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  App Use and Patient Empowerment in Diabetes Self-management : Advancing Theory-guided mHealth Research

  Nicola Brew-Sam.

  Summary: Patient empowerment is examined as a multi-dimensional factor influencing the use of diabetes self-management apps. The research design includes three studies conducted in Singapore. Study 1 examines how features of diabetes self-management apps correspond with theoretical indicators of empowerment, as well as app quality. Study 2 uses semi-structured face-to-face interviews with diabetes patients to draw first conclusions about the relevance of empowerment for diabetes app use. Study 3 includes an online patient survey, and uses cluster analytical methods to test the preliminary Study 2 results (typology of app use), as well as binary logistic regression to compare the strength of influence of various anteceding factors on the likelihood of diabetes app use. The studies show that especially the support by private social patient networks and the medical specialties of supervising physicians play a crucial role for technology-supported self-management. Contents Defining and Categorizing Diabetes Apps for Self-Management Anteceding Factors of Diabetes App Use Empowerment and its Relevance for Diabetes Management Target Groups Researchers, students and practitioners in the fields of Public Health, Medicine, Health Communication, Endocrinology, Diabetes Care, Epidemiology, Health Management The Author Dr. Nicola Brew-Sam holds an MA in health communication (UZH Zurich) and a Ph.D. from University of Erfurt (Germany) in cooperation with Nanyang Technological University (Singapore).
  
  Contents:
  Intro
  Acknowledgements
  Table of Contents
  Table of Contents
  List of Figures
  List of Tables
  List of Abbreviations
  Abstract
  1 Introduction
  1.1 The Urgency of Self-Management in Diabetes Care
  1.2 Research Interest: Empowerment as an Anteceding Factor of Diabetes App Use for Self-Management
  1.3 Chapter Overview
  2 Background on Diabetes Self-Management
  2.1 What is Diabetes?
  Types of Diabetes Mellitus
  2.2 Diabetes Self-Management
  Definition and Development
  2.3 Factors Influencing Diabetes Self-Management 3 Defining and Categorizing Diabetes Apps for Self-Management
  3.1 Diabetes Apps for Self-Management as Second Generation mHealth Tools
  3.2 Purpose, Types and Features of Diabetes Apps for Self-Management
  3.3 Shortcomings of Diabetes Apps and Diabetes App Quality
  4 Diabetes App Use
  Previous mHealth Research
  4.1 Defining Diabetes App "Use"
  4.2 Categorizing Studies on Diabetes App Use: The Inputs-Mechanisms-Outputs Pathway
  4.2.1 Input: Feasibility and Accessibility Studies
  4.2.2 Output: Diabetes App Usage Effect Studies 4.2.3 Mechanisms: Lacking Research on Antecedents of Health App Use
  5 Anteceding Factors of Diabetes App Use
  5.1 Defining "Antecedents" of mHealth Use
  5.2 The Relevance of Studies Looking into Antecedents of mHealth Use
  5.3 Previous Studies Looking into Antecedents of mHealth Use
  5.4 Antecedents of the Unified Theory of Acceptance and Use of Technology
  5.5 Shortcomings of the Unified Theory of Acceptance and Use
  6 Summarizing mHealth Research Gaps I: Alternative Theory is Needed
  7 Empowerment as an Antecedent of Diabetes App Use 7.1 The Empowerment Approach in Psychology and Management Research
  7.1.1 Psychological Empowerment
  7.1.2 Behavioral Empowerment
  7.1.3 Empowerment as a Motivational Approach
  7.1.4 Empowerment and Self-Determination
  7.2 Empowerment and its Relevance for Diabetes Self-Management
  7.3 Empowerment and Diabetes App Use
  7.3.1 Research on Empowerment and Diabetes App Use: Outcome Perspectives
  7.3.2 Understanding the Overall Process of Empowerment and Diabetes App Use
  7.3.3 Empowerment as an Antecedent of Diabetes App Use 8 Summarizing mHealth Research Gaps II: Empowerment and Diabetes App Use
  8.1 Empowerment as a Multi-Dimensional Antecedent of Diabetes App Use
  8.2 Two Research Perspectives on Empowerment as an Antecedent of Diabetes App Use
  9 Summarizing Model on Empowerment and Diabetes App Use
  10 Research Questions and Hypotheses
  11 Overview of the Research Design
  11.1 mHealth Research on Diabetes App Use in Singapore
  11.2 Research Procedure
  12 Study 1
  Diabetes App Features Corresponding to Indicators of Empowerment: An App Feature and Quality Analysis
  12.1 Method
  12.1.1 Operationalization

  Digital Access Springer 2020
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• Article

  Prof. Dr. med. Karl Julius Anselmino 15.9.1900 bis 6.1.1978. [Dr. Karl Julius Anselmino, 15 September 1900-6 January 1978].

  Beck L.

  Z Geburtshilfe Perinatol. 1978 Apr;182(2):97.

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  PubMed