Development and Testing of an Electronic Diabetes Diary Integrated With a Hospital Information System for Individuals With Type 2 Diabetes Mellitus: Protocol for a Mixed Methods Study.

Autor:	Skaria G; Department of Health Information Management, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India., Reshmi B; Department of Health Information Management, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India., K M S; Department of Health Information Management, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India., Shetty S; Department of Endocrinology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India., Lakshmi R V; Department of Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2024 Jan 23; Vol. 13, pp. e50732. Date of Electronic Publication: 2024 Jan 23.
DOI:	10.2196/50732
Abstrakt:	Background: Type 2 diabetes mellitus (T2DM) is one of the leading noncommunicable diseases that require diabetes self-management (DSM) practices. This study proposes to develop a customized mobile health (mHealth) app integrated with a hospital information system (HIS) to enable real-time, two-way transfer of information between the patient and physician. The captured information in the electronic health record will facilitate physicians to have a chronological account of the patient's diabetes history and enable tweaking of the treatment. Objective: The objectives of the study are (1) to develop the HIS-integrated Electronic Diabetes Diary (EDDy) per the end-user expectations at a tertiary care hospital in a south Indian state with a high prevalence of T2DM and (2) to evaluate and test adherence to EDDy in the management of T2DM. Methods: The study will be carried out in 3 phases. Phase 1 involved in-depth interviews with primary end users to gather information regarding their expectations from the hospital-based EDDy. Phase 2 will use this information to develop a customized mHealth app using an iterative model of software development. Phase 3 will involve a pre- and posttest design; the developed app will be tested among consenting patients, where physicians will receive the patients' data through the HIS-integrated mHealth app. The pre- and posttest values will be analyzed for adherence leading to improvement in patients' self-management of blood glucose, user experience, glycemic control, and clinical utility. Results: Phase 1 was completed on November 28, 2023. Phase 2 commenced in December 2023 and will end in May 2025. Phase 3 will follow afterward. Conclusions: The proposed app will include a convenient and simple alert system that enables the patient to test glucose values at self-selected intervals, provide grading options to enter diabetic-related complications, enhance patients' knowledge of tracking and managing the complications of diabetes, and help in maintaining the visual representation of glucose values and complications. The simplicity and usability of the modules are its novelty, which may motivate the patients to keep track of their glucose values and help them attain better health outcomes. Trial Registration: Clinical Trial Registry India CTRI/2023/03/051077; http://tinyurl.com/4tau4ndb. International Registered Report Identifier (irrid): PRR1-10.2196/50732. (©Geena Skaria, Bhageerathy Reshmi, Sabu K M, Sahana Shetty, Vani Lakshmi R. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 23.01.2024.)
Databáze:	MEDLINE
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