Wyche Susan, Olson Jennifer, Karanu Mary, Omondi Eric, Olonyo Mike
Michigan State University, Department of Media and Information, USA.
Rural Outreach Africa, Kenya.
Proc ACM Hum Comput Interact. 2024 Nov;8(CSCW2). doi: 10.1145/3687045. Epub 2024 Nov 8.
The prevalence of Type 1 Diabetes (T1D) among youth is increasing worldwide. Mobile phones, particularly mHealth applications, can potentially improve youth's management of this chronic condition. However, the design of these services rarely accounts for users in low and middle-income countries (LMICs). In this paper, we investigate factors that influence the use of mobile phones for managing T1D among youth in rural and urban Kenya. Our analysis draws from 58 interviews conducted with T1D youth (between the ages of 11 and 18 years old), their caregivers, and other significant stakeholders, including doctors and schoolteachers. Our findings draw attention to a significant mismatch between the mobile phone features prioritized in mHealth apps and participants' usage practices. We discuss the practical implications of these findings for mHealth design and user research.
1型糖尿病（T1D）在全球青少年中的患病率正在上升。手机，尤其是移动健康应用程序，有可能改善青少年对这种慢性病的管理。然而，这些服务的设计很少考虑到低收入和中等收入国家（LMICs）的用户。在本文中，我们调查了影响肯尼亚农村和城市青少年使用手机管理T1D的因素。我们的分析来自对58名1型糖尿病青少年（年龄在11至18岁之间）、他们的照顾者以及其他重要利益相关者（包括医生和教师）进行的访谈。我们的研究结果提请人们注意移动健康应用程序中优先考虑的手机功能与参与者的使用习惯之间存在重大不匹配。我们讨论了这些发现对移动健康设计和用户研究的实际影响。
