Structured scaffolding for reflection and problem solving in diabetes self-management: qualitative study of mobile diabetes detective

Journal of the American Medical Informatics Association : JAMIA
Lena MamykinaGeorge Hripcsak

Abstract

To investigate subjective experiences and patterns of engagement with a novel electronic tool for facilitating reflection and problem solving for individuals with type 2 diabetes, Mobile Diabetes Detective (MoDD). In this qualitative study, researchers conducted semi-structured interviews with individuals from economically disadvantaged communities and ethnic minorities who are participating in a randomized controlled trial of MoDD. The transcripts of the interviews were analyzed using inductive thematic analysis; usage logs were analyzed to determine how actively the study participants used MoDD. Fifteen participants in the MoDD randomized controlled trial were recruited for the qualitative interviews. Usage log analysis showed that, on average, during the 4 weeks of the study, the study participants logged into MoDD twice per week, reported 120 blood glucose readings, and set two behavioral goals. The qualitative interviews suggested that individuals used MoDD to follow the steps of the problem-solving process, from identifying problematic blood glucose patterns, to exploring behavioral triggers contributing to these patterns, to selecting alternative behaviors, to implementing these behaviors while monitoring for improvement...Continue Reading

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Citations

Feb 26, 2016·Journal of the American Medical Informatics Association : JAMIA·Charlotte TangYunan Chen
Feb 19, 2016·Journal of Telemedicine and Telecare·Michael de RidderRalph Nanan
Nov 2, 2017·Health Informatics Journal·Wonchan ChoiBengisu Tulu
Dec 7, 2018·The Diabetes Educator·Jennifer A Fearon-LynchCaitlin M Stover
Nov 10, 2020·Journal of the American Medical Informatics Association : JAMIA·Christina HigaJoanne R Loos
Aug 1, 2021·Cardiac Electrophysiology Clinics·Ruth Masterson Creber, Meghan Reading Turchioe

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