Designing to enhance experiences through mobile-based applications for gestational diabetes mellitus | Intellect Skip to content
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Design for Medicine and Healthcare
  • ISSN: 2055-2106
  • E-ISSN: 2055-2114

Abstract

Gestational diabetes mellitus (GDM) is the fastest growing type of diabetes in Australia, with the needs, barriers and challenges of women managing GDM being well recognized in the literature. Despite these recent advances in knowledge, mobile-based offerings designed to assist women with their management do not holistically address users’ needs. This study therefore aims to answer how the features and functionalities of a mobile-based application could be designed to better address GDM patient needs. We undertook a co-design session with four GDM stakeholders and identified eleven overarching issues across four main themes that encapsulate the requirements of women with GDM: (1) tracking and monitoring, (2) physical activity, (3) community support and (4) dietary interventions. The results were synthesized into key design considerations for the future design of mobile applications in the GDM context. These considerations include unobtrusive care, support through connection, increasing capability and personalization of information. Each consideration is accompanied by design recommendations for features and functionalities to be implemented in future app developments.

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2020-10-01
2024-03-29
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References

  1. Borgen, I.,, Garnweidner-Holme, L.,, Jacobsen, A.,, Bjerkan, K.,, Fayyas, S.,, Joranger, P.,, Lilleengen, A.,, Mosdøl, A.,, Noll, J.,, Småstuen, M.,, Terragni, L.,, Torhein, L., and Lukasse, M.. ( 2017;), ‘ Smartphone application for women with gestational diabetes mellitus: A study protocol for a multicentre randomised controlled trial. ’, BMJ Open, 7:3, pp. 17.
    [Google Scholar]
  2. Braun, V., and Clarke, V.. ( 2006;), ‘ Using thematic analysis in psychology. ’, Qualitative Research in Psychology, 3:2, pp. 77101.
    [Google Scholar]
  3. Buchanan, T. A., and Xiang, A. H.. ( 2005;), ‘ Gestational diabetes mellitus. ’, The Journal of Clinical Investigation, 115:3, pp. 48591.
    [Google Scholar]
  4. Carolan, M.. ( 2013;), ‘ Women’s experiences of gestational diabetes self-management: A qualitative study. ’, Midwifery, 29:6, pp. 63745.
    [Google Scholar]
  5. Carolan-Olah, M.,, Duarte-Gardea, M.,, Lechuga, J., and Salinas-Lopez, S.. ( 2017;), ‘ The experience of gestational diabetes mellitus (GDM) among Hispanic women in the U.S. border region. ’, Sexual and Reproductive Healthcare, 12, pp. 1623.
    [Google Scholar]
  6. Chomutare, T.,, Fernandez-Luque, L.,, Årsand, E., and Hartvigsen, G.. ( 2011;), ‘ Features of mobile diabetes applications: Review of the literature and analysis of current applications compared against evidence-based guidelines. ’, Journal of Medical Internet Research, 13:3, p. 65.
    [Google Scholar]
  7. Crowther, C.,, Hiller, J.,, Moss, J.,, McPhee, A.,, Jeffries, W., and Robinson, J.. ( 2005;), ‘ Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. ’, The New England Journal of Medicine, 352:24, pp. 7786.
    [Google Scholar]
  8. Cui, M.,, Wu, X.,, Mao, J.,, Wang, X., and Nie, M.. ( 2016;), ‘ T2DM self-management via smartphone applications: A systematic review and meta-analysis. ’, PLoS One, 11:11, p. 115.
    [Google Scholar]
  9. Devsam, B. U.,, Bogossian, F. E., and Peacock, A. S.. ( 2013;), ‘ An interpretive review of women’s experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment. ’, Women and Birth, 26, pp. 6976.
    [Google Scholar]
  10. Diabetes Australia ( 2015;), ‘ Gestational diabetes. ’, Diabetes Australia , https://www.diabetesaustralia.com.au/gestational-diabetes. Accessed on 31 March 2019.
  11. Draffin, C.,, Alderdice, F.,, McCance, D.,, Maresh, M.,, Harper, R.,, McSorley, O., and Holmes, V.. ( 2016;), ‘ Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study. ’, Midwifery, 40, pp. 14147.
    [Google Scholar]
  12. Farrar, D.,, Tuffnell, D. J.,, West, J., and West, H. M.. ( 2016;), ‘ Continuous subcutaneous insulin infusion versus multiple daily injections of insulin for pregnant women with diabetes. ’, Cochrane Database of Systematic Reviews, 6, pp. 139.
    [Google Scholar]
