JMIR Publications

ABSTRACT

Background:

Telemonitoring have shown to improve glycemic control in type 2 diabetes, but the optimal design effectively integrating self-management education remains unclear. Including patient feedback in the design process can enhance usability, increase engagement, and improve the feasibility and effectiveness of the intervention in real-world settings.

Objective:

To explore experiences and the acceptability of two different telemonitoring intervention designs and trial procedures used in a feasibility trial among people with non-insulin-dependent type 2 diabetes.

Methods:

Using a qualitative research design, semi-structured interviews were conducted with participants who had completed the telemonitoring intervention. The interviews were analyzed using a thematic approach.

Results:

A total of twelve participants were interviewed. Four major themes emerged from the analysis: 1) Acceptance of and experience with telemonitoring and devices, 2) Structure and flow of the intervention, 3) Relationship with and support from healthcare professionals, 4) Learning to live with diabetes.

Conclusions:

Participants reported satisfaction, attributing it to structured monitoring and HCP consultations that supported self-management. Blood glucose, physical activity, and diet were considered the most relevant data types. Tailoring the intervention to user priorities and improving usability may increase engagement and motivation.