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Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Review Article

Health Information Technology and Diabetes Management: A Review of Motivational and Inhibitory Factors

Author(s): Zari Dehnavi, Haleh Ayatollahi*, Morteza Hemmat and Rowshanak Abbasi

Volume 17, Issue 3, 2021

Published on: 18 July, 2020

Page: [268 - 279] Pages: 12

DOI: 10.2174/1573399816666200719012849

Price: $65

Abstract

Background: Health information technology helps patients to take better care of themselves and improves health status of patients with chronic diseases, such as diabetes.

Objective: This study aimed to identify factors influencing the use of health information technology in diabetes management.

Methods: This was a review study conducted in 2019. To obtain the related articles, databases, including Scopus, Web of Science, Proquest, and PubMed, were searched and the time frame was between 2010 and 2018. Initially, 1159 articles were retrieved and after screening, 28 articles were selected to be included in the study.

Results: Factors influencing the use of health information technology in diabetes management could be divided into the motivational and inhibitory factors, and each of them could be categorized into five groups of organizational, technical, economic, individual, and ethical/legal factors. The motivational factors included training, system ease of use, economic support, having computer literacy, and maintaining privacy and confidentiality. The inhibitory factors included a lack of long-term planning, technical problems, inadequate financial resources, old age, and concerns over confidentiality issues.

Conclusion: Identifying motivational and inhibitory factors can help to make better use of technology for diabetes management. This approach, in turn, can improve the acceptability of the technology and save cost, reduce long-term complications of diabetes, and improve the quality of life in diabetic patients.

Keywords: Health information technology, health informatics, telehealth, patient management, self-management, diabetes mellitus.

