PMID- 36585151
OWN - NLM
STAT- MEDLINE
DCOM- 20230103
LR  - 20230111
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 12
IP  - 12
DP  - 2022 Dec 30
TI  - Exploration of the health needs of patients with poorly controlled type 2 
      diabetes using a user-centred co-production approach in the area of mHealth: an 
      exploratory sequential mixed-method protocol.
PG  - e063814
LID - 10.1136/bmjopen-2022-063814 [doi]
LID - e063814
AB  - INTRODUCTION: Research on the needs and preferences of patients with poorly 
      controlled type 2 diabetes mellitus (T2DM) with mobile health (mHealth) service 
      is limited. With the principles of co-production, this study aims to address this 
      research gap by exploring the health needs of Chinese patients with poorly 
      controlled T2DM. METHODS AND ANALYSIS: This study uses a three-phase, exploratory 
      sequential mixed-method design. Phase 1 aims to assess the health needs of 
      patients with poorly controlled T2DM by conducting semi-structured interviews 
      with patients, doctors and nurses. Participants will be recruited by purposive 
      sampling with maximum variation. Content analysis will be employed. Phase 2 will 
      form item generation and develop the mHealth need scale. The scale will be 
      subject to pilot testing and psychometric evaluation, including content validity, 
      construct validity, discriminant validity, internal validity and test-retest 
      reliability. Phase 3 will explore the priority of health needs perceived by 
      patients with poorly controlled T2DM through a cross-sectional study. The 
      measurement tools include an mHealth needs scale, the Summary of Diabetes 
      Self-care Activities Questionnaire, the Diabetes Empowerment Scale-Short Form, 
      the Diabetes Health Literacy Scale and the eHealth Literacy Scale. Multiple 
      regression techniques with a hierarchical block design will be used for the model 
      building to identify the factors contributing to the heterogeneity of the 
      perceived mHealth needs. The findings of phase 1 and phase 3 will be integrated 
      using data correlation, comparison and consolidation. ETHICS AND DISSEMINATION: 
      The Ethics Committee of the School of Nursing, Sun Yat-sen University, has 
      approved this study (No. 2021ZSLYEC). The results of this study will be 
      disseminated through conference presentations and peer-reviewed publications.
CI  - (c) Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Xie, Qinqin
AU  - Xie Q
AUID- ORCID: 0000-0002-8745-0279
AD  - School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
FAU - Hu, Xiling
AU  - Hu X
AD  - Department of Medicine, Third Affiliated Hospital of Sun Yat-sen University, 
      Guangzhou, Guangdong, China.
FAU - Wang, Yarui
AU  - Wang Y
AD  - School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
FAU - Peng, Junsheng
AU  - Peng J
AUID- ORCID: 0000-0002-7975-4176
AD  - School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
AD  - Department of Gastrointestinal Surgery, Sun Yat-sen University Sixth Affiliated 
      Hospital, Guangzhou, Guangdong, China.
FAU - Cheng, Li
AU  - Cheng L
AD  - School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China 
      chengli5@mail.sysu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221230
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Reproducibility of Results
MH  - Cross-Sectional Studies
MH  - Research Design
MH  - *Telemedicine
PMC - PMC9809268
OTO - NOTNLM
OT  - General diabetes
OT  - General endocrinology
OT  - MEDICAL EDUCATION & TRAINING
COIS- Competing interests: None declared.
EDAT- 2022/12/31 06:00
MHDA- 2023/01/04 06:00
PMCR- 2022/12/30
CRDT- 2022/12/30 21:03
PHST- 2022/12/30 21:03 [entrez]
PHST- 2022/12/31 06:00 [pubmed]
PHST- 2023/01/04 06:00 [medline]
PHST- 2022/12/30 00:00 [pmc-release]
AID - bmjopen-2022-063814 [pii]
AID - 10.1136/bmjopen-2022-063814 [doi]
PST - epublish
SO  - BMJ Open. 2022 Dec 30;12(12):e063814. doi: 10.1136/bmjopen-2022-063814.