Emerging Technologies, Medical Devices, Apps, Sensors, and Informatics to Help People with Diabetes.
JMIR Diabetes (JD) is a new sister journal of JMIR (the leading open-access journal in health informatics (Impact Factor 2016: 5.175), focusing on technologies, medical devices, apps, engineering, informatics and patient education for diabetes prevention, self-management, care, and cure, to help people with diabetes. As open access journal we are read by clinicians and patients alike and have (as all JMIR journals) a focus on readable and applied science reporting the design and evaluation of health innovations and emerging technologies, as well as on diabetes epidemiology. We publish original research, viewpoints, and reviews (both literature reviews and medical device/technology/app reviews) covering for example wearable devices and trackers, mobile apps, glucose monitoring (including emerging technologies such as Google contact lens), medical devices for insulin and metabolic peptide delivery, closed loop systems and artificial pancreas, telemedicine, web-based diabetes education and elearning, innovations for patient self-management and "quantified self", diabetes-specific EHR improvements, clinical or consumer-focused software, diabetes epidemiology and surveillance, crowdsourcing and quantified self-based research data, new sensors and actuators to be applied to diabetes.
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Latest Submissions Open for Peer-Review:View All Open Peer Review Articles
A Novel Approach to Identifying Barriers and Facilitators in Raising a Child with Type 1 Diabetes: Qualitative Analysis of Caregiver Blogs
Date Submitted: Sep 14, 2017
Open Peer Review Period: Sep 14, 2017 - Sep 22, 2017
Background: With rising incidence of type 1 diabetes (T1D) diagnoses among children and the high levels of distress experienced by the caregivers of these children, caregiver support is becoming incre...
Background: With rising incidence of type 1 diabetes (T1D) diagnoses among children and the high levels of distress experienced by the caregivers of these children, caregiver support is becoming increasingly important. Historically, relatively few support resources have existed. Increasing use of the Internet, and blogs in particular, has seen a growth of peer support between caregivers of children with T1D. However, little is known about the type and quality of information shared on T1D caregiver blogs. At the same time, the information on such blogs offers a new window into what challenges and successes caregivers experience in helping to manage their children’s T1D. Objective: The purpose of this study was to (1) analyze blogs of caregivers to children with type 1 diabetes (T1D) to better understand the challenges and successes they face in raising a child with T1D, and (2) assess the blogs for the presence of unsafe or inaccurate clinical information or advice. Methods: An inductive thematic qualitative study was conducted of three blogs authored by caregivers to children living with T1D, which included 140 unique blog posts and 663 associated comments. Two physician investigators evaluated the blogs for presence of clinical or medical misinformation. Results: Five major themes emerged: (1) the impact of the child’s diagnosis, (2) the burden of intense self-management experienced in caring for a child with T1D, (3) caregivers’ use of technology to ease their fear of hypoglycemia, and impacts that device alarms associated with this technology have on caregiver burden, (4) caregivers’ perceptions of frequently missed or delayed diagnosis of T1D and the frustration this causes, and (5) the resilience that caregivers develop despite the burdens they experience. Misinformation was exceedingly rare and benign when it did occur. Conclusions: Blog analysis represents a novel approach to understand the T1D caregiver’s experience. This qualitative study found many challenges that caregivers face in raising a child with T1D. Despite the many barriers caregivers face in managing their children’s T1D, they find support through advocacy efforts and peer-to-peer blogging. Blogs provide a unique avenue for support, with only rare and benign findings of medical misinformation, and may be a resource that diabetes care providers can consider offering to families for support.
Exploring the Use of Personal Technology in Type 2 Diabetes Management Among Minority Patients: the LIFT Diabetes Study
Date Submitted: Sep 9, 2017
Open Peer Review Period: Sep 11, 2017 - Nov 6, 2017
Background: Internet technology may afford a low-cost solution to chronic disease management. This study aims to assess use of information technology in a diverse sample. Objective: Here we seek to as...
Background: Internet technology may afford a low-cost solution to chronic disease management. This study aims to assess use of information technology in a diverse sample. Objective: Here we seek to assess the feasibility of capitalizing on the pervasive use of technology as a secondary means of delivering diabetic counseling though an investigation of correlates to technology use within the context of an ongoing population health study. Methods: LIFT Diabetes randomized 260 overweight and obese adults with diabetes to two intervention arms. A survey evaluating access to and use of various technologies was administered at baseline and analyzed using descriptive statistics and logistic regression. Results: The sample had a mean age of 56, was 67% female and 54% non-white. Non-white participants had higher baseline mean BMI (p=0.0015) and HbA1c (p=.0034). Minority participants were less likely to have a home computer (75% vs. 93%, p<0.001) and less likely to have email access at home (p=0.032). Ownership of a home computer was correlated to higher income (p<0.001), education (p<0.001), full time employment (p=0.011), and ownership of a smartphone (p=0.001). Willingness to complete questionnaires online was correlated to higher income (p=0.001), education (p<0.001), full time employment (p=0.012), and home access to a computer, internet, and smartphone (p≤0.050). Racial disparities in having a home computer persisted after controlling for demographic variables and owning a smartphone (adjusted OR 0.26; 95%CI 0.10, 0.67; p=0.005). Willingness to complete questionnaires online was driven ownership of a home computer (adjusted OR 3.87; 95%CI 1.14, 13.2; p=0.030). Conclusions: Minority adults were more likely to report limited access to technology than white adults. As ownership of a home computer is central to a willingness to use online tools, racial disparities in access may limit the potential of web-based interventions to reach this population.