Yee Lynn M, Leziak Karolina, Jackson Jenise, Niznik Charlotte, Saber Rana, Yeh Chen, Simon Melissa A
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL.
Diabetes Spectr. 2023 May;36(2):171-181. doi: 10.2337/ds22-0014. Epub 2022 Oct 6.
Mobile health tools may be effective strategies to improve engagement, education, and diabetes-related health during pregnancy. We developed SweetMama, a patient-centered, interactive mobile application (app) designed to support and educate low-income pregnant people with diabetes. Our objective was to evaluate the SweetMama user experience and acceptability.
SweetMama is a mobile app with static and dynamic features. Static features include a customized homepage and resource library. Dynamic features include delivery of a theory-driven diabetes-specific curriculum via ) motivational, tip, and goal-setting messages aligning with treatment and gestational age; ) appointment reminders; and ) ability to mark content as "favorite." In this usability assessment, low-income pregnant people with gestational or type 2 diabetes used SweetMama for 2 weeks. Participants provided qualitative feedback (via interviews) and quantitative feedback (via validated usability/satisfaction measures) on their experience. User analytic data detailed the duration and type of interactions users had with SweetMama.
Of 24 individuals enrolled, 23 used SweetMama and 22 completed exit interviews. Participants were mostly non-Hispanic Black (46%) or Hispanic (38%) individuals. Over the 14-day period, users accessed SweetMama frequently (median number of log-ins 8 [interquartile range 6-10]), for a median of 20.5 total minutes, and engaged all features. A majority (66.7%) rated SweetMama as having moderate or high usability. Participants emphasized design and technical strengths and beneficial effects on diabetes self-management and also identified limitations of the user experience.
Pregnant people with diabetes found SweetMama to be user-friendly, informative, and engaging. Future work must study its feasibility for use throughout pregnancy and its efficacy to improve perinatal outcomes.
移动健康工具可能是改善孕期参与度、教育水平及与糖尿病相关健康状况的有效策略。我们开发了SweetMama，这是一款以患者为中心的交互式移动应用程序（应用），旨在为低收入糖尿病孕妇提供支持和教育。我们的目标是评估SweetMama的用户体验和可接受性。
SweetMama是一款具有静态和动态功能的移动应用。静态功能包括定制的主页和资源库。动态功能包括通过以下方式提供理论驱动的糖尿病特定课程：）与治疗和孕周相符的激励、提示和目标设定信息；）预约提醒；以及）将内容标记为“收藏”的功能。在这项可用性评估中，患有妊娠期糖尿病或2型糖尿病的低收入孕妇使用SweetMama两周。参与者就其体验提供了定性反馈（通过访谈）和定量反馈（通过经过验证的可用性/满意度测量）。用户分析数据详细记录了用户与SweetMama互动的时长和类型。
在登记的24人中，23人使用了SweetMama，22人完成了退出访谈。参与者大多是非西班牙裔黑人（46%）或西班牙裔（38%）个体。在14天的时间里，用户频繁访问SweetMama（登录次数中位数为8次[四分位间距为6 - 10次]），总时长中位数为20.5分钟，并使用了所有功能。大多数（66.7%）将SweetMama评为具有中等或高可用性。参与者强调了设计和技术优势以及对糖尿病自我管理的有益影响，同时也指出了用户体验的局限性。
糖尿病孕妇发现SweetMama用户友好、信息丰富且引人入胜。未来的工作必须研究其在整个孕期使用的可行性及其改善围产期结局的功效。
