Abstract
It has been estimated, on a global scale, that a limb is lost every 20 s due to diabetes. Effective treatment has, however, been shown to reduce the risk of amputations and foot ulcers. Self-management and the provision of effective foot care in the clinic and at home, is viewed as instrumental in providing appropriate care for people with diabetes. This in turn can reduce the costs associated with treating and managing diabetes and its associated complications. This paper presents a usability evaluation of a smartphone based solution for the management of diabetic foot disease. The solution combines novel thermal imaging with tailored educational content and gamification elements in an attempt to improve self-management of the condition. The solution was evaluated in a workshop setting by 7 participants. Overall, the participants felt the proposed solution would be a very worthwhile endeavor. They rated the usability and utility at an acceptable level (SUS 69.1/100). Notable suggested improvements focused on how educational content was formatted and searched in addition to the physical support provided to facilitate imaging of the feet.
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Bakker, K., Apelqvist, J., Lipsky, B.A., Van Netten, J.J., Schaper, N.C.: The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes/Metab. Res. Rev. 32(S1), 2–6 (2016)
Health and Social Care Information Centre. National diabetes audit - 2011–12 (2012). http://www.hscic.gov.uk/catalogue/PUB12421. Accessed March 2012
Bakker, K., Schaper, N.C.: The development of global consensus guidelines on the management and prevention of the diabetic foot 2011. Diabetes/Metab. Res. Rev. 28(S1), 116–118 (2012)
Diabetes UK: More than 135 diabetes amputations every week. https://www.diabetes.org.uk/About_us/News/More-than-135-diabetes-amputations-every-week/. Accessed 16 Sept 2015
Putting Feet First: commissioning specialist services for the management and prevention of diabetic foot disease in hospitals. Diabetes UK (2009)
Ellis, P., Senior, C.: Diabetes education: the big missed opportunity in diabetes care. Diabetes UK (2015)
NICE clinical guideline (CG19): Diabetic foot problems: prevention and management (2016)
Diabetes UK online footcare survey (2014). https://www.diabetes.org.uk/About_us/News/Poor-diabetes-foot-checks/Footcare-survey-results/. Accessed Sept 2015
Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., Bindman, A.B.: Association of health literacy with diabetes outcomes. JAMA 288(4), 475–482 (2002)
Duke, S.A., Colagiuri, S., Colagiuri, R.: Individual patient education for people with type 2 diabetes mellitus. Cochrane Database Syst. Rev. 1, CD005268 (2009)
Dorresteijn, J.A., Kriegsman, D.M., Assendelft, W.J., Valk, G.D.: Patient education for preventing diabetic foot ulceration. Cochrane Database Syst. Rev. 5, CD001488 (2010)
American Diabetes Association: Standards of medical care in diabetes—2013. Diabetes Care 36, S11–S66 (2013)
Sharma, S., Kerry, C., Atkins, H., Rayman, G.: The Ipswich Touch Test: a simple and novel method to screen patients with diabetes at home for increased risk of foot ulceration. Diabet. Med. 31(9), 1100–1103 (2014)
Square, T., Lane, B.: Patient experience of diabetes services (2013)
Lung, C.W., Hsiao-Wecksler, E.T., Burns, S., Lin, F., Jan, Y.K.: Quantifying dynamic changes in plantar pressure gradient in diabetics with peripheral neuropathy. Front. Bioeng. Biotechnol. 4, 54 (2016)
Taborri, J., Palermo, E., Rossi, S., Cappa, P.: Gait partitioning methods: a systematic review. Sensors 16(1), 66 (2016)
Bus, S.A., Netten, J.J., Lavery, L.A., Monteiro-Soares, M., Rasmussen, A., Jubiz, Y., Price, P.E.: IWGDF guidance on the prevention of foot ulcers in at-risk patients with diabetes. Diabetes/Metab. Res. Rev. 32(S1), 16–24 (2016)
Liu, C., van Netten, J.J., Van Baal, J.G., Bus, S.A., van Der Heijden, F.: Automatic detection of diabetic foot complications with infrared thermography by asymmetric analysis. J. Biomed. Opt. 20(2), 026003 (2015)
Lavery, L.A., Higgins, K.R., Lanctot, D.R., Constantinides, G.P., Zamorano, R.G., Athanasiou, K.A., et al.: Preventing diabetic foot ulcer recurrence in high-risk patients use of temperature monitoring as a self-assessment tool. Diabetes Care 30, 14–20 (2007)
Armstrong, D.G., Holtz-Neiderer, K., Wendel, C., Mohler, M.J., Kimbriel, H.R., Lavery, L.A.: Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients. Am. J. Med. 120, 1042 (2007)
Jung, Y., et al.: Ground reaction force estimation using an insole-type pressure mat and joint kinematics during walking. J. Biomech. 47(11), 2693–2699 (2014)
Lavery, L.A., Higgins, K.R., Lanctot, D.R., Constantinides, G.P., Zamorano, R.G., et al.: Home monitoring of foot skin temperatures to prevent ulceration. Diabetes Care 27, 2642–2647 (2004)
Frykberg, R.G., Tallis, A., Tierney, E.: Diabetic foot self examination with the Tempstat as an integral component of a comprehensive prevention program. J. Diabet. Foot Complic. 1(1), 13–18 (2009)
Quinn, C.W., Bond, R., Nugent, C.: Ontological modelling and rule‐based reasoning for the provision of personalized patient education. Expert Syst. (2015)
International Diabetes Federation: Managing older people with type 2 diabetes global guideline. http://www.idf.org/guidelines/managing-older-people-type-2-diabetes. Accessed 24 Nov 2015
Mcdowell, J., Brown, F., Matthews, D. (eds.): Diabetes: A Handbook for the Primary Healthcare Team, 2nd edn. Churchill Livingstone, Edinburgh (2007)
Rafferty J., Cleland I., Nugent C., Armstrong, K., Madill, G.: An evaluation of contactless thermal sensing elements for use in a technology based diabetic foot disease detection solution. In: IEEE Engineering in Medicine and Biology Society Conference, Orlando, Florida, USA, pp. 4379–4382. IEEE, EMBC’16 (2016)
Nielsen, J.: Estimating the number of subjects needed for a thinking aloud test. Int. J. Hum. Comput. Stud. 41, 385–397 (1994)
Nielsen, J., Molich, R.: HE of user interface. In: CHI ’90 Conference Proceedings. ACM, pp. 249–256 (1990)
Brooke, J.: SUS-A quick and dirty usability scale. Usability Eval. Ind. 189(194), 4–7 (1996)
Bangor, A., Kortum, P., Miller, J.: Determining what individual SUS scores mean: Adding an adjective rating scale. J. Usability Stud. 4(3), 114–123 (2009)
Acknowledgment
Invest Northern Ireland is acknowledged for supporting this project under the Competence Centre Programme Grant RD0513853 - Connected Health Innovation Center. The authors would like to thank Diabetes UK for organising the workshop and the participants who attended and provided valuable feedback.
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Cleland, I. et al. (2017). A Holistic Technology-Based Solution for Prevention and Management of Diabetic Foot Complications. In: Ochoa, S., Singh, P., Bravo, J. (eds) Ubiquitous Computing and Ambient Intelligence. UCAmI 2017. Lecture Notes in Computer Science(), vol 10586. Springer, Cham. https://doi.org/10.1007/978-3-319-67585-5_46
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DOI: https://doi.org/10.1007/978-3-319-67585-5_46
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