scholarly journals Text Messaging and Type 1 Diabetes Management: Qualitative Study Exploring Interactions Among Patients and Health Care Professionals

JMIR Diabetes ◽  
10.2196/11343 ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. e11343
Author(s):  
Francesco Miele ◽  
Silvia Clementi ◽  
Renzo Gennaro ◽  
Ilaria Nicolao ◽  
Tiziana Romanelli ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Diabetes Management

scholarly journals Text Messaging and Type 1 Diabetes Management: Qualitative Study Exploring Interactions Among Patients and Health Care Professionals (Preprint)

2018 ◽  
Author(s):  
Francesco Miele ◽  
Silvia Clementi ◽  
Renzo Gennaro ◽  
Ilaria Nicolao ◽  
Tiziana Romanelli ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Pregnant Women ◽  
Health Care Professionals ◽  
Text Messaging ◽  
Text Messages ◽  
Adult Patients ◽  
Specific Patient ◽  
The Impact

BACKGROUND The diffusion of information and communication technologies (ICTs) in type 1 diabetes (T1D) management has generated a debate on the ways in which ICTs can support the patient-provider relationship. Several studies have focused on text messages. Most of the literature proposes quantitative analysis of the impact of text messaging on the clinical conditions of patients and/or their satisfaction with the technology, while the qualitative studies have focused mainly on patients’ perceptions about strengths and weaknesses of this technology. OBJECTIVE In contrast to past studies, we adopted a qualitative approach for the in-depth examination of patient-health care professionals’ interactions in text messaging. METHODS The study focused on the use of the Trento Cartella Clinica del Cittadino Diabetes System (TreC-DS), a digital platform with a built-in messaging system, in two diabetes centers, integrating message analysis with interviews with patients and health care professionals. Each center focused on a specific patient profile: the first one focused on pregnant women with T1D and the second one focused on adult patients with poorly controlled diabetes. RESULTS The main results of the study were as follows: (1) Health care professionals and patients perceived the messaging system as useful for sharing information (ie, pregnant women for prescriptions and adults with poorly controlled diabetes for advice); (2) The content and communication styles of the two centers differed: in the case of pregnant women, interactions via text messaging were markedly prescriptive, while in the case of adult patients with poorly controlled diabetes, they were conceived as open dialogues; and (3) Conversations were initiated mainly by professionals; in the cases considered, it was mainly the diabetes center that decided whether a messaging conversation was needed. CONCLUSIONS The results show how the features of interactions of text messaging changed based on the patient profiles in two different centers. In addition, in both diabetes centers that were involved, the system seems to have laid a foundation for a closer relationship between patients and health care professionals.

Working Toward an mHealth Platform for Adolescents with Type 1 Diabetes: Focus Groups With Teens, Parents, and Providers

2020 ◽  
Vol 46 (5) ◽  
pp. 444-454
Author(s):  
Manuela Sinisterra ◽  
Katherine Patterson Kelly ◽  
Caitlin Shneider ◽  
Ashley El-Zein ◽  
Ellen Swartwout ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Focus Groups ◽  
Health Care Providers ◽  
Diabetes Management ◽  
Self Management ◽  
Care Providers ◽  
Open Communication ◽  
Management Behaviors

Purpose The purpose of the study was to explore facilitators and barriers to self-management behaviors in adolescents with type 1 diabetes (T1D) to inform the development of an mHealth platform. Methods Eight adolescents with T1D, 9 parents, and 13 health care providers participated in separate focus groups that explored teen self-management behaviors. Results Adolescents and their parents have distinct preferences for handling diabetes management and use of mHealth technologies. Health care providers support the use of new technologies yet acknowledge concern meeting the potential increased volume of communication requests from teens and families. Conclusion Stakeholders agreed that an ideal mHealth platform would facilitate open communication between teens and their care network and easily integrate with other diabetes technologies. Future directions include incorporating additional feedback from stakeholders to build and modify the mHealth platform. The use of mHealth platforms could be integrated into clinical practice to optimize self-management and support communication between educators, providers, and families in between clinic visits.

