scholarly journals Implementation of a Diabetes Self-Management Education and Support Intervention in Rural Guatemala: A Mixed-Methods Evaluation Using the RE-AIM Framework

2021 ◽  
Vol 18 ◽  
Author(s):  
Scott Tschida ◽  
David Flood ◽  
Magdalena Guarchaj ◽  
Juanita Milian ◽  
Andrea Aguilar ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Management Education ◽  
Self Management ◽  
Support Intervention ◽  
Mixed Methods Evaluation

scholarly journals Is it possible to predict improved diabetes outcomes following diabetes self-management education: a mixed-methods longitudinal design

BMJ Open ◽  
2015 ◽  
Vol 5 (11) ◽  
pp. e008781 ◽  
Author(s):  
Caroline Huxley ◽  
Jackie Sturt ◽  
Jeremy Dale ◽  
Rosie Walker ◽  
Isabela Caramlau ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Management Education ◽  
Longitudinal Design ◽  
Self Management ◽  
Diabetes Outcomes

scholarly journals Acceptability of an Embodied Conversational Agent for Type 2 Diabetes Self-Management Education and Support via a Smartphone App: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Shaira Baptista ◽  
Greg Wadley ◽  
Dominique Bird ◽  
Brian Oldenburg ◽  
Jane Speight ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Qualitative Data ◽  
Management Education ◽  
Qualitative Interviews ◽  
User Preferences ◽  
Self Management ◽  
Conversational Agents ◽  
Motivational Support

BACKGROUND Embodied conversational agents (ECAs) are increasingly used in health care apps; however, their acceptability in type 2 diabetes (T2D) self-management apps has not yet been investigated. OBJECTIVE This study aimed to evaluate the acceptability of the ECA (Laura) used to deliver diabetes self-management education and support in the My Diabetes Coach (MDC) app. METHODS A sequential mixed methods design was applied. Adults with T2D allocated to the intervention arm of the MDC trial used the MDC app over a period of 12 months. At 6 months, they completed questions assessing their interaction with, and attitudes toward, the ECA. In-depth qualitative interviews were conducted with a subsample of the participants from the intervention arm to explore their experiences of using the ECA. The interview questions included the participants’ perceptions of Laura, including their initial impression of her (and how this changed over time), her personality, and human character. The quantitative and qualitative data were interpreted using integrated synthesis. RESULTS Of the 93 intervention participants, 44 (47%) were women; the mean (SD) age of the participants was 55 (SD 10) years and the baseline glycated hemoglobin A1c level was 7.3% (SD 1.5%). Overall, 66 of the 93 participants (71%) provided survey responses. Of these, most described Laura as being helpful (57/66, 86%), friendly (57/66, 86%), competent (56/66, 85%), trustworthy (48/66, 73%), and likable (40/66, 61%). Some described Laura as not real (18/66, 27%), boring (26/66, 39%), and annoying (20/66, 30%). Participants reported that interacting with Laura made them feel more motivated (29/66, 44%), comfortable (24/66, 36%), confident (14/66, 21%), happy (11/66, 17%), and hopeful (8/66, 12%). Furthermore, 20% (13/66) of the participants were frustrated by their interaction with Laura, and 17% (11/66) of the participants reported that interacting with Laura made them feel guilty. A total of 4 themes emerged from the qualitative data (N=19): (1) perceived role: a friendly coach rather than a health professional; (2) perceived support: emotional and motivational support; (3) embodiment preference acceptability of a human-like character; and (4) room for improvement: need for greater congruence between Laura’s words and actions. CONCLUSIONS These findings suggest that an ECA is an acceptable means to deliver T2D self-management education and support. A human-like character providing ongoing, friendly, nonjudgmental, emotional, and motivational support is well received. Nevertheless, the ECA can be improved by increasing congruence between its verbal and nonverbal communication and accommodating user preferences. CLINICALTRIAL Australian New Zealand Clinical Trials Registry CTRN12614001229662; https://tinyurl.com/yxshn6pd

Implementing an interprofessional model of self-management support across a community workforce: A mixed-methods evaluation study

2016 ◽  
Vol 31 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Stefan Tino Kulnik ◽  
Heide Pöstges ◽  
Lucinda Brimicombe ◽  
John Hammond ◽  
Fiona Jones
Keyword(s):  
Mixed Methods ◽  
Evaluation Study ◽  
Self Management ◽  
Management Support ◽  
Mixed Methods Evaluation

scholarly journals Can Self-Management Improve HIV Treatment Engagement, Adherence, and Retention? A Mixed Methods Evaluation in Tanzania and Uganda

2019 ◽  
Vol 24 (5) ◽  
pp. 1486-1494
Author(s):  
Corrina Moucheraud ◽  
Amy F. Stern ◽  
Anisa Ismail ◽  
Tamara Nsubuga-Nyombi ◽  
Monica M. Ngonyani ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Treatment Engagement ◽  
Hiv Treatment ◽  
Self Management ◽  
Mixed Methods Evaluation

scholarly journals Correction to: S11 Experiences with a nurse-led self-management support intervention for people with chronic conditions; a mixed-methods approach

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
AnneLoes van Staa ◽  
Janet Been-Dahmen ◽  
Heleen van der Stege ◽  
Denise Beck ◽  
Mirjam Tielen ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Chronic Conditions ◽  
Self Management ◽  
Management Support ◽  
Support Intervention ◽  
Mixed Methods Approach
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