Evaluation of the MineAftaler App Among Pregnant Women with Diabetes: A Study of Usage Patterns and Perceived Usability
Translated title
Evaluering af MineAftaler blandt gravide med diabetes: En undersøgelse af brugsmønstre og oplevet brugervenlighed
Authors
Jensen, Anne-Sofie Raunsbæk ; Klausen, Isabella Klitgaard ; Nash, Kristjana Magill
Term
4. term
Education
Publication year
2026
Submitted on
2026-06-01
Abstract
This study investigates the use and perceived usability of the MineAftaler app among pregnant women with diabetes receiving care at Steno Diabetes Center North Denmark. The app enables secure, written two-way communication between pregnant women and healthcare professionals regarding blood glucose management, treatment adjustments, and pregnancy-related concerns, and also provides an overview of upcoming appointments and digital appointment management. In a quantitative usability evaluation, two data sources were combined: (1) message data from 100 pregnant or previously pregnant women with gestational diabetes mellitus (GDM), type 1 diabetes (T1D), or type 2 diabetes (T2D), and (2) questionnaire data from 15 current or former users. Messages sent through the app were analyzed descriptively by diabetes type, gestational week, and predefined themes, and differences in messages per active week per participant were assessed using non-parametric statistical tests. A total of 1189 patient messages were included, and participants sent on average 11.89±16.41 messages during the observation period. Messages per active week per participant differed significantly between diabetes types (p=0.03), with higher activity among women with T1D compared with those with GDM (p=0.01). Mean message activity per week per participant was 1.06±0.91 before gestational week 20 and 0.75±0.85 after, remaining below the local recommendation of at least two contacts per week after week 20. The most frequent message themes concerned blood glucose and treatment regulation. Questionnaire responses, mainly from women with GDM, showed a mean System Usability Scale (SUS) score of 78.17±17.15, indicating generally good perceived usability, and most respondents reported that the app improved their overview of the treatment pathway, although some technical issues were noted. Overall, the findings suggest that MineAftaler is a useful digital communication tool in pregnancy diabetes care, but that engagement and communication patterns vary between patient groups, highlighting the need to align implementation with clinical context and group-specific needs.
Dette studie undersøger anvendelsen og den oplevede brugervenlighed af appen MineAftaler blandt gravide kvinder med diabetes, som er tilknyttet Steno Diabetes Center Nordjylland. Appen giver mulighed for sikker, skriftlig tovejskommunikation mellem gravide og sundhedsprofessionelle om blodsukkerregulering, behandlingstilpasning og graviditetsrelaterede spørgsmål samt overblik over og booking af aftaler. I et kvantitativt bruger- og brugervenlighedsstudie blev to datakilder kombineret: 1) beskeddata fra 100 gravide eller nyligt gravide kvinder med gestationel diabetes (GDM), type 1-diabetes (T1D) eller type 2-diabetes (T2D), og 2) spørgeskemadata fra 15 tidligere eller nuværende brugere. Beskeder sendt via appen blev analyseret deskriptivt efter diabetestype, graviditetsuge og foruddefinerede temaer, og forskelle i antal beskeder per aktiv uge per deltager blev vurderet med ikke-parametriske statistiske test. I alt blev 1189 patientbeskeder inkluderet, og deltagerne sendte i gennemsnit 11,89±16,41 beskeder i observationsperioden. Der var signifikant forskel i antal beskeder per aktiv uge mellem diabetestyper (p=0,03), med højere aktivitet hos kvinder med T1D end hos kvinder med GDM (p=0,01). Den gennemsnitlige beskedaktivitet per uge per deltager var 1,06±0,91 før graviditetsuge 20 og 0,75±0,85 efter, hvilket er under den lokale anbefaling om mindst to kontakter ugentligt efter uge 20. De hyppigste beskedtemaer var blodsukker og behandlingsregulering. Spørgeskemasvar, primært fra kvinder med GDM, viste en gennemsnitlig System Usability Scale (SUS)-score på 78,17±17,15, svarende til generelt god oplevet brugervenlighed, og de fleste oplevede et bedre overblik over deres behandlingsforløb ved brug af appen, selvom nogle tekniske udfordringer blev rapporteret. Samlet set tyder resultaterne på, at MineAftaler er en brugbar digital kommunikationsløsning i graviditetsdiabetesforløb, men at graden af engagement og kommunikationsmønstre varierer mellem patientgrupper, hvilket understreger behovet for at tilpasse implementeringen til klinisk kontekst og gruppespecifikke behov.
[This abstract has been generated with the help of AI directly from the project full text]