and general practitioners (GPs) (<i>n</i> = 3). The second workshop (2018) included patients with Type 1 Diabetes (T1D) (<i>n</i> = 5), diabetes specialists (<i>n</i> = 2) and a nurse. The workshops involved two sessions: separate morning sessions for patients and healthcare providers (HCPs), and afternoon session for all participants. Discussion guides included questions about end-users’ perceptions of mHealth and expectations for a data-sharing system. Activities included brainstorming and designing paper-prototypes. Workshops were audio recorded, transcribed and translated from Norwegian to English. An abductive approach to thematic analysis was taken. Results Emergent themes were mHealth technologies’ impacts on end-users, and functionalities of a data-sharing system. Within these themes, similarities and differences between those with T1D and T2D, and between HCPs, were revealed. Patients and providers agreed that HCPs could use PGD to provide more concrete self-management recommendations. Participants’ paper-prototypes revealed which data types should be gathered and displayed during consultations, and how this could facilitate shared-decision making. Conclusion The diverse and differentiated results suggests the need for flexible and tailorable systems that allow patients and providers to review summaries, with the option to explore details, and identify an individual’s challenges, together. Participants’ feedback revealed that both patients and HCPs acknowledge that for mHealth integration to be successful, not only must the technology be validated but feasible changes throughout the healthcare education and practice must be addressed. Only then can both sides be adequately prepared for mHealth data-sharing in diabetes consultations. Subsequently, the design and performance of the joint workshop sessions demonstrated that involving both participant groups together led to efficient and concrete discussions about realistic solutions and limitations of sharing mHealth data in consultations.en_US
dc.identifier.citationBradway M, Morris, Giordanengo A, Årsand E. How mHealth can facilitate collaboration in diabetes care: qualitative analysis of codesign workshops. BMC Health Services Research. 2020;20en_US
dc.identifier.cristinIDFRIDAID 1855704
dc.identifier.doi10.1186/s12913-020-05955-3
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/20191
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.ispartofBradway, M. (2021). mHealth: opportunities and challenges for diabetes intervention research. (Doctoral thesis). <a href=https://hdl.handle.net/10037/20544>https://hdl.handle.net/10037/20544</a>
dc.relation.journalBMC Health Services Research
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/IKTPLUSS/247974/Norway/Full Flow of Health Data Between Patients and Health Care Systems//en_US
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Mathematics and natural science: 400::Information and communication science: 420en_US
dc.subjectVDP::Matematikk og Naturvitenskap: 400::Informasjons- og kommunikasjonsvitenskap: 420en_US
dc.titleHow mHealth can facilitate collaboration in diabetes care: qualitative analysis of codesign workshopsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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