Wong Jenise C, Neinstein Aaron B, Look Howard, Arbiter Brandon, Chokr Nora, Ross Cassie, Adi Saleh
1 Division of Endocrinology, Department of Pediatrics, Madison Clinic for Pediatric Diabetes, University of California, San Francisco, San Francisco, CA, USA.
2 Division of Endocrinology and Metabolism, Department of Medicine, Center for Digital Health Innovation, University of California, San Francisco, San Francisco, CA, USA.
J Diabetes Sci Technol. 2017 Jul;11(4):800-807. doi: 10.1177/1932296817691305. Epub 2017 Feb 8.
A novel software application, Blip, was created to combine and display diabetes data from multiple devices in a uniform, user-friendly manner. The objective of this study was to test the usability of this application by adults and caregivers of children with type 1 diabetes (T1D).
Patients (n = 35) and caregivers of children with T1D (n = 30) using an insulin pump for >1 year ± CGM were given access to the software for 3 months. Diabetes management practices and the use of diabetes data were assessed at baseline and at study end, and feedback was gathered in a concluding questionnaire.
At baseline, 97% of participants agreed it was important for patients to know how to interpret glucose data. Most felt that clinicians and patients should share the tasks of reviewing data, finding patterns, and making changes to their insulin plans. However, despite valuing shared responsibility, at baseline, 43% of participants never downloaded pump data, and only 9% did so at least once per month. At study end, 72% downloaded data at least once during the 3-month study, and 38% downloaded at least once per month. Regarding the software application, participants liked the central repository of data and the user interface. Suggestions included providing tools for understanding and interpreting glucose patterns, an easier uploading process, and access with mobile devices.
Collaboration between developers and researchers prompted iterative, rapid development of data visualization software and improvements in the uploading process and user interface, which facilitates clinical integration and future clinical studies.
创建了一种名为Blip的新型软件应用程序，用于以统一、用户友好的方式合并和显示来自多个设备的糖尿病数据。本研究的目的是测试1型糖尿病（T1D）儿童的成人患者及其护理人员对该应用程序的可用性。
使用胰岛素泵超过1年±连续血糖监测（CGM）的T1D患者（n = 35）及其护理人员（n = 30）可以使用该软件3个月。在基线和研究结束时评估糖尿病管理实践和糖尿病数据的使用情况，并在总结问卷中收集反馈意见。
在基线时，97%的参与者认为患者了解如何解读血糖数据很重要。大多数人认为临床医生和患者应共同承担审查数据、发现模式以及调整胰岛素计划的任务。然而，尽管重视共同责任，但在基线时，43%的参与者从未下载过泵数据，只有9%的参与者每月至少下载一次。在研究结束时，72%的参与者在为期3个月的研究期间至少下载了一次数据，38%的参与者每月至少下载一次。关于该软件应用程序，参与者喜欢数据的中央存储库和用户界面。建议包括提供用于理解和解读血糖模式的工具、更简便的上传过程以及通过移动设备访问。
开发者和研究者之间的合作促使了数据可视化软件的迭代、快速开发以及上传过程和用户界面的改进，这有助于临床整合和未来的临床研究。
