Thesis Open Access

Analysis of system usage and knowledge development of the current PAL system for children with Type 1 Diabetes Mellitus

Boelhouwer, Anika


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    <subfield code="a">&lt;p&gt;Children who are diagnosed with type 1 diabetes mellitus need to learn a lot about diabetes and selfmanagement in a short period of time. A large problem in the support of this process is that health&lt;br&gt;
institutions cannot provide help at any given moment in the child life and are bounded by set face to&lt;br&gt;
face appointments. While digital interventions may address this issue by providing help and&lt;br&gt;
knowledge online which may be used at all times, this help and knowledge is general and not tailored&lt;br&gt;
to the individual. Also, actual usage of (digital) diabetes interventions has shown to be either&lt;br&gt;
extremely low or quickly decreasing. The Personal Assistant for a healthy Lifestyle project (PAL)&lt;br&gt;
strives to address these issues by providing a digital application with personalised communication and&lt;br&gt;
content. This study evaluated the current PAL application during a prolonged period of time with&lt;br&gt;
children diagnosed with type 1 diabetes mellitus between the ages of 6 and 12 years old. The main&lt;br&gt;
goals were to identify trends and possible predictors for both system usage and diabetes knowledge&lt;br&gt;
development. Three main trends were found in the system usage in which the majority of the users&lt;br&gt;
showed an overall low usage or quickly decreasing usage. A small number of users showed&lt;br&gt;
continuous and consistent usage throughout the entire experiment. As the personalisation was only&lt;br&gt;
minimally implemented the results are in line with common (digital) diabetes interventions. The&lt;br&gt;
results did not allow us to explore possible system usage and knowledge development predictors.&lt;br&gt;
They do however provide a solid baseline for further versions of the system in which the&lt;br&gt;
personalisation is further implemented. The main recommendations are to focus on the&lt;br&gt;
implementation of basic game design elements and personalised content to foster user engagement&lt;br&gt;
and continuous use. Maintaining the used measures (while adding some psychological predictors) and&lt;br&gt;
longitudinal experiment design will allow for comparative analysis in the further research cycles.&lt;br&gt;
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    <subfield code="a">Analysis of system usage and knowledge development of the current PAL system for children with Type 1 Diabetes Mellitus</subfield>
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