Qing Ye1, Uzma Khan2, Suzanne A Boren1,3, Eduardo J Simoes1,3, Min Soon Kim1,3. 1. 1 University of Missouri Informatics Institute, University of Missouri, Columbia, MO, USA. 2. 2 Department of Medicine, University of Missouri, Columbia, MO, USA. 3. 3 Department of Health Management and Informatics, University of Missouri, Columbia, MO, USA.
Abstract
BACKGROUND: Diabetes self-management (DSM) applications (apps) have been designed to improve knowledge of diabetes and self-management behaviors. However, few studies have systematically examined if diabetes apps followed the American Association of Diabetes Educators (AADE) Self-Care Behaviors™ guidelines. The purpose of this study was to compare the features of current DSM apps to the AADE7™ guidelines. METHODS: In two major app stores (iTunes and Google Play), we used three search terms "diabetes," "blood sugar," and "glucose" to capture a wide range of diabetes apps. Apps were excluded based on five exclusion criteria. A multidisciplinary team analyzed and classified the features of each app based on the AADE7™. We conducted interviews with six diabetes physicians and educators for their opinions on the distribution of the features of DSM apps. RESULTS: Out of 1050 apps retrieved, 173 apps were identified as eligible during November 2015 and 137 apps during December 2017. We found an unbalanced DSM app development trend based on AADE7™ guidelines. Many apps were designed to support the behaviors of Healthy Eating (77%), Monitoring (76%), Taking Medication (58%), and Being Active (45%). On the other hand, few apps explored the behaviors of Problem Solving (31%), Healthy Coping (10%), and Reducing Risks (5%). From interviews, we identified the main reasons why only a few apps support the features related to Problem Solving, Healthy Coping, and Reducing Risks. CONCLUSIONS: Future diabetes apps should attempt to incorporate features under evidence-based guidelines such as AADE7™ to better support the self-management behavior changes of people with diabetes.
BACKGROUND:Diabetes self-management (DSM) applications (apps) have been designed to improve knowledge of diabetes and self-management behaviors. However, few studies have systematically examined if diabetes apps followed the American Association of Diabetes Educators (AADE) Self-Care Behaviors™ guidelines. The purpose of this study was to compare the features of current DSM apps to the AADE7™ guidelines. METHODS: In two major app stores (iTunes and Google Play), we used three search terms "diabetes," "blood sugar," and "glucose" to capture a wide range of diabetes apps. Apps were excluded based on five exclusion criteria. A multidisciplinary team analyzed and classified the features of each app based on the AADE7™. We conducted interviews with six diabetes physicians and educators for their opinions on the distribution of the features of DSM apps. RESULTS: Out of 1050 apps retrieved, 173 apps were identified as eligible during November 2015 and 137 apps during December 2017. We found an unbalanced DSM app development trend based on AADE7™ guidelines. Many apps were designed to support the behaviors of Healthy Eating (77%), Monitoring (76%), Taking Medication (58%), and Being Active (45%). On the other hand, few apps explored the behaviors of Problem Solving (31%), Healthy Coping (10%), and Reducing Risks (5%). From interviews, we identified the main reasons why only a few apps support the features related to Problem Solving, Healthy Coping, and Reducing Risks. CONCLUSIONS: Future diabetes apps should attempt to incorporate features under evidence-based guidelines such as AADE7™ to better support the self-management behavior changes of people with diabetes.
Entities:
Keywords:
diabetes mellitus; features; guidelines; mobile applications; self-management
Authors: Anna-Leena Orsama; Jaakko Lähteenmäki; Kari Harno; Minna Kulju; Eva Wintergerst; Holly Schachner; Pat Stenger; Juha Leppänen; Hannu Kaijanranta; Ville Salaspuro; William A Fisher Journal: Diabetes Technol Ther Date: 2013-07-11 Impact factor: 6.118
Authors: Maria C E Rossi; Antonio Nicolucci; Paolo Di Bartolo; Daniela Bruttomesso; Angela Girelli; Francisco J Ampudia; David Kerr; Antonio Ceriello; Carmen De La Questa Mayor; Fabio Pellegrini; David Horwitz; Giacomo Vespasiani Journal: Diabetes Care Date: 2009-10-06 Impact factor: 19.112
Authors: Antonio Martinez-Millana; Elena Jarones; Carlos Fernandez-Llatas; Gunnar Hartvigsen; Vicente Traver Journal: JMIR Mhealth Uhealth Date: 2018-11-21 Impact factor: 4.773
Authors: Pamela J Surkan; Kathryne S Mezzanotte; Laura M Sena; Larry W Chang; Joel Gittelsohn; Ylva Trolle Lagerros; Charlene C Quinn; Wayne W Zachary Journal: Int J Environ Res Public Health Date: 2019-07-30 Impact factor: 3.390
Authors: Wayne W Zachary; Pamela J Surkan; Tai Barber-Gumbs; Ylva Trolle Lagerros; Laura M Sena; Joel Gittelsohn; Larry W Chang Journal: JMIR Form Res Date: 2021-02-26