Developing a Diabetes Mobile Health Application for and With Kenyan Adolescents

NCT05560256 | Completed

• 1 other identifier: 1R21TW011339-01
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

With over 6 billion mobile phone subscribers and 75% of the world having access to a device, global health communities increasingly recognize the potential for using these devices to improve access to health care and health outcomes-especially in sub-Saharan Africa (SSA), where device ownership has grown dramatically. Less attention, however, has been given to developing the research capacity to allow these countries' public health researchers to collaborate with software developers and the users of mobile health applications (henceforth apps) to develop their own interventions. If mobile health apps are to be adopted, effective, and scalable, they must be designed by and with these individuals, the people most knowledgeable about the issues affecting technology use and disease management in their countries. Human-centered design (HCD), or design thinking, is a promising design strategy that prioritizes the needs of the intended population. It has also been successfully used to develop innovative and locally relevant health interventions that improve health outcomes. The purpose of this R21 proposal is to introduce Kenyan public health researchers and software developers to the HCD process and then collaboratively develop and evaluate an mobile health app that targets a growing epidemic among middle-to-late adolescents (13-18 yrs.) in Kenya-Type 1 Diabetes (T1D). To achieve this goal, we will pursue these specific aims: (1) train Kenyan health practitioners and software developers in HCD; (2) use HCD to build a prototype mHealth intervention for adolescents in Kenya with T1D; and (3) assess the prototype's usability, accessibility, and feasibility in using it to increase adolescents' knowledge of T1D and management of the disease. Our long-term goals include: (1) building research capacity by establishing a research network between health researchers at The Kenyan Diabetes Management and Information Center (DMI-a non-profit organization that works with adolescents with T1D) and mobile software developers at Lake Hub (an innovation space) so they can design future mobile health apps; (2) developing a commercially available app that Kenyan adolescents can use to manage T1D and stay healthy; and (3) evaluating the HCD process as it applies to developing mobile health interventions that improve health outcomes.

Conditions

Type 1 Diabetes

Keywords

Human-Centered Design; Mobile Phones; Diabetes

Outcome Measures

Primary Outcomes (1)

• Building Capacity in Human-Centered Design: Developing a Diabetes mHealth Application for and with Kenyan Adolescents

  Feasibility of Diary

  1 month

Study Arms (1)

Youth Engage with Diary

EXPERIMENTAL

24 youth will use the Diary for one month

Other: Diary/Journal

Interventions

Diary/Journal OTHER

Participants will be given a diary to record their blood glucose measurements, and other pertinent information (diet and activities).

Also known as: Diary

Youth Engage with Diary

Eligibility Criteria

• Age: 13 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• T1D diagnosis 13-18 years old
• Have an A1c \> 7
• Uses a phone
• Fluent in Swahili

You may not qualify if:

• Being treated for significant medical condition other than T1D
• Being treated for eating disorder

Sponsors & Collaborators

• Michigan State University: lead
• Kenyan Diabetes Management & Information Centre (DMI): collaborator

Study Sites (1)

Nairobi

Nairobi, Kenya

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 1; Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Autoimmune Diseases; Immune System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: We asked participants to interact with the paper diary during a workshop.
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: September 26, 2022
• First Posted: September 29, 2022
• Study Start: October 1, 2019
• Primary Completion: April 15, 2023
• Study Completion: April 30, 2023
• Last Updated: March 22, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

KE (1)