  13. Garnweidner-Holme, L.,, Borgen, I.,, Garitano, I.,, Noll, J., and Lukasse, M.. ( 2015;), ‘ Designing and developing a mobile smartphone application for women with gestational diabetes mellitus followed-up at diabetes outpatient clinics in Norway. ’, Healthcare (Basel), 3:2, pp. 31023.
    [Google Scholar]
  14. Holtzblatt, K.,, Wendell, J. B., and Wood, S.. ( 2005;), ‘ Chapter 8, Building an affinity diagram. ’, in Rapid Contextual Design, Burlington, MA:: Morgan Kaufmann;.
    [Google Scholar]
  15. Holzinger, U.,, Warszawska, J.,, Kitzberger, R.,, Wewalka, M.,, Miehsler, W.,, Herkner, H., and Madl, C.. ( 2010;), ‘ Real-time continuous glucose monitoring in critically ill patients. ’, Diabetes Care, 33:3, pp. 46772.
    [Google Scholar]
  16. Kaptein, S.,, Evans, M.,, McTavish, S.,, Banerjee, A.,, Feig, D.,, Lowe, J., and Lipscombe, L.. ( 2015;), ‘ The subjective impact of a diagnosis of gestational diabetes among ethnically diverse pregnant women: A qualitative study. ’, Canadian Journal of Diabetes, 39:2, pp. 11722.
    [Google Scholar]
  17. Kjos, S. L., and Buchanan, T. A.. ( 1999;), ‘ Gestational diabetes mellitus. ’, New England Journal of Medicine, 341:23, pp. 174956.
    [Google Scholar]
  18. Langer, O.,, Yogev, Y.,, Most, O., and Xenakis, E.. ( 2005;), ‘ Gestational diabetes: The consequences of not treating. ’, American Journal of Obstetrics and Gynecology, 192:4, pp. 98997.
    [Google Scholar]
  19. Miremberg, H.,, Ben-Ari, T.,, Betzer, T.,, Raphaeli, H.,, Gasnier, R.,, Barda, G.,, Bar, J., and Weiner, E.. ( 2018;), ‘ The impact of a daily smartphone-based feedback system among women with gestational diabetes on compliance, glycemic control, satisfaction, and pregnancy outcome: A randomized controlled trial. ’, American Journal of Obstetrics and Gynecology, 218:4, pp. 453.e1e7.
    [Google Scholar]
  20. National Diabetes Service Scheme (NDSS) ( 2015;), ‘ Gestational diabetes. ’, National Diabetes Service Scheme (NDSS) , September, https://www.ndss.com.au/gestational-diabetes. Accessed 10 April 2019.
  21. Neufeld, H.. ( 2011;), ‘ Food perceptions and concerns of aboriginal women coping with gestational diabetes in Winnipeg, Manitoba. ’, Journal of Nutrition Education and Behavior, 43:6, pp. 48491.
    [Google Scholar]
  22. Nolan, J. A.,, McCrone, S., and Chertok, I. R.. ( 2011;), ‘ The maternal experience of having diabetes in pregnancy. ’, Journal of the American Academy of Nurse Practitioners, 23:11, pp. 61118.
    [Google Scholar]
  23. O’Reilly, S. L., and Laws, R.. ( 2018;), ‘ Health-e mums: Evaluating a smartphone app design for diabetes prevention in women with previous gestational diabetes. ’, Nutrition & Dietetics, 76:5, pp. 50714.
    [Google Scholar]
  24. Pérez-Ferre, N.,, Galindo, M.,, Fernández, D.,, Velasco, V.,, Runkle, I.,, de la Cruz, J.,, Rojas-Marcos, P. M.,, del Valle, L., and Calle-Pascual, A. L.. ( 2010;), ‘ The outcomes of gestational diabetes mellitus after a telecare approach are not inferior to traditional outpatient clinic visits. ’, International Journal of Endocrinology, pp. 16.
    [Google Scholar]
  25. Skar, J.,, Garnweidner-Holme, L.,, Lukasse, M., and Terragni, L.. ( 2018;), ‘ Women’s experiences with using a smartphone app (the Pregnant+ app) to manage gestational diabetes mellitus in a randomised controlled trial. ’, Midwifery, 58, pp. 10208.
    [Google Scholar]
  26. Vashist, S. K.,, Schneider, E. M., and Luong, J. H. T.. ( 2014;), ‘ Commercial smartphone-based devices and smart applications for personalized healthcare monitoring and management. ’, Diagnostics, 4:3, pp. 10428
    [Google Scholar]
  27. World Health Organization (WHO) ( 1999;), Definition, Diagnosis and Classification of Diabetes Mellitus and Its Complications. Part 1: Diagnosis and Classification of Diabetes Mellitus. , Geneva:: World Health Organization;, pp. 159.
    [Google Scholar]
  28. Wrigley, C, and Straker, K.. ( 2018), Affected: Emotionally Engaging Customers in the Digital Age, Melbourne:: Wiley & Sons;.
    [Google Scholar]
  29. Phillips, Miranda,, Page, Lindsay,, Straker, Karla, and Nusem, Erez. ( 2020;), ‘ Designing to enhance experiences through mobile-based applications for gestational diabetes mellitus. ’, Journal of Design, Business & Society, 6:2, pp. 259277, doi: https://doi.org/10.1386/dbs_00014_1
    [Google Scholar]
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