[1]
Pour JS, Jafari M, Asgar MG, Dardashti HD, Teymoorzadeh E. The impact of self-care education on life quality of diabetic patients. J Health Admin 2013; 16(52): 26-30.
[2]
Zimmet P, Alberti KG, Magliano DJ, Bennett PH. Diabetes mellitus statistics on prevalence and mortality: Facts and fallacies. Nat Rev Endocrinol 2016; 12(10): 616-22.
[http://dx.doi.org/10.1038/nrendo.2016.105 ] [PMID: 27388988]
[3]
Finelli C, Sommella L, Gioia S, La Sala N, Tarantino G. Should visceral fat be reduced to increase longevity? Ageing Res Rev 2013; 12(4): 996-1004.
[http://dx.doi.org/10.1016/j.arr.2013.05.007 ] [PMID: 23764746]
[4]
Ciemins E, Coon P, Peck R, Holloway B, Min S-J. Using telehealth to provide diabetes care to patients in rural Montana: findings from the promoting realistic individual self-management program. Telemed e-Health 2011; 17(8): 596-602.
[http://dx.doi.org/10.1089/tmj.2011.0028]
[5]
David SK, Rafiullah MR. Innovative health informatics as an effective modern strategy in diabetes management: A critical review. Int J Clin Pract 2016; 70(6): 434-49.
[http://dx.doi.org/10.1111/ijcp.12816 ] [PMID: 27238962]
[6]
Gruber D. Consumer engagement for diabetes technology: Easier said than done. J Diabetes Sci Technol 2010; 4(3): 754-758 10..
[7]
Marchibroda JM. The impact of health information technology on collaborative chronic care management. J Manag Care Pharm 2008; 14(2)(Suppl.): S3-S11.
[PMID: 18331114]
[8]
Mohammadzadeh N, Safdari R, Rahimi A. Developing framework for agent- based diabetes disease management system: User perspective. Mater Sociomed 2014; 26(1): 62-4.
[http://dx.doi.org/10.5455/msm.2014.26.62-64 ] [PMID: 24757407]
[9]
Laxman K. Barriers to adoption of consumer health informatics applications for health self-management. Health Sci J 2015; 9(5): 798-803.
[10]
Tatara N, Hammer HL, Andreassen HK, Mirkovic J, Kjøllesdal MKR. The association between commonly investigated user factors and various types of eHealth use for self-care of type 2 diabetes: case of first-generation immigrants from Pakistan in the Oslo area, Norway. JMIR Public Health Surveill 2017; 3(4)e68
[http://dx.doi.org/10.2196/publichealth.7009 ] [PMID: 28982646]
[11]
Krishna S, Boren SA. Diabetes self-management care via cell phone: A systematic review. J Diabetes Sci Technol 2008; 2(3): pp 509-517.
[http://dx.doi.org/10.1177/193229680800200324 ] [PMID: 19885219]
[12]
Swartwout E, Deyo P, El-Zein A. Effectiveness of technology use for engaging community dwelling adults with chronic disease in self-care behavior management in health care: A systematic review protocol. JBI Database Syst Rev Implement Reports 2016; 14(5): 87-95.
[http://dx.doi.org/10.11124/JBISRIR-2016-002535 ] [PMID: 27532466]
[13]
Bonoto BC, de Araújo VE, Godói IP, et al. Efficacy of mobile apps to support the care of patients with diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. JMIR Mhealth Uhealth 2017; 5(3 e4.)
[http://dx.doi.org/10.2196/mhealth.6309 ] [PMID: 28249834]
[14]
Khansa L, Davis Z, Davis H, Chin A, Irvine H, Nichols L, et al. Health information technologies for patients with diabetes. Technol Soc 2016; 44: 1-9.
[http://dx.doi.org/10.1016/j.techsoc.2015.11.001]
[15]
Izahar S, Lean QY, Hameed MA, et al. Content analysis of mobile health applications on diabetes mellitus. Front Endocrinol (Lausanne) 2017; 8: 318.
[http://dx.doi.org/10.3389/fendo.2017.00318 ] [PMID: 29230195]
[16]
Desveaux L, Agarwal P, Shaw J, et al. A randomized wait-list control trial to evaluate the impact of a mobile application to improve self-management of individuals with type 2 diabetes: A study protocol. BMC Med Inform Decis Mak 2016; 16(1): 144.
[http://dx.doi.org/10.1186/s12911-016-0381-5 ] [PMID: 27842539]
[17]
Tol A, Alhani F, Shojaei Zadeh D, Sharifi Rad GH. Empowerment approach to promote quality of life and self-management among Type 2 diabetic patients. Health Res J 2011; 7(2): 157-68.
[18]
So CF, Chung JW. Telehealth for diabetes self-management in primary healthcare: A systematic review and meta-analysis. J Telemed Telecare 2018; 24(5): 356-64.
[http://dx.doi.org/10.1177/1357633X17700552 ] [PMID: 28463033]
[19]
Thies K, Anderson D, Cramer B. Lack of adoption of a mobile app to support patient self-management of diabetes and hypertension in a federally qualified health center: Interview analysis of staff and patients in a failed randomized trial. JMIR Human Factors 2017; 4(4)e24
[http://dx.doi.org/10.2196/humanfactors.7709 ] [PMID: 28974481]
[20]
Faridi Z, Liberti L, Shuval K, Northrup V, Ali A, Katz DL. Evaluating the impact of mobile telephone technology on type 2 diabetic patients’ self-management: The NICHE pilot study. J Eval Clin Pract 2008; 14(3): 465-9.
