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开发和评估一款用于监测 1 型糖尿病治疗因素之间关联的移动医疗应用。

Development and Assessment of a Mobile Health Application for Monitoring the Linkage Among Treatment Factors of Type 1 Diabetes Mellitus.

机构信息

Graduate Program in Applied Computing, Institute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, Brazil.

IMED Medical School, Passo Fundo, Brazil.

出版信息

Telemed J E Health. 2020 Feb;26(2):205-217. doi: 10.1089/tmj.2018.0329. Epub 2019 Feb 6.

Abstract

In the daily routine of type 1 diabetes mellitus (T1DM), the patients deal with many data and consider many variables to perform actions, decisions, and regimen adjustments. There is a need to apply filtering techniques to extract relevant information and provide appropriate data visualization methods to assist in clinical tasks and decision making. To present Soins DM, a mobile health tool, for monitoring the linkage among treatment factors of T1DM with an interactive data visualization approach. First, we performed a literature review, a commercial search, and ideation. Next, we created a prototype and an online survey for its feedback, with participation of 76 individuals. Afterward, the mobile app and its website version were built. Eventually, we conducted a pilot experiment with 4 patients, an online experiment for satisfaction assessment with 97 patients, and an online assessment by 9 health professionals. Prototyping and feedback facilitated the design refinement. Soins DM enables the recording of data from routines of glycemia, insulin applications, meals, and physical exercises. From these logs, the app builds two different ways of interactive data visualization, a timeline and an integrated chart, providing personalized feedback on bad glycemia with its possible causes. The assessments revealed overall satisfaction with the app's characteristics. Soins DM is a novel application with interactive visualization and personalized feedback for easy identification of the linkage among treatment factors of T1DM. The test scenario with patients and health professionals indicates Soins DM as a useful and reliable tool.

摘要

在 1 型糖尿病(T1DM)的日常管理中,患者需要处理大量数据并考虑许多变量来执行操作、做出决策和调整治疗方案。因此需要应用过滤技术来提取相关信息,并提供适当的数据可视化方法来辅助临床任务和决策。本文旨在介绍 Soins DM,这是一种用于监测 T1DM 治疗因素之间关联的移动医疗工具,采用了交互式数据可视化方法。 首先,我们进行了文献综述、商业搜索和创意构思。然后,我们创建了一个原型并进行了在线调查以获取反馈,共有 76 人参与。之后,我们构建了移动应用程序及其网站版本。最终,我们对 4 名患者进行了试点实验,对 97 名患者进行了在线满意度评估,以及对 9 名健康专业人员进行了在线评估。原型设计和反馈促进了设计的完善。Soins DM 可以记录血糖、胰岛素应用、进餐和运动等日常数据。根据这些日志,应用程序构建了两种不同的交互式数据可视化方式,即时间线和综合图表,提供个性化的低血糖反馈及其可能的原因。评估结果显示,患者和健康专业人员对应用程序的特性总体满意度较高。Soins DM 是一种具有交互可视化和个性化反馈功能的新型应用程序,可轻松识别 T1DM 治疗因素之间的关联。患者和健康专业人员的测试场景表明,Soins DM 是一种有用且可靠的工具。

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