Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care

IntroductionThe perspectives of healthcare professionals (HCPs) are pivotal to co-development of self-management strategies for patients with diabetes. However, literature has been largely limited to perspectives of patients within the context of a Western healthcare setting. This study aims to expl...

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Main Authors: Sungwon Yoon, Jun Hao Ng, Yu Heng Kwan, Lian Leng Low
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-02-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.793473/full
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author Sungwon Yoon
Sungwon Yoon
Jun Hao Ng
Yu Heng Kwan
Yu Heng Kwan
Yu Heng Kwan
Lian Leng Low
Lian Leng Low
Lian Leng Low
Lian Leng Low
Lian Leng Low
author_facet Sungwon Yoon
Sungwon Yoon
Jun Hao Ng
Yu Heng Kwan
Yu Heng Kwan
Yu Heng Kwan
Lian Leng Low
Lian Leng Low
Lian Leng Low
Lian Leng Low
Lian Leng Low
author_sort Sungwon Yoon
collection DOAJ
description IntroductionThe perspectives of healthcare professionals (HCPs) are pivotal to co-development of self-management strategies for patients with diabetes. However, literature has been largely limited to perspectives of patients within the context of a Western healthcare setting. This study aims to explore factors influencing diabetes self-management in adult patients with diabetes from the perspectives of HCPs and their views of the value of mHealth application for diabetes self-management.Materials and MethodsWe conducted focus group discussions (FGD) with purposively selected HCPs in Singapore. All FGDs were audio-recorded and transcribed verbatim. Thematic analysis was conducted using NVivo 12.ResultsA total of 56 HCPs participated in the study. Barriers to self-management included limited patient commitment to lifestyle changes, suboptimal adherence to medication and treatment, patient resistance to insulin initiation and insufficient rapport between patients and HCPs. Patients’ perceived susceptibility to complications, social support from family and community, multidisciplinary team care and patient’s understanding of the benefits of self-care were viewed as facilitating self-management. HCPs saw mHealth apps as a vital opportunity to engage patients in the self-management of conditions and empower them to foster behavior changes. Yet, there were concerns regarding patient’s limited digital literacy, lack of integration into routine electronic system and reluctance.DiscussionWe identified a set of factors influencing self-management in adult patients with diabetes and useful app features that can empower patients to manage their conditions. Findings will inform the development of a mHealth application, and its features designed to improve self-care.
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spelling doaj.art-6ece109179b24ddc8c71b6f78239da1b2022-12-21T20:20:57ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-02-011310.3389/fendo.2022.793473793473Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-CareSungwon Yoon0Sungwon Yoon1Jun Hao Ng2Yu Heng Kwan3Yu Heng Kwan4Yu Heng Kwan5Lian Leng Low6Lian Leng Low7Lian Leng Low8Lian Leng Low9Lian Leng Low10Health Services and Systems Research, Duke-NUS Medical School, Singapore, SingaporeCentre for Population Health Research and Implementation, SingHealth Regional Health System, Singapore, SingaporeDuke-NUS Medical School, Singapore, SingaporeHealth Services and Systems Research, Duke-NUS Medical School, Singapore, SingaporeDepartment of Pharmacy, National University of Singapore, Singapore, SingaporeInternal Medicine Residency Programme, SingHealth Residency, Singapore, SingaporeCentre for Population Health Research and Implementation, SingHealth Regional Health System, Singapore, SingaporeDuke-NUS Medical School, Singapore, SingaporeDepartment of Family Medicine and Continuing Care, Singapore General Hospital, Singapore, SingaporePost-Acute and Continuing Care, Outram Community Hospital, Singapore, SingaporeSingHealth Duke-NUS Family Medicine Academic Clinical Program, Singapore, SingaporeIntroductionThe perspectives of healthcare professionals (HCPs) are pivotal to co-development of self-management strategies for patients with diabetes. However, literature has been largely limited to perspectives of patients within the context of a Western healthcare setting. This study aims to explore factors influencing diabetes self-management in adult patients with diabetes from the perspectives of HCPs and their views of the value of mHealth application for diabetes self-management.Materials and MethodsWe conducted focus group discussions (FGD) with purposively selected HCPs in Singapore. All FGDs were audio-recorded and transcribed verbatim. Thematic analysis was conducted using NVivo 12.ResultsA total of 56 HCPs participated in the study. Barriers to self-management included limited patient commitment to lifestyle changes, suboptimal adherence to medication and treatment, patient resistance to insulin initiation and insufficient rapport between patients and HCPs. Patients’ perceived susceptibility to complications, social support from family and community, multidisciplinary team care and patient’s understanding of the benefits of self-care were viewed as facilitating self-management. HCPs saw mHealth apps as a vital opportunity to engage patients in the self-management of conditions and empower them to foster behavior changes. Yet, there were concerns regarding patient’s limited digital literacy, lack of integration into routine electronic system and reluctance.DiscussionWe identified a set of factors influencing self-management in adult patients with diabetes and useful app features that can empower patients to manage their conditions. Findings will inform the development of a mHealth application, and its features designed to improve self-care.https://www.frontiersin.org/articles/10.3389/fendo.2022.793473/fulldiabetesself-managementhealthcare professionalmobile health applicationbehavior change
spellingShingle Sungwon Yoon
Sungwon Yoon
Jun Hao Ng
Yu Heng Kwan
Yu Heng Kwan
Yu Heng Kwan
Lian Leng Low
Lian Leng Low
Lian Leng Low
Lian Leng Low
Lian Leng Low
Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care
Frontiers in Endocrinology
diabetes
self-management
healthcare professional
mobile health application
behavior change
title Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care
title_full Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care
title_fullStr Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care
title_full_unstemmed Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care
title_short Healthcare Professionals’ Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care
title_sort healthcare professionals views of factors influencing diabetes self management and the utility of a mhealth application and its features to support self care
topic diabetes
self-management
healthcare professional
mobile health application
behavior change
url https://www.frontiersin.org/articles/10.3389/fendo.2022.793473/full
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