[http://dx.doi.org/10.1111/j.1365-2753.2007.00881.x ] [PMID: 18373577]
[21]
Nundy S, Lu C-YE, Hogan P, Mishra A, Peek ME. Using patient-generated health data from mobile technologies for diabetes self-management support: Provider perspectives from an academic medical center. J Diabetes Sci Technol 2014; 8(1): 74-82.
[http://dx.doi.org/10.1177/1932296813511727 ] [PMID: 24876541]
[22]
Ayanlade OS, Oyebisi TO, Kolawole BA. Health information technology acceptance framework for diabetes management. Heliyon 2019; 5(5)e01735
[http://dx.doi.org/10.1016/j.heliyon.2019.e01735 ] [PMID: 31193710]
[23]
El-Gayar O, Timsina P, Nawar N, Eid W. A systematic review of IT for diabetes self-management: Are we there yet? Int J Med Inform 2013; 82(8): 637-52.
[http://dx.doi.org/10.1016/j.ijmedinf.2013.05.006 ] [PMID: 23792137]
[24]
Huygens MW, Vermeulen J, Swinkels IC, Friele RD, van Schayck OC, de Witte LP. Expectations and needs of patients with a chronic disease toward self-management and eHealth for self-management purposes. BMC Health Serv Res 2016; 16(1): 232.
[http://dx.doi.org/10.1186/s12913-016-1484-5 ] [PMID: 27391471]
[25]
Kaufman ND, Woodley PDP. Self-management support interventions that are clinically linked and technology enabled: Can they successfully prevent and treat diabetes? J Diabetes Sci Technol 2011; 5(3): 798-803.
[http://dx.doi.org/10.1177/193229681100500335 ] [PMID: 21722596]
[26]
Öberg U, Isaksson U, Jutterström L, Orre CJ, Hörnsten Å. Perceptions of persons with type 2 diabetes treated in swedish primary health care: Qualitative study on using ehealth services for selfmanagement support. JMIR Diabetes 2018; 3((1: e7.)
[http://dx.doi.org/10.2196/diabetes.9059] [PMID: 30291075]
[27]
Boodoo C, Perry JA, Hunter PJ, et al. Views of patients on using mhealth to monitor and prevent diabetic foot ulcers: qualitative study. JMIR Diabetes 2017; 2(2)e22
[http://dx.doi.org/10.2196/diabetes.8505 ] [PMID: 30291089]
[28]
Chang CP, Lee TT, Mills ME. lee TT, Mills ME, Etta M. Experience of home telehealth technology in older patients with diabetes. Comput Inform Nurs 2017; 35(10): 530-7.
[http://dx.doi.org/10.1097/CIN.0000000000000341 ] [PMID: 28291156]
[29]
Chen L, Chuang LM, Chang CH, et al. Evaluating self-management behaviors of diabetic patients in a telehealthcare program: longitudinal study over 18 months. J Med Internet Res 2013; 15(12)e266
[http://dx.doi.org/10.2196/jmir.2699 ] [PMID: 24323283]
[30]
Macdonald EM, Perrin BM, Kingsley MI. Enablers and barriers to using two-way information technology in the management of adults with diabetes: A descriptive systematic review. J Telemed Telecare 2018; 24(5): 319-40.
[http://dx.doi.org/10.1177/1357633X17699990 ] [PMID: 28347218]
[31]
Valikodath NG, Leveque TK, Wang SY, et al. Patient attitudes toward telemedicine for diabetic retinopathy. Telemed J E Health 2017; 23(3): 205-12.
[http://dx.doi.org/10.1089/tmj.2016.0108 ] [PMID: 27336678]
[32]
Peng W, Yuan S, Holtz BE. Exploring the challenges and opportunities of health mobile apps for individuals with type 2 diabetes living in rural communities. Telemed J E Health 2016; 22(9): 733-8.
[http://dx.doi.org/10.1089/tmj.2015.0180 ] [PMID: 26982017]
[33]
Whittemore R, Jaser SS, Faulkner MS, Murphy K, Delamater A, Grey M. TEENCOPE Research Group. Type 1 diabetes eHealth psychoeducation: youth recruitment, participation, and satisfaction. J Med Internet Res 2013; 15(1)e15
[http://dx.doi.org/10.2196/jmir.2170 ] [PMID: 23360729]
[34]
Fitzner K, Moss G. Telehealth--an effective delivery method for diabetes self-management education? Popul Health Manag 2013; 16(3): 169-77.
[http://dx.doi.org/10.1089/pop.2012.0054 ] [PMID: 23216062]
[35]
Ali MK, Shah S, Tandon N. Review of electronic decision-support tools for diabetes care: A viable option for low- and middle-income countries? J Diabetes Sci Technol 2011; 5(3): 553-70.
[http://dx.doi.org/10.1177/193229681100500310 ] [PMID: 21722571]
[36]
Osborn CY, Mayberry LS, Mulvaney SA, Hess R. Patient web portals to improve diabetes outcomes: A systematic review. Curr Diab Rep 2010; 10(6): 422-35.
[http://dx.doi.org/10.1007/s11892-010-0151-1 ] [PMID: 20890688]
[37]
Samiei V, Wan Puteh SE, Abdul Manaf MR, Abdul Latip K, Ismail A. Are malaysian diabetic patients ready to use the new generation of health care service delivery? A telehealth interest assessment. Malays J Med Sci 2016; 23(2): 44-52.
[PMID: 27547114]
[38]
Ramadas A, Chan CK, Oldenburg B, Hussien Z, Quek KF. A web-based dietary intervention for people with type 2 diabetes: Development, implementation, and evaluation. Int J Behav Med 2015; 22(3): 365-73.
[http://dx.doi.org/10.1007/s12529-014-9445-z ] [PMID: 25274015]
[39]
