title: Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes.
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Health Services, University of Washington, Seattle, Washington 98104, USA. crees@uw.edu
authors.forename: Courtney Rees
authors.initials: CR
authors.lastname: Lyles
authors.forename: Lynne T
authors.initials: LT
authors.lastname: Harris
authors.forename: Tung
authors.initials: T
authors.lastname: Le
authors.forename: Jan
authors.initials: J
authors.lastname: Flowers
authors.forename: James
authors.initials: J
authors.lastname: Tufano
authors.forename: Diane
authors.initials: D
authors.lastname: Britt
authors.forename: James
authors.initials: J
authors.lastname: Hoath
authors.forename: Irl B
authors.initials: IB
authors.lastname: Hirsch
authors.forename: Harold I
authors.initials: HI
authors.lastname: Goldberg
authors.forename: James D
authors.initials: JD
authors.lastname: Ralston
mesh_terms: D000328:Adult; D015190:Blood Glucose Self-Monitoring; D040421:Cell Phone; D003299:Cooperative Behavior; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology* / Q000628:therapy; D057286:Electronic Health Records; D034742:Electronic Mail; D030141:Feedback, Psychological; D005639:Frustration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D009722:Nurse Practitioners; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D011369:Professional-Patient Relations; D012648:Self Care / Q000295:instrumentation / Q000379:methods / Q000523:psychology*; D018910:Video Games / Q000523:psychology; D014861:Washington