User-centered approach in the development of an eHealth tool for self-management skills in functional insulin therapy to prevent complications of diabetes.

Fiche publication

Date publication

octobre 2022

Journal

Preventive medicine reports

Auteurs

Membres identifiés du Cancéropôle Est :
Pr ALBUISSON Eliane

Tous les auteurs :
Fezzi C, Refahi H, Albuisson E, Feigerlova E

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/36161109

Résumé

One of the biggest tasks for health professionals is to address the needs of persons with chronic illnesses like type 1 diabetes (T1D) and to support the acquisition of all necessary self-management behaviors. Functional insulin therapy (FIT) enables patients to adapt insulin doses according to everyday situations and reduces the risk of complications of diabetes. The aim was to describe the co-development, with patient as partners, of an eHealth tool for the acquisition of skills in FIT, to evaluate the user's acceptability and learning effectiveness on a sample of T1D patients followed in the University Hospital of Nancy. Subjects were invited to participate between July and August 2020. A total of 35 participants from different professional categories, median age of 41 years (IQR 27; 60) were included. In 22 subjects having access to all learning activities, there were positive relationships between the success score and the task (Spearman's rank correlation coefficient r = 0.5), between the intent to use and following parameters: perceived utility (r = 0.694), educational adequacy (r = 0.786), tasks r = (0.664), technology (r = 0.520) and ease of use (r = 0.659). This pilot study describes a user-centered approach to development of an eHealth tool for the acquisition of self-management skills in FIT. The online tool was well accepted and showed a positive impact on learning. The concept presented here will be useful to prompt future eHealth interventions in T1D or other chronic conditions aiming to increase patients' autonomy to prevent disease-related complications.