Developing a Patient-Centered MHealth App: A Tool for Adolescents With Type 1 Diabetes and Their Parents

Overview

Journal JMIR Mhealth Uhealth

Specialties Biomedical Engineering
Medical Informatics

Date 2017 Apr 22

PMID 28428167

Citations 38

Authors

Bree E Holtz

Katharine M Murray

Denise D Hershey

Julie K Dunneback

Shelia R Cotten

Amanda J Holmstrom

Arpita Vyas

Molly K Kaiser

Michael A Wood

Affiliations

Soon will be listed here.

Abstract

Background: Type 1 diabetes (T1D) afflicts approximately 154,000 people under 20 years of age. Three-quarters of adolescents are not achieving glycosylated hemoglobin (HbA1c) targets, which leads to negative health outcomes. Mobile health (mHealth), the use of technology in health, has been used successfully to improve health in many chronic conditions, including diabetes.

Objective: The purpose of this study was to use patient-centered research methods to inform and improve the design and functionality of our T1D app, MyT1DHero, and to provide insight for others who are designing a health app for adolescents and parents.

Methods: This study included data from focus groups with participants recruited from the Juvenile Diabetes Research Foundation (JDRF) southeast Michigan's family network. All data collected during the sessions were audio-recorded, transcribed, and coded.

Results: Four key themes were identified: (1) diabetes is unpredictable, (2) negative and frustrated communication, (3) motivations to use an app, and (4) feedback specific to our app.

Conclusions: A patient-centered approach was used to assist in the development of an app for adolescents with T1D. Participants were satisfied with overall app design; customization, interactivity, and tangible rewards were identified as being necessary for continued use. Participants believed the app would help improve the communication between parents and adolescents. Many apps developed in the health context have not used a patient-centered design method or have seen vast improvements in health. This paper offers suggestions to others seeking to develop apps for adolescents and their parents.

Citing Articles

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Trnka P, Aldaghi T, Muzik J JMIR Pediatr Parent. 2024; 7:e50370.

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Children and young people's preferences and needs when using health technology to self-manage a long-term condition: a scoping review.

Court R, Swallow V, El-Yousfi S, Gray-Burrows K, Sotir F, Wheeler G Arch Dis Child. 2024; 109(10):826-835.

PMID: 39142825 PMC: 11503065. DOI: 10.1136/archdischild-2023-326044.

Meeting the Needs of Emerging Adults With Type 1 Diabetes Living in a Rural Area With Mobile Health Interventions: Focus Group Study.

Carcone A, Holtz B, Reardon M, Vesey D, Ellis D, Parks M JMIR Form Res. 2024; 8:e55650.

PMID: 39110496 PMC: 11339569. DOI: 10.2196/55650.

Development and Implementation of DIALOG+S in the School Setting as a Tool for Promoting Adolescent Mental Well-Being and Resilience in a Post-Armed Conflict Area in Colombia: Exploratory Cluster Randomized Controlled Trial.

Gomez-Restrepo C, Sarmiento-Suarez M, Alba-Saavedra M, Calvo-Valderrama M, Rincon-Rodriguez C, Bird V JMIR Form Res. 2023; 7:e46757.

PMID: 37792465 PMC: 10585436. DOI: 10.2196/46757.

Best Practices for Developing a Diabetes mHealth App.

Holtz B, Mitchell K J Diabetes Sci Technol. 2023; 18(1):39-45.

PMID: 37644831 PMC: 10899849. DOI: 10.1177/19322968231195849.

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