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Baptista S, Wadley G, Bird D, et al. User Experiences With a Type 2 Diabetes Coaching App: Qualitative Study. JMIR Diabetes. 2020;5(3):e16692doi: 10.2196/16692.
Baptista, S., Wadley, G., Bird, D., Oldenburg, B., Speight, J. (2020). User Experiences With a Type 2 Diabetes Coaching App: Qualitative Study. JMIR diabetes, 5(3), e16692. https://doi.org/10.2196/16692
Baptista, Shaira, et al. "User Experiences With a Type 2 Diabetes Coaching App: Qualitative Study." JMIR diabetes vol. 5,3 (2020): e16692. doi: https://doi.org/10.2196/16692
Baptista S, Wadley G, Bird D, Oldenburg B, Speight J. User Experiences With a Type 2 Diabetes Coaching App: Qualitative Study. JMIR Diabetes. 2020 Jul 17;5(3):e16692. doi: 10.2196/16692. PMID: 32706649; PMCID: PMC7395244.
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JMIR Diabetes. 2020 Jul 17;5(3):e16692. doi: 10.2196/16692.

User Experiences With a Type 2 Diabetes Coaching App: Qualitative Study.

JMIR diabetes

Shaira Baptista, Greg Wadley, Dominique Bird, Brian Oldenburg, Jane Speight,

Affiliations

  1. Melbourne School of Population and Global Health, Melbourne, Australia.
  2. Australian Centre for Behavioural Research in Diabetes, Melbourne, Australia.
  3. School of Computing and Information Systems, The University of Melbourne, Melbourne, Australia.
  4. Centre for Health Services Research, The University of Queensland, Brisbane, Australia.

PMID: 32706649 PMCID: PMC7395244 DOI: 10.2196/16692

Abstract

BACKGROUND: Diabetes self-management apps have the potential to improve self-management in people with type 2 diabetes (T2D). Although efficacy trials provide evidence of health benefits, premature disengagement from apps is common. Therefore, it is important to understand the factors that influence engagement in real-world settings.

OBJECTIVE: This study aims to explore users' real-world experiences with the My Diabetes Coach (MDC) self-management app.

METHODS: We conducted telephone-based interviews with participants who had accessed the MDC self-management app via their smartphone for up to 12 months. Interviews focused on user characteristics; the context within which the app was used; barriers and facilitators of app use; and the design, content, and delivery of support within the app.

RESULTS: A total of 19 adults with T2D (8/19, 42% women; mean age 60, SD 14 years) were interviewed. Of the 19 interviewees, 8 (42%) had T2D for <5 years, 42% (n=8) had T2D for 5-10 years, and 16% (n=3) had T2D for >10 years. In total, 2 themes were constructed from interview data: (1) the moderating effect of diabetes self-management styles on needs, preferences, and expectations and (2) factors influencing users' engagement with the app: one size does not fit all.

CONCLUSIONS: User characteristics, the context of use, and features of the app interact and influence engagement. Promoting engagement is vital if diabetes self-management apps are to become a useful complement to clinical care in supporting optimal self-management.

TRIAL REGISTRATION: Australia New Zealand Clinical Trials Registry CTRN126140012296; URL https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366925&isReview=true.

©Shaira Baptista, Greg Wadley, Dominique Bird, Brian Oldenburg, Jane Speight, The My Diabetes Coach Research Group. Originally published in JMIR Diabetes (http://diabetes.jmir.org), 17.07.2020.

Keywords: mHealth; mobile apps; mobile phone; self-management; smartphone; type 2 diabetes

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