scholarly journals Self-care support for the management of type 1 diabetes during the transition from childhood to adolescence

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Neusa Collet ◽  
Annanda Fernandes de Moura Bezerra Batista ◽  
Vanessa Medeiros da Nóbrega ◽  
Maria Helena do Nascimento Souza ◽  
Leiliane Teixeira Bento Fernandes
Keyword(s):  
Type 1 Diabetes ◽  
Health Care Professionals ◽  
Diabetes Management ◽  
Self Care ◽  
Family Health ◽  
Lifestyle Changes ◽  
Self Awareness ◽  
Structured Interviews ◽  
Care Support

ABSTRACT Objective: To analyze the needs of pre-adolescents with type 1 diabetes regarding self-care support for disease management. Method: Qualitative study conducted between October and December 2016 with pre-adolescents seen at a hospital outpatient clinic and at Family Health Units; semi-structured interviews were used. Data were analyzed using a thematic analysis based on the theoretical basis of self-care support. Results: Nine pre-adolescents participated in the study. It was identified that in order to build self-efficacy, pre-adolescents need to overcome the disease denial phase, know how to handle feelings triggered by the need for lifestyle changes, receive support from their families and social networks, and have the self-awareness and self-perception needed to feel secure in managing their diabetes. Conclusion: The intrinsic challenges of adolescence and the way pre-adolescents with diabetes handle the disease have an influence on diabetes management and create needs that must be appreciated by health care professionals in order to provide self-care support.

931-P: Supporting Physical Activity in Children with Type 1 Diabetes: A Survey of Health Care Professionals

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 931-P
Author(s):  
EMMA COCKCROFT ◽  
PARTH NARENDRAN ◽  
EVA WOODING ◽  
ROBERT C. ANDREWS
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Professionals

scholarly journals Health care professionals talking: Are services for young adults with type 1 diabetes fit for purpose?

2019 ◽  
Vol 26 (1) ◽  
pp. 335-342 ◽  
Author(s):  
Margaret Harris ◽  
Steven James ◽  
Lin Perry ◽  
Julia Lowe ◽  
Janet Dunbabin ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Health Care Professionals ◽  
Fit For Purpose

scholarly journals Facilitation of motivation to self-management in pediatric diabetes health care consultations with adolescents with type 1 diabetes. A qualitative triangulation study

2020 ◽  
Author(s):  
Rose Marie Teyken ◽  
Johanne Jeppesen Lomholt ◽  
Anders Jørgen Schou
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Professionals ◽  
Developmental Process ◽  
Self Management ◽  
Care Clinic ◽  
Qualitative Research Design ◽  
Pediatric Diabetes ◽  
The Impact

Abstract Background. The impact of health care professionals on the motivation for self-management in adolescents with type 1 diabetes has been highlighted as important. It is, however, not well understood how pediatric diabetes health care practitioners can help adolescents become more motivated to self-management. The aim of the study was to investigate how practitioners can motivate their patients to self-management in consultation and how adolescents with type 1 diabetes experienced that consultation could facilitate motivation to self-management. Methods. Based on a qualitative research design, the study triangulated participant observations of 11 consultations at a pediatric health care clinic and 10 interviews of the adolescents (15-17 years of age) about their experiences of consultations. Using Giorgi’s phenomenological method, the analysis showed five categories important to consultation-facilitated motivation to self-management: 1. Consultation setting, 2. Consultation conversation, 3. Roles in treatment, 4. Assuming consultation-facilitated responsibility for self-management, and 5. Relationship in treatment. Results from the analysis were compared to fulfilment of the motivational needs for autonomy, competence and relatedness described in Self-Determination Theory. Results. Overall findings showed that the adolescent’s developmental process of becoming autonomous in relation to self-management was influenced by consultations, and that the need for relatedness was experienced as valued by the adolescents. Conclusions. The conclusion of the study was that relatedness and development of autonomy were experienced as important for how consultations could facilitate motivation to self-management in 15-17-year-olds and may be fundamental to adolescents’ experience of competence in relation to self-management.

