Important Aspects to Include a Mobile Application to Support Type 2 Diabetes Mellitus Care in Costa Rica According to Patients and Healthcare Professionals

Authors

  • Yulissa Porras Leiva University of Costa Rica
  • Daniela Richmond Solera University of Costa Rica
  • María Fernanda García Calvo University of Costa Rica
  • Melissa L. Jensen University of Costa Rica

DOI:

https://doi.org/10.17533/udea.penh.v18n2a03

Keywords:

Diabetes Mellitus, Type 2, telemedicine, cell phones, m-health, mobile applications, health.

Abstract

Background: Type 2 diabetes mellitus (T2DM) affects 12.8% of the population in Costa Rica. Mobile technology has increased in Costa Rica and it allows an innovation in the mobile application field T2DM care. Objective: This study aimed to explore participants’ perspectives related to the design of a mobile application to support T2DM care in Costa Rica. Methods: A qualitative design was used to explore participants’ perspectives. Focus groups and semi-structured interviews were conducted with 16 T2DM patients, and semi structured interviews were held with 12 healthcare professionals (nutritionists, nurses and medical doctors). Results: Only two patients had ever used an app for T2DM care, and only two professionals had previously recommended the use of these mobile applications. Both groups were willing to use these mobile applications. The most common function for which both groups showed interest was the record of blood glucose, but other functions were also mentioned. Healthcare professionals recommended continuous professional supervision in the use of these mobile application. Conclusions: Potential mobile application users provide valuable insight regarding their needs and expectations for a T2DM care mobile application. Simplicity and being culturally adapted to Costa Rica are the most desirable mobile application features mentioned by the sample.

|Abstract
= 438 veces | PDF (ESPAÑOL (ESPAÑA))
= 340 veces| | HTML (ESPAÑOL (ESPAÑA))
= 125 veces|

Downloads

Download data is not yet available.

Author Biographies

Yulissa Porras Leiva, University of Costa Rica

Degree in Nutrition. School of Nutrition

Daniela Richmond Solera, University of Costa Rica

Degree in Nutrition. School of Nutrition

María Fernanda García Calvo, University of Costa Rica

Degree in Nutrition. School of Nutrition

Melissa L. Jensen, University of Costa Rica

Master of Public Health Sciences, with emphasis on Health Promotion, Education and Teacher Behavior, School of Nutrition.

References

American Diabetes Association. Datos sobre la diabetes [Internet]. Texas; 2014. [Citado abril de 2016]. Disponible en: http://www.diabetes.org/es/informacion-basica-de-la-diabetes/datos-sobre-la-diabetes/

Wong R. Vigilancia de los Factores de Riesgo Cardiovascular, segunda encuesta 2014 [Internet]. San José: Caja Costarricense del Seguro Social; 2016. [Citado junio de 2017]. Disponible en: http://www.binasss.sa.cr/informesdegestion/encuesta2014.pdf

Ministerio de Salud. Análisis de situación de salud de Costa Rica, 2014 [Internet]. San José: Ministerio de Salud; 2014. [Citado abril de 2017]. Disponible en: http://www.ministeriodesalud.go.cr/index.php/vigilancia-de-la-salud/analisis-de-situacionde-salud/2618-analisis-de-situacion-de-salud-en-costa-rica/file

Alayón A, Mosquera-Vásquez M. Adherencia al Tratamiento basado en Comportamientos en Pacientes Diabéticos Cartagena de Indias, Colombia. Rev de Salud Pública. 2008;10(5):777-87. DOI: 10.1590/S0124-00642008000500010

Quirós D, Villalobos A. Comparación de factores vinculados a la adherencia al tratamiento en diabetes mellitus tipo II entre una muestra urbana y otra rural de Costa Rica. Univ. Psychol. Bogotá. 2007;6(3):679-88.

Torres J, Infante A, Torres P. Mobile learning: perspectives. RUSC. Universities and Knowledge Society Journal. 2015;12(1):38-49. DOI: 10.7238/rusc.v12i1.1944

Instituto Nacional de Estadística y Censos (INEC). Encuesta Nacional de Hogares: Tecnologías de Información y Comunicación, 2010-2014. [Internet]. San José: Instituto Nacional de Estadística y Censos; 2016. Disponible en: http://www.inec.go.cr/enaho/result/tics.aspx

Arias C, Herrera W, Irigaray E; Rodríguez H, Rodríguez R, Ruiz M, et al. Estadísticas del sector de telecomunicaciones. SUTEL, Informe 2010-2013. [Internet]. San José: Superintendencia de Telecomunicaciones; 2014. [Citado abril de 2017]. Disponible en: https://sutel.go.cr/sites/default/files/estadisticassectortelecominforme2010_2013final.pdf

