SweetMama: Usability Assessment of a Novel Mobile Application Among Low-Income Pregnant People to Assist With Diabetes Management and Support.

Pub Date : 2023-05-01 Epub Date: 2022-10-06 DOI:10.2337/ds22-0014

Lynn M Yee, Karolina Leziak, Jenise Jackson, Charlotte Niznik, Rana Saber, Chen Yeh, Melissa A Simon

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Abstract

Background: 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.

Methods: 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 1) motivational, tip, and goal-setting messages aligning with treatment and gestational age; 2) appointment reminders; and 3) 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.

Results: 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.

Conclusion: 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.

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SweetMama：低收入孕妇使用新型移动应用程序协助糖尿病管理和支持的可用性评估。

背景：移动医疗工具可能是改善孕期参与、教育和糖尿病相关健康的有效策略。我们开发了一款以患者为中心的交互式移动应用程序（SweetMama），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程序。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：1）与治疗和妊娠年龄相一致的激励、提示和目标设定信息；2）预约提醒；以及 3）将内容标记为 "最爱"。在这次可用性评估中，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。参与者就使用体验提供了定性反馈（通过访谈）和定量反馈（通过有效的可用性/满意度测量）。用户分析数据详细说明了用户与 SweetMama 互动的持续时间和类型：在 24 名注册者中，23 人使用了 SweetMama，22 人完成了退出访谈。参与者大多为非西班牙裔黑人（46%）或西班牙裔美国人（38%）。在 14 天的时间里，用户经常访问 SweetMama（登录次数中位数为 8 次[四分位间范围为 6-10 次]），总时长中位数为 20.5 分钟，并使用了所有功能。大多数人（66.7%）认为 SweetMama 具有中等或高等可用性。参与者强调了设计和技术上的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：结论：怀孕的糖尿病患者认为 SweetMama 对用户友好、信息丰富且具有吸引力。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预后的功效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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