scholarly journals Trust in hybrid closed loop among people with diabetes: Perspectives of experienced system users

2017 ◽  
Vol 25 (4) ◽  
pp. 429-438 ◽  
Author(s):  
Molly L Tanenbaum ◽  
Esti Iturralde ◽  
Sarah J Hanes ◽  
Sakinah C Suttiratana ◽  
Jodie M Ambrosino ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Qualitative Study ◽  
Closed Loop ◽  
Diabetes Management ◽  
New Technology ◽  
Self Management ◽  
Closed Loop Systems ◽  
Trial Participants ◽  
User Trust

Automated closed loop systems will greatly change type 1 diabetes management; user trust will be essential for acceptance of this new technology. This qualitative study explored trust in 32 individuals following a hybrid closed loop trial. Participants described how context-, system-, and person-level factors influenced their trust in the system. Participants attempted to override the system when they lacked trust, while trusting the system decreased self-management burdens and decreased stress. Findings highlight considerations for fostering trust in closed loop systems. Systems may be able to engage users by offering varying levels of controls to match trust preferences.

scholarly journals Diabetes Technological Revolution: Winners and Losers?

2018 ◽  
Vol 12 (6) ◽  
pp. 1227-1230 ◽  
Author(s):  
Katharine D. Barnard ◽  
Marc D. Breton
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Health Care Professionals ◽  
Self Management ◽  
Technology Access ◽  
Technological Revolution ◽  
Insurance Costs ◽  
Technology Revolution

Over recent years there has been an explosion in availability of technical devices to support diabetes self-management. But with this technology revolution comes new hurdles. On paper, the available diabetes technologies should mean that the vast majority of people with type 1 diabetes have optimal glycemic control and are using their preferred therapy choices. Yet, it does not appear to be universally the case. In parallel, suboptimal glycemic control remains stubbornly widespread. Barriers to improvement include access to technology, access to expert diabetes health care professionals, and prohibitive insurance costs. Until access can be improved to ensure the technologies are available and usable by those that need them, there are many people with diabetes who are still losing out.

Clinical Practice Experiences Using a Professional Diabetes Management Ecosystem During COVID

2021 ◽  
pp. 193229682110657
Author(s):  
Juan Francisco Merino Torres ◽  
Mike Grady ◽  
Alfonso Lopez Alba ◽  
Lía Nattero Chavez ◽  
Alicia Justel Enriquez ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Patient Care ◽  
Case Studies ◽  
Health Care Professionals ◽  
Diabetes Management ◽  
Standard Of Care ◽  
Digital Ecosystem ◽  
Clinical Case Studies

Background: Challenges of patient care in diabetes were exacerbated by COVID, undermining the ability of patients to engage in-person with health care professionals (HCPs). To combat this, there has been accelerated adoption of telemedicine to support patient and provider connectivity. Methods: We collated survey information regarding telemedicine from 21 European clinical institutions. Health care professionals joined virtual meetings focusing on the OneTouch Reveal (OTR) ecosystem and its utility for conducting telemedicine. Selected HCPs provided clinical case studies to explain how the OTR ecosystem supported patient care. Results: Remote consultations increased by nearly 50% in 21 European clinics during the pandemic (Belgium [24%], Iberia [65%], Germany [34%], Italy [54%]). In all, 52% of people with diabetes using OTR app to connect remotely with HCPs had type 1 diabetes and 48% had type 2 diabetes. Remote connection methods included telephone (60%), email (19%), video chat (10%), text only (3%), or a mix of these methods (8%). Health care professionals usually reviewed patient data during consultations (45%) rather than before consultations (25%). Fifty-five percent of HCPs indicated digital ecosystems like OTR ecosystem would become their standard of care for diabetes management. In-depth conversations with HCPs provided a deeper understanding of how a digital ecosystem integrated into clinical practice and population management. In addition, five patient case studies using OTR ecosystem were provided by a selection of our HCPs. Conclusion: Diabetes management solutions, such as OTR ecosystem, supported telemedicine during the pandemic and will continue to play a valuable role in patient care beyond the pandemic.

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