scholarly journals Exploring Real-World mHealth Use for Diabetes Consultations: Pros and Pitfalls of a Pragmatic Mixed-Methods Approach

Author(s):  
Meghan Bradway ◽  
Eirik Årsand

Intervention research is often highly controlled and does not reflect real-world situations. More pragmatic approaches, albeit less controllable and more challenging, offer the opportunity of identifying unexpected factors and connections. As the introduction of mHealth into formal diabetes care settings is relatively new and less often explored from the perspectives of patients and providers together, such an opportunity for exploration should be embraced. In this paper we demonstrate our experiences and results in designing and administering a pragmatic mixed-methods feasibility study to understand the impacts of a diabetes data-sharing system on patients and providers. In doing so, we aim to provide a realistic account of the pros and pitfalls of this approach to diabetes mHealth intervention research.

2021 ◽  
Vol 27 (12) ◽  
pp. S11
Author(s):  
Biplab Bandyopadhyaya ◽  
Rakesh Sahay ◽  
Deepak Dalal ◽  
Jayanta Panda ◽  
Soumik Goswami ◽  
...  

2018 ◽  
Vol 37 (4) ◽  
pp. 466-488 ◽  
Author(s):  
Petter Bae Brandtzaeg ◽  
Antoine Pultier ◽  
Gro Mette Moen

Personal data from mobile apps are increasingly impacting users’ lives and privacy perceptions. However, there is a scarcity of research addressing the combination of (1) individual perceptions of mobile app privacy, (2) actual dataflows in apps, and (3) how such perceptions and dataflows relate to actual privacy policies and terms of use in mobile apps. To address these limitations, we conducted an innovative mixed-methods study including a representative user survey in Norway, an analysis of personal dataflows in apps, and content analysis of privacy policies of 21 popular, free Android mobile apps. Our findings show that more than half the respondents in the user survey repeatedly had refrained from downloading or using apps to avoid sharing personal data. Our analysis of dataflows applied a novel methodology measuring activity in the apps over time (48 hr). The investigation showed that 19 of the 21 apps investigated transmitted personal data to a total of approximately 600 different primary and third-party domains. From an European perspective, it is particularly noteworthy that most of these domains were associated with tech companies in the United States, where privacy laws are less strict than companies operating from Europe. The investigation further revealed that some apps by default track and share user data continuously, even when the app is not in use. For some of these, the terms of use provided with the apps did not inform the users about the actual tracking practice. A comparison of terms of use as provided in the studied apps with actual person dataflows as identified in the analysis disclosed that three of the apps shared data in violation with their provided terms of use. A possible solution for the mobile app industry, to strengthen user trust, is privacy by design through opt-in data sharing with the service and third parties and more granular information on personal data sharing practices. Also, based on the findings from this study, we suggest specific visualizations to enhance transparency of personal dataflows in mobile apps. A methodological contribution is that a mixed-methods approach strengthens our understanding of the complexity of privacy issues in mobile apps.


2019 ◽  
Vol Volume 12 ◽  
pp. 1189-1199 ◽  
Author(s):  
Jaya Prasad Tripathy ◽  
Karuna D Sagili ◽  
Soundappan Kathirvel ◽  
Archana Trivedi ◽  
Sharath Burugina Nagaraja ◽  
...  

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