Evidence map›Paper›PMID 33635279›Full record

ArticleJMIR formative research2021

Perspectives From Underserved African Americans and Their Health Care Providers on the Development of a Diabetes Self-Management Smartphone App: Qualitative Exploratory Study.

Tai Barber-Gumbs, Ylva Trolle Lagerros, Laura M Sena, Joel Gittelsohn, Larry W Chang, Wayne W Zachary, Pamela J Surkan

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Tai Barber-GumbsProgram in Public Health, Johns Hopkins University, Baltimore, MD, United States.ORCID https://orcid.org/0000-0003-0852-2236
Ylva Trolle LagerrosDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-6816-7577
Laura M SenaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID https://orcid.org/0000-0003-2812-2491
Joel GittelsohnDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID https://orcid.org/0000-0003-2761-3280
Larry W ChangDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.ORCID https://orcid.org/0000-0001-7985-4567
Wayne W Zachary *Starship Health Technologies, LLC, Fort Washington, PA, United States.ORCID https://orcid.org/0000-0001-5610-6777
Pamela J Surkan *Social and Behavioral Interventions Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID https://orcid.org/0000-0002-0334-5931
Johns Hopkins University · USKarolinska Institutet · SEStarship Health Technologies (United States) · US

Funding

A diabetes networking tool to enhance self-management through social networksR21NR015577 · NINR · JOHNS HOPKINS UNIVERSITY · PI SURKAN, PAMELA J, ZACHARY, WAYNE W · 2015 to 2016
$460k
A generalized Diabetes Networking Tool (DNT) to enhance social support for patient self managementR43DK119079 · NIDDK · STARSHIP HEALTH TECHNOLOGIES · PI SURKAN, PAMELA J, ZACHARY, WAYNE W · 2018 to 2018
$253k
NIDDK NIH HHS R43 DK119079NINR NIH HHS R21 NR015577
6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) affects approximately 10% of the US population, disproportionately afflicting African Americans. Smartphone apps have emerged as promising tools to improve diabetes self-management, yet little is known about the use of this approach in low-income minority communities.

objectiveThe goal of the study was to explore which features of an app were prioritized for people with T2DM in a low-income African American community.

methodsBetween February 2016 and May 2018, we conducted formative qualitative research with 78 participants to explore how a smartphone app could be used to improve diabetes self-management. Information was gathered on desired features, and app mock-ups were presented to receive comments and suggestions of improvements from smartphone users with prediabetes and T2DM, their friends and family members, and health care providers; data were collected from six interactive forums, one focus group, and 15 in-depth interviews. We carried out thematic data analysis using an inductive approach.

resultsAll three types of participants reported that difficulty with accessing health care was a main problem and suggested that an app could help address this. Participants also indicated that an app could provide information for diabetes education and self-management. Other suggestions included that the app should allow people with T2DM to log and track diabetes care-related behaviors and receive feedback on their progress in a way that would increase engagement in self-management among persons with T2DM.

conclusionsWe identified educational and tracking smartphone features that can guide development of diabetes self-management apps for a low-income African American population. Considering those features in combination gives rise to opportunities for more advanced support, such as determining self-management recommendations based on data in users' logs.

Indexed as

diabetesdiabetes self-managementmHealthmobile appmobile phonetype 2 diabetes mellitus

Identifiers

PMID33635279
PMCPMC7954654
OpenAlexW3112317633

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.