Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes

Diabetes Technol Ther. 2011 May;13(5):563-9. doi: 10.1089/dia.2010.0200. Epub 2011 Mar 15.


Background: Drawing on previous web-based diabetes management programs based on the Chronic Care Model, we expanded an intervention to include care management through mobile phones and a game console web browser.

Methods: The pilot intervention enrolled eight diabetes patients from the University of Washington in Seattle into a collaborative care program: connecting them to a care provider specializing in diabetes, providing access to their full electronic medical record, allowing wireless glucose uploads and e-mail with providers, and connecting them to the program's web services through a game system. To evaluate the study, we conducted qualitative thematic analysis of semistructured interviews.

Results: Participants expressed frustrations with using the cell phones and the game system in their everyday lives, but liked the wireless system for collaborating with a provider on uploaded glucoses and receiving automatic feedback on their blood sugar trends. A majority of participants also expressed that their participation in the trial increased their health awareness.

Discussion: Mobile communication technologies showed promise within a web-based collaborative care program for type 2 diabetes. Future intervention design should focus on integrating easy-to-use applications within mobile technologies already familiar to patients and ensure the system allows for sufficient collaboration with a care provider.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Blood Glucose Self-Monitoring
  • Cell Phone*
  • Cooperative Behavior
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / psychology*
  • Diabetes Mellitus, Type 2 / therapy
  • Electronic Health Records
  • Electronic Mail
  • Feedback, Psychological
  • Frustration
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Internet*
  • Male
  • Nurse Practitioners
  • Patient Education as Topic / methods*
  • Pilot Projects
  • Professional-Patient Relations
  • Self Care / instrumentation
  • Self Care / methods
  • Self Care / psychology*
  • Video Games / psychology
  • Washington