Ministerio de Ciencia, Tecnología y Telecomunicaciones. Acceso y uso de los servicios de telecomunicaciones en Costa Rica: 2015. [Internet]. San José: Ministerio de Ciencia, Tecnología y Telecomunicaciones; 2015. [Citado abril de 2017]. Disponible en: http://www.conicit.go.cr/prensa2/boletinescyt/completos/dic_170/Telecomunicaciones-CR-15.pdf

Arnhold M, Quade M, Kirch W. A Systematic Review and ExpertBased Usability evaluation considering the special requirements of diabetes patients age 50 years or older. J Med Internet Res. 2014;16(4),1-26. DOI: 10.2196/jmir.2968

Boyce B. Nutrition Apps: Opportunities to Guide Patients and Grow Your Career. J Acad Nutr Diet. 2014;114(1),13-15. DOI: 10.1016/j.jand.2013.10.016

Eng DS, Lee JM. The promise and peril of mobile Health applications for diabetes and endocrinology. Pediatr Diabetes. 2013;14(4):231-38. DOI: 10.1111/pedi.12034

Årsand E, Frøisland D, Skrøvseth S, Chomutare T, Tatara N, Hartvigsen G, et al. Mobile Health Applications to Assist Patients with Diabetes: Lessons Learned and Design Implications. J Diabetes Sci Technol. 2012;6(5):1197-206. DOI:10.1177/193229681200600525

Cafazzo J, Casselman M, Hamming N, Katzman DK, Palmert MR. Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study. J Med Internet Res. 2012;14(3):e70. DOI:10.2196/jmir.2058

Goyal S, Morita P, Lewis GF, Yu C, Seto E, Cafazzo JA. The Systematic Design of a Behavioural Mobile Health Application for the Self Management of Type 2 Diabetes. Can J Diabetes. 2016;40(1):95-104. DOI: 10.1016/j.jcjd.2015.06.007

Hunt MR. Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health professionals in humanitarian work. Qual Health Res. 2009;19(9):1284-92. DOI: 10.1177/1049732309344612

Pineda E, Alvarado E. Metodología de la investigación. Washington: Organización Panamericana de la Salud; 2008.

Ulin PR, Robinson ET, Tolley EE. Qualitative methods in public health. California: JosseyBass; 2005.

García AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County diabetes education study: development of the Spanish language diabetes knowledge questionnaire. Diabetes Care. 2001;24(1):16-21. DOI:10.2337/diacare.24.1.16

Hemilse M. El proceso de codificación en investigación cualitativa. Contribuciones a las Ciencias Sociales. 2011. Disponible en: http://www.eumed.net/rev/cccss/12/mha2.htm

Zickuhr K, Madden M. Older adults and internet use. [Internet]. Washington: Pew Research Center; 2012. [Citado abril de 2016]. Disponible en: http://www.pewinternet.org/2012/06/06/older-adults-and-internet-use/

Demidowich A, Lu K, Tamler R, Bloomgarden Z. An evaluation of diabetes self-management applications for Android smartphones. J Telemed Telecare. 2012;18(4),235-38. DOI: 10.1258/jtt.2012.111002

Gkatzidou V, Hone K, Sutcliffe L, Gibbs J, Sadiq ST, Szczepura A, et al. User interface design for mobile-based sexual health interventions for young people: design recommendations from a qualitative study on an online Chlamydia clinical care pathway. BMC Med Inform Decis Mak. 2015;15(72). DOI:10.1186/s12911-015-0197-8

Piette J, Valverde H, Marinec N, Jantz R, Kamis K, Lazo de la Vega C, et al. Establishing an independent mobile health program for chronic disease self-management support in Bolivia. Front Public Health. 2014; 2,1-10. DOI: 10.3389/fpubh.2014.00095

Teo CH, Ng CJ, White A. What Do Men Want from a Health Screening Mobile App? A Qualitative Study. PloS One. 2017;12(1):e0169435. DOI:10.1371/journal.pone.0169435

Harris L, Tufano J, Le T, Rees C, Lewis G, Evert A, et al. Designing mobile support for glycemic control in patients with diabetes. Journal of biomedical informatics. 2010;43(5):S37-40. DOI:10.1016/j.jbi.2010.05.004

Ramanathana N, Swendemanb D, Comuladab WS, Estrina D, Rotheram-Borusb MJ. Identifying preferences for mobile health applications for self- monitoring and self-management: Focus group findings from HIV-positive persons and young mothers. Int J Med Inform. 2013;82(4):e38-46. DOI: 10.1016/j.ijmedinf.2012.05.009

Published

2017-10-19

How to Cite

Porras Leiva, Y., Richmond Solera, D., García Calvo, M. F., & Jensen, M. L. (2017). Important Aspects to Include a Mobile Application to Support Type 2 Diabetes Mellitus Care in Costa Rica According to Patients and Healthcare Professionals. Perspectivas En Nutrición Humana, 18(2), 155–170. https://doi.org/10.17533/udea.penh.v18n2a03

Issue

Section

Research