Designing mobile support for glycemic control in patients with diabetes

  • Authors:

  • Lynne T. Harris;James Tufano;Tung Le;Courtney Rees;Ginny A. Lewis;Alison B. Evert;Jan Flowers;Carol Collins;James Hoath;Irl B. Hirsch;Harold I. Goldberg;James D. Ralston

  • Affiliations:

  • Department of Health Services, University of Washington, 1959 NE Pacific Street, Magnuson Health Sciences Center, Room H-664, Box 357660, Seattle, WA 98195-7660, USA;Biomedical and Health Informatics, Department of Medical Education and Biomedical Informatics, University of Washington, Box 357240, 1959 NE Pacific Street, HSB I-264, Seattle, WA 98195-7240, USA;Biomedical and Health Informatics, Department of Medical Education and Biomedical Informatics, University of Washington, Box 357240, 1959 NE Pacific Street, HSB I-264, Seattle, WA 98195-7240, USA;Department of Health Services, University of Washington, 1959 NE Pacific Street, Magnuson Health Sciences Center, Room H-664, Box 357660, Seattle, WA 98195-7660, USA;Department of Biobehavioral Nursing and Health Systems, University of Washington, Box 357266, Seattle, WA 98195-7266, USA;Diabetes Care Center, UW Medical Center-Roosevelt I, 4225 Roosevelt Way N.E., Seattle, WA 98105, USA;Department of Biobehavioral Nursing and Health Systems, University of Washington, Box 357266, Seattle, WA 98195-7266, USA;Department of Pharmaceutics, University of Washington, H-272 Health Sciences Building, Box 357610, Seattle, WA 98195-7610, USA;UW Medicine Information Technology Services, 9725 3rd Avenue NE, Northgate Executive Center II, Seattle, WA 98115-2024, USA;Department of Medicine, University of Washington, RR-512 Health Sciences, Box 356420, Seattle, WA 98195-6420, USA;Department of Medicine, University of Washington, RR-512 Health Sciences, Box 356420, Seattle, WA 98195-6420, USA;Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101-1448, USA

  • Venue:
  • Journal of Biomedical Informatics
  • Year:
  • 2010

Quantified Score

Hi-index 0.00

Visualization

Abstract

We assessed the feasibility and acceptability of using mobile phones as part of an existing Web-based system for collaboration between patients with diabetes and a primary care team. In design sessions, we tested mobile wireless glucose meter uploads and two approaches to mobile phone-based feedback on glycemic control. Mobile glucose meter uploads combined with graphical and tabular data feedback were the most desirable system features tested. Participants had a mixture of positive and negative reactions to an automated and tailored messaging feedback system for self-management support. Participants saw value in the mobile system as an adjunct to the Web-based program and traditional office-based care. Mobile diabetes management systems may represent one strategy to improve the quality of diabetes care.