Rossmann Constanze, Riesmeyer Claudia, Brew-Sam Nicola, Karnowski Veronika, Joeckel Sven, Chib Arul, Ling Rich
Department of Media and Communication Science, University of Erfurt, Erfurt, Germany.
Ludwig Maximilian University of Munich, Munich, Germany.
JMIR Diabetes. 2019 Mar 29;4(1):e10271. doi: 10.2196/10271.
To achieve clarity on mobile health's (mHealth's) potential in the diabetes context, it is necessary to understand potential users' needs and expectations, as well as the factors determining their mHealth use. Recently, a few studies have examined the user perspective in the mHealth context, but their explanatory value is constrained because of their limitation to adoption factors.
This paper uses the mobile phone appropriation model to examine how individuals with type 1 or type 2 diabetes integrate mobile technology into their everyday self-management. The study advances the field beyond mere usage metrics or the simple dichotomy of adoption versus rejection.
Data were gathered in 2 qualitative studies in Singapore and Germany, with 21 and 16 respondents, respectively. Conducting semistructured interviews, we asked respondents about their explicit use of diabetes-related apps, their general use of varied mobile technologies to manage their disease, and their daily practices of self-management.
The analysis revealed that although some individuals with diabetes used dedicated diabetes apps, most used tools across the entire mobile-media spectrum, including lifestyle and messaging apps, traditional health information websites and forums. The material indicated general barriers to usage, including financial, technical, and temporal restrictions.
In sum, we find that use patterns differ regarding users' evaluations, expectancies, and appropriation styles, which might explain the inconclusive picture of effects studies in the diabetes mHealth context.
为了明确移动健康（mHealth）在糖尿病领域的潜力，有必要了解潜在用户的需求和期望，以及决定他们使用mHealth的因素。最近，一些研究考察了mHealth背景下的用户视角，但由于其局限于采纳因素，其解释价值有限。
本文运用手机挪用模型来研究1型或2型糖尿病患者如何将移动技术融入日常自我管理中。该研究使该领域超越了单纯的使用指标或采纳与拒绝的简单二分法。
在新加坡和德国开展了两项定性研究收集数据，分别有21名和16名受访者。通过进行半结构化访谈，我们询问受访者有关他们对糖尿病相关应用程序的明确使用情况、他们使用各种移动技术来管理疾病的一般情况以及他们的日常自我管理实践。
分析表明，虽然一些糖尿病患者使用专门的糖尿病应用程序，但大多数人使用整个移动媒体范围内的工具，包括生活方式和信息应用程序、传统健康信息网站和论坛。资料显示了使用方面的一般障碍，包括财务、技术和时间限制。
总之，我们发现用户在评估、期望和挪用方式方面的使用模式存在差异，这可能解释了糖尿病mHealth背景下效果研究结果不明确的情况。
