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Eliciting Requirements for a Diabetes Self-Management Application for Underserved Populations: A Multi-Stakeholder
Samuel Bonet Olivencia1, Arjun H Rao1, Alec Smith1
1Department of Industrial & Systems Engineering, Texas A&M University, College Station, TX 77843, USA.
International Journal of Environmental Research and Public Health
|January 11, 2022
Summary
Mobile health apps can improve diabetes management for underserved communities. Key design needs include accessible multimedia education and user-friendly features for blood sugar, diet, and exercise tracking.
Area of Science:
- Digital health
- Health disparities
- Diabetes management
Background:
- Medically underserved communities face significant barriers to accessing effective disease management resources.
- Mobile health (mHealth) applications offer a potential solution for cost-effective patient self-management and provider communication.
- Existing diabetes self-management apps often overlook the unique needs of underserved populations in their design.
Purpose of the Study:
- To identify crucial stakeholder-driven design requirements for a diabetes self-management mHealth app tailored to medically underserved patients.
- To understand patient and healthcare provider perspectives on the utility and usability of such an app.
Main Methods:
- Conducted semi-structured survey interviews with 97 patients with diabetes and 11 healthcare providers from medically underserved areas in South Texas.
- Elicited user preferences, beliefs, and perceived needs regarding diabetes self-management app features and functionality.
Main Results:
- Patients prioritized accessible, multimedia educational content and quick guidance on blood sugar, diet, and exercise over text-heavy information.
- Healthcare providers identified glucose monitoring, educational resources, and data visualization as top-rated app features.
- Key considerations for app design include health literacy, numeracy, language barriers, data entry simplicity, and information exchange.
Conclusions:
- Incorporating specific design requirements for underserved populations is essential for improving the adoption, usability, and long-term sustainability of mHealth diabetes interventions.
- Future app development should focus on culturally relevant, accessible content and features that address the practical needs and preferences of medically underserved users.
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