Maniam A, Dhillon JS, Baghaei N. Eds Determinants of patients’ intention to adopt diabetes self-management applications. Int J Bus Inf Syst 2015; 29: pp 59-74.
[40]
Roelofsen Y, Hendriks SH, Sieverink F, et al. Design of the e-Vita diabetes mellitus study: Effects and use of an interactive online care platform in patients with type 2 diabetes (e-VitaDM-1/ZODIAC-40). BMC Endocr Disord 2014; 14: 22.
[http://dx.doi.org/10.1186/1472-6823-14-22 ] [PMID: 24593656]
[41]
Nijland N, van Gemert-Pijnen JE, Kelders SM, Brandenburg BJ, Seydel ER. Factors influencing the use of a Web-based application for supporting the self-care of patients with type 2 diabetes: A longitudinal study. J Med Internet Res 2011; 13(3)e71
[http://dx.doi.org/10.2196/jmir.1603 ] [PMID: 21959968]
[42]
Karhula T, Vuorinen AL, Rääpysjärvi K, et al. Telemonitoring and mobile phone-based health coaching among Finnish diabetic and heart disease patients: Randomized controlled trial. J Med Internet Res 2015; 17(6)e153
[http://dx.doi.org/10.2196/jmir.4059 ] [PMID: 26084979]
[43]
Jafari J, Karimi Moonaghi H, Zary N, Masiello I. Exploring educational needs and design aspects of internet-enabled patient education for persons with diabetes: A qualitative interview study. BMJ Open 2016; 6(10)e013282
[http://dx.doi.org/10.1136/bmjopen-2016-013282 ] [PMID: 27799245]
[44]
Nordfeldt S, Hanberger L, Berterö C. Patient and parent views on a Web 2.0 Diabetes Portal--the management tool, the generator, and the gatekeeper: qualitative study. J Med Internet Res 2010; 12(2)e17
[http://dx.doi.org/10.2196/jmir.1267 ] [PMID: 20511179]
[45]
Rho MJ, Kim HS, Chung K, Choi IY. Factors influencing the acceptance of telemedicine for diabetes management. Cluster Comput 2015; 18(1): 321-31.
[http://dx.doi.org/10.1007/s10586-014-0356-1]
[46]
Threatt TB, Ward ED. Telehealth for diabetes self-management education and support in an underserved, free clinic population: a pilot study. J Am Pharm Assoc 2017; 57(3): 6-402.
[47]
Duke DC, Barry S, Wagner DV, Speight J, Choudhary P, Harris MA. Distal technologies and type 1 diabetes management. Lancet Diabetes Endocrinol 2018; 6(2): 143-56.
[48]
Hart HE, Geilen IE, de Leeuw E, Rutten GE, Vos RC. Internet-based self-management support for patients with well-controlled type 2 diabetes: A real-life study. JMIR Res Protoc 2017; 6(3)e47
[http://dx.doi.org/10.2196/resprot.6910 ] [PMID: 28336505]
[49]
Schomakers E-M, Lidynia C, Ziefle M. Exploring the acceptance of mhealth applications - do acceptance patterns vary depending on context? Advances in Human Factors in Wearable Technologies and Game Design AHFE 2018. Advances in Intelligent Systems and Computing 2019; p. 795.
[http://dx.doi.org/10.1007/978-3-319-94619-1_6]
[50]
Torbjørnsen A, Småstuen MC, Jenum AK, Årsand E, Ribu L. Acceptability of an mHealth app intervention for persons with type 2 diabetes and its associations with initial self-management: Randomized controlled trial. JMIR Mhealth Uhealth 2018; 6(5)e125.
[http://dx.doi.org/10.2196/mhealth.8824] [PMID: 29784635] [http://dx.doi.org/10.1016/S2213-8587(17)30260-] [PMID: 28867311]
[51]
Cheng Y-R. The outcomes and influencing factors of telecare managing patients with type 2 diabetes. Clin Nurs Res 2015; 2(2): 3-80.
[52]
Abd-Alrazaq AA, Bewick BM, Farragher T, Gardner P. Factors that affect the use of electronic personal health records among patients: A systematic review. Int J Med Inform 2019; 126(126): 164-75.
[http://dx.doi.org/10.1016/j.ijmedinf.2019.03.014 ] [PMID: 31029258]
[53]
Dao J, Spooner C, Lo W, Harris MF. Factors influencing self-management in patients with type 2 diabetes in general practice: A qualitative study. Aust J Prim Health 2019; 25(2): 176-84.
[http://dx.doi.org/10.1071/PY18095 ] [PMID: 30890241]
[54]
Shah N, Martin G, Archer S, Arora S, King D, Darzi A. Exploring mobile working in healthcare: Clinical perspectives on transitioning to a mobile first culture of work. Int J Med Inform 2019; 125(125): 96-101.
[http://dx.doi.org/10.1016/j.ijmedinf.2019.03.003 ] [PMID: 30914187]
[55]
Ginige JA, Maeder AJ, Long V, Long V. Evaluating success of mobile health projects in the developing world. Stud Health Technol Inform 2014; 206: 7-19.
[PMID: 25365667]
[56]
Sun R, Korytkowski MT, Sereika SM, Saul MI, Li D, Burke LE. Patient portal use in diabetes management: Literature review. JMIR Diabetes 2018; 3(4)e11199
[http://dx.doi.org/10.2196/11199 ] [PMID: 30401665]
[57]
Tieu L, Sarkar U, Schillinger D, et al. Barriers and facilitators to online portal use among patients and caregivers in a safety net health care system: A qualitative study. J Med Internet Res 2015; 17(12)e275
[http://dx.doi.org/10.2196/jmir.4847 ] [PMID: 26681155]

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