TY - JOUR
T1 - Diabetes educators’ insights regarding connecting mobile phone– and wearable tracker–collected self-monitoring information to a nationally-used electronic health record system for diabetes education
T2 - Descriptive qualitative study
AU - Wang, Jing
AU - Chu, Chin Fun
AU - Li, Chengdong
AU - Hayes, Laura
AU - Siminerio, Linda
N1 - Funding Information:
The study was funded by the Robert Wood Johnson Foundation Nurse Faculty Scholars Program (mentors: Jiajie Zhang, Suzanne Bakken, Nancy Bergstrom, and Janet Meininger). The fitness trackers were mostly sponsored by the Jawbone Company. We thank Brad Ummer and colleagues at Flipside Media and Validic for their technological assistance. We thank the diabetes educators at our recruitment sites, Justin Kanter at the University of Pittsburgh Medical Center, and all the research assistants and students who helped with study recruitment and data collection. We thank all the study participants. JW’s contributions to the work reported in this manuscript are also sponsored by the Josiah Macy Jr Foundation Nurse Faculty Scholars Program and John P McGovern Distinguished Professorship at the University of Texas Health Science Center at Houston Cizik School of Nursing. We also thank Mirae Kim for assistance with qualitative data analysis and Kimberly D’Souza and Markeda Wade from the University of Texas Health Science Center at Houston Cizik School of Nursing for editorial assistance.
Publisher Copyright:
© Jing Wang, Chin-Fun Chu, Chengdong Li, Laura Hayes, Linda Siminerio.
PY - 2018/7
Y1 - 2018/7
N2 - Background: Diabetes educators are integral to a clinical team in providing diabetes self-management education and support; however, current mobile and Web-based self-management tools are not integrated into clinical diabetes care to support diabetes educators’ education efforts. Objective: The objective of our study was to seek diabetes educators’ insights regarding the development of an interface within the Chronicle Diabetes system, a nationally used electronic health record (EHR) system for diabetes education documentation with behavioral goal-setting functions, to transfer mobile phone-and wearable tracker-collected self-monitoring information from patients to diabetes educators to facilitate behavioral goal monitoring. Methods: A descriptive qualitative study was conducted to seek educators’ perspectives on usability and interface development preferences in developing a connected system. Educators can use the Chronicle Diabetes system to set behavioral goals with their patients. Individual and group interviews were used to seek educators’ preferences for viewing mobile phone-and wearable tracker-collected information on diet, physical activity, and sleep in the Chronicle Diabetes system using open-ended questions. Interview data were transcribed verbatim and analyzed for common themes. Results: Five common themes emerged from the discussion. First, educators expressed enthusiasm for and concerns about viewing diet and physical activity data in Chronicle Diabetes system. Second, educators valued viewing detailed dietary macronutrients and activity data; however, they preferred different kinds of details depending on patients’ needs, conditions, and behavioral goals and educators’ training background. Third, all educators liked the integration of mobile phone-collected data into Chronicle Diabetes system and preferably with current EHR systems. Fourth, a need for a health care team and a central EHR system to be formed was realized for educators to share summaries of self-monitoring data with other providers. Fifth, educators desired advanced features for the mobile app and the connected interface that can show self-monitoring data. Conclusions: Flexibility is needed for educators to track the details of mobile phone-and wearable tracker-collected diet and activity information, and the integration of such data into Chronicle Diabetes and EHR systems is valuable for educators to track patients’ behavioral goals, provide diabetes self-management education and support, and share data with other health care team members to faciliate team-based care in clinical practice.
AB - Background: Diabetes educators are integral to a clinical team in providing diabetes self-management education and support; however, current mobile and Web-based self-management tools are not integrated into clinical diabetes care to support diabetes educators’ education efforts. Objective: The objective of our study was to seek diabetes educators’ insights regarding the development of an interface within the Chronicle Diabetes system, a nationally used electronic health record (EHR) system for diabetes education documentation with behavioral goal-setting functions, to transfer mobile phone-and wearable tracker-collected self-monitoring information from patients to diabetes educators to facilitate behavioral goal monitoring. Methods: A descriptive qualitative study was conducted to seek educators’ perspectives on usability and interface development preferences in developing a connected system. Educators can use the Chronicle Diabetes system to set behavioral goals with their patients. Individual and group interviews were used to seek educators’ preferences for viewing mobile phone-and wearable tracker-collected information on diet, physical activity, and sleep in the Chronicle Diabetes system using open-ended questions. Interview data were transcribed verbatim and analyzed for common themes. Results: Five common themes emerged from the discussion. First, educators expressed enthusiasm for and concerns about viewing diet and physical activity data in Chronicle Diabetes system. Second, educators valued viewing detailed dietary macronutrients and activity data; however, they preferred different kinds of details depending on patients’ needs, conditions, and behavioral goals and educators’ training background. Third, all educators liked the integration of mobile phone-collected data into Chronicle Diabetes system and preferably with current EHR systems. Fourth, a need for a health care team and a central EHR system to be formed was realized for educators to share summaries of self-monitoring data with other providers. Fifth, educators desired advanced features for the mobile app and the connected interface that can show self-monitoring data. Conclusions: Flexibility is needed for educators to track the details of mobile phone-and wearable tracker-collected diet and activity information, and the integration of such data into Chronicle Diabetes and EHR systems is valuable for educators to track patients’ behavioral goals, provide diabetes self-management education and support, and share data with other health care team members to faciliate team-based care in clinical practice.
KW - Behavior modification
KW - Connected health
KW - Diabetes
KW - Electronic health record
KW - Lifestyle intervention
KW - Self-management
KW - Self-monitoring
KW - Usability
KW - Wearable
KW - mHealth
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UR - http://www.scopus.com/inward/citedby.url?scp=85060385231&partnerID=8YFLogxK
U2 - 10.2196/10206
DO - 10.2196/10206
M3 - Article
AN - SCOPUS:85060385231
VL - 6
JO - JMIR mHealth and uHealth
JF - JMIR mHealth and uHealth
SN - 2291-5222
IS - 7
M1 - e10206
ER -