DiaFocus: A Personal Health Technology for Adaptive Assessment in Long-Term Management of Type 2 Diabetes

Author:

Bardram Jakob E.1ORCID,Cramer-Petersen Claus1ORCID,Maxhuni Alban1ORCID,Christensen Mads V. S.1ORCID,Bækgaard Per1ORCID,Persson Dan R.1ORCID,Lind Nanna2ORCID,Christensen Merete B.2ORCID,Nørgaard Kirsten2ORCID,Khakurel Jayden3ORCID,Skinner Timothy C.4ORCID,Kownatka Dagmar5ORCID,Jones Allan5ORCID

Affiliation:

1. Technical University of Denmark, Kgs. Lyngby, DK, Denmark

2. Steno Diabetes Center Copenhagen, Herlev, DK, Denmark

3. University of Turku, Turku, Finland

4. University of Copenhagen, København, DK, Denmark

5. Roche Diabetes Care GmbH, Mannheim, DE, Germany

Abstract

Type 2 diabetes (T2D) is a large disease burden worldwide and represents an increasing and complex challenge for all societies. For the individual, T2D is a complex, multi-dimensional, and long-term challenge to manage, and it is challenging to establish and maintain good communication between the patient and healthcare professionals. This article presents DiaFocus, which is a mobile health sensing application for long-term ambulatory management of T2D. DiaFocus supports an adaptive collection of physiological, behavioral, and contextual data in combination with ecological assessments of psycho-social factors. This data is used for improving patient-clinician communication during consultations. DiaFocus is built using a generic data collection framework for mobile and wearable sensing and is highly extensible and customizable. We deployed DiaFocus in a 6-week feasibility study involving 12 patients with T2D. The patients found the DiaFocus approach and system useful and usable for diabetes management. Most patients would use such a system, if available as part of their treatment. Analysis of the collected data shows that mobile sensing is feasible for longitudinal ambulatory assessment of T2D, and helped identify the most appropriate target users being early diagnosed and technically literate T2D patients.

Funder

European Institute of Innovation and Technology (EIT), a body of the European Union that receives support from the European Union’s Horizon Europe research and innovation program

City of Copenhagen, the Capital Region of Denmark, the University of Copenhagen, and the Technical University of Denmark

Publisher

Association for Computing Machinery (ACM)

Subject

Health Information Management,Health Informatics,Computer Science Applications,Biomedical Engineering,Information Systems,Medicine (miscellaneous),Software

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