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      Needs and preferences regarding a mobile application to support diabetic foot self-care Translated title: Necessidades y preferencias sobre una aplicación móvil de apoyo al autocuidado del pie diabético Translated title: Necessidades e preferências relativas a aplicativo móvel de suporte ao autocuidado com o pé diabético

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          Abstract

          ABSTRACT Objective: To identify the needs and preferences of individuals with type 2 diabetes regarding the functionalities and characteristics for a mobile application to support foot self-care. Method: Qualitative research with 16 individuals diagnosed with type 2 diabetes recruited during clinical care at a university hospital in Porto, Portugal. Data were collected through semi-structured interviews between March and June 2022 and analyzed using inductive content analysis. Results: Three categories and nine subcategories were identified. Categories included informational needs, essential functionalities for foot health self-care, and user-relevant experience. The preference for objective, limited data input, flexible, and customizable applications was an important factor influencing technology engagement. Conclusion: The research highlighted a preference for customizable and flexible applications, aiding nurses in creating solutions that transform care delivery and enhance the quality of life for individuals living with diabetes.

          Translated abstract

          RESUMEN Objetivo: Identificar las necesidades y preferencias de personas con diabetes tipo 2 con respecto a las funcionalidades y características de una aplicación móvil de apoyo al autocuidado del pie. Método: Investigación cualitativa con 16 personas diagnosticadas con diabetes tipo 2 reclutadas durante la atención clínica en un hospital universitario de Porto, Portugal. Los datos se recopilaron mediante entrevistas semiestructuradas entre marzo y junio de 2022 y se analizaron utilizando análisis de contenido inductivo. Resultados: Identificamos tres categorías y nueve subcategorías. Las categorías incluyeron necesidades informativas, funcionalidades esenciales para el autocuidado del pie, y experiencia relevante del usuário. La preferencia por aplicaciones objetivas, con entrada limitada de datos, flexibles y personalizables fue un factor importante que influyó en el compromiso con la tecnología. Conclusión: La investigación resaltó la preferencia por aplicaciones personalizables y flexibles, ayudando a los enfermeros a crear soluciones que transforman la prestación de cuidados y mejoran la calidad de vida de las personas que viven con diabetes.

          Translated abstract

          RESUMO Objetivo: Identificar as necessidades e preferências de pessoas com diabetes tipo 2 relativamente às funcionalidades e características de um aplicativo móvel de suporte ao autocuidado com os pés. Método: Pesquisa qualitativa com 16 pessoas com diabetes tipo 2 recrutadas durante o atendimento clínico em um hospital do Porto, Portugal. Os dados foram coletados por meio de entrevistas semiestruturadas entre março e junho de 2022 e analisados utilizando análise de conteúdo indutiva. Resultados: Identificamos três categorias e nove subcategorias. Categorias incluíram necessidades informacionais, funcionalidades essenciais para o autocuidado dos pés e experiência relevante do usuário. A preferência por aplicativos objetivos, com entrada de dados limitada, flexível e personalizável, foi um fator importante que influenciou o envolvimento com a tecnologia. Conclusão: A pesquisa destacou a preferência por aplicativos personalizáveis e flexíveis, ajudando enfermeiros a criarem soluções que podem transformar a prestação de cuidados e melhorar a qualidade de vida de quem vive com diabetes.

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          "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician.

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            Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: A systematic review

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              Mobile phone applications and their use in the self-management of Type 2 Diabetes Mellitus: a qualitative study among app users and non-app users

              Background Mobile phone applications (apps) have been shown to successfully facilitate the self-management of chronic disease. This study aims to evaluate firstly the experiences, barriers and facilitators to app usage among people with Type 2 Diabetes Mellitus (T2DM) and secondly determine recommendations to improve usage of diabetes apps. Methods Participants were aged ≥ 18 years with a diagnosis of T2DM for ≥ 6 months. Semi-structured phone-interviews were conducted with 16 app and 14 non-app users. Interviews were based on the Technology Acceptance Model, Health Information Technology Acceptance Model (HITAM) and the Mobile Application Rating Scale. Data were analysed using deductive content analysis. Results Most app-users found apps improved their T2DM self-management and health. The recommendation of apps by health professionals, as well as positive interactions with them, improved satisfaction; however, only a minority of patients had practitioners involved in their app use. All non-app users had never had the concept discussed with them by a health professional. Facilitators to app use included the visual representation of trends, intuitive navigation and convenience (for example, discretion and portability). Barriers to app use were participant’s lack of knowledge and awareness of apps as healthcare tools, perceptions of disease severity, technological and health literacy or practical limitations such as rural connectivity. Factors contributing to app use were classified into a framework based on the Health Belief Model and HITAM. Recommendations for future app design centred on educational features, which were currently lacking (e.g. diabetes complications, including organ damage and hypoglycaemic episodes), monitoring and tracking features (e.g. blood glucose level monitoring with trends and dynamic tips and comorbidities) and nutritional features (e.g. carbohydrate counters). Medication reminders were not used by participants. Lastly, participants felt that receiving weekly text-messaging relating to their self-management would be appropriate. Conclusions The incorporation of user-centred features, which engage T2DM consumers in self-management tasks, can improve health outcomes. The findings may guide app developers and entrepreneurs in improving app design and usability. Given self-management is a significant factor in glycaemic control, these findings are significant for GPs, nurse practitioners and allied health professionals who may integrate apps into a holistic management plan which considers strategies outside the clinical environment.
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                Author and article information

                Journal
                rgenf
                Revista Gaúcha de Enfermagem
                Rev. Gaúcha Enferm.
                Universidade Federal do Rio Grande do Sul. Escola de Enfermagem (Porto Alegre, RS, Brazil )
                0102-6933
                1983-1447
                2024
                : 45
                : e20230165
                Affiliations
                [3] Porto orgnameRede de Investigação em Saúde orgdiv1Centro de Investigação em Tecnologias e Serviços de Saúde Portugal
                [2] Porto orgnameEscola Superior de Enfermagem do Porto Portugal
                [1] Porto orgnameUniversidade do Porto orgdiv1Instituto de Ciências Biomédicas Abel Salazar orgdiv2Programa Doutoral em Ciências de Enfermagem Portugal
                Article
                S1983-14472024000100417 S1983-1447(24)04500000417
                10.1590/1983-1447.2024.20230165.en
                5fea74a1-f1d7-4aa9-b970-f98f9b7cf92b

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 09 August 2023
                : 06 November 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 37, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Original Article

                Smartphone,Aplicaciones móviles,Autocuidado,Evaluación de necesidades,Pie diabético,Prioridad del paciente,Teléfono inteligente,Aplicativos móveis,Determinação de necessidades de cuidados de saúde,Pé diabético,Mobile applications,Self-care,Needs assessment,Diabetic foot,Mobile applications.Patientpreference,Preferência do paciente

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