{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:14:30Z","timestamp":1790802870469,"version":"4.1.0"},"reference-count":72,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of British Columbia\u00e2\u20ac\u2122s Office of the Vice President of Research and Innovation","award":["AWD-015766"],"award-info":[{"award-number":["AWD-015766"]}]}],"content-domain":{"domain":["www.plosdigitalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Digit Health"],"abstract":"<jats:p>Diabetes technology generates vital health data, but healthcare professionals (HCP) and patients must navigate multiple platforms to access it. We developed a digital health platform, co-designed with patients and families living with type 1 diabetes (T1D) and their HCPs, that aim to support a collaborative care experience through shared access to diabetes data, clinical recommendations, and resources. We describe caregivers\u2019 views on the platform\u2019s impact on clinic visits and child self-management in children with T1D. A six-month observational pilot study at BC Children\u2019s Hospital Diabetes Clinic in British Columbia, Canada, gathered data through surveys and interviews. Surveys were administered to caregivers and HCPs at different time points throughout the study; 18 qualitative interviews were conducted with caregivers at the conclusion of the study. Quantitative data were summarized descriptively. Interview data were transcribed, coded using open and systematic coding, and subsequent inductive thematic analysis. Eighteen caregivers completed the surveys, and 11 HCP participants submitted 41 surveys (approximately 3\u20134 each) after using the platform. Most caregivers (61%; 11\/18) found the platform helpful, and 56% (10\/18) reported that using the platform made their clinical visits and recommendations more personalized. Nearly all HCPs (90%; 37\/41) were satisfied with the platform\u2019s ability to support clinical visits. Themes identified from caregiver qualitative interviews revealed that (1) the platform provided a convenient connection that improved preparedness and empowered caregivers in managing their child\u2019s T1D; (2) the platform\u2019s value was driven by the healthcare team\u2019s usage of it; and (3) caregivers felt hopeful that the platform could better support their child\u2019s T1D management. The platform could foster a collaborative and personalized care experience that enables caregivers to engage in diabetes self-management and feel connected to their healthcare team. These results will guide the future development, evaluation, and implementation of the platform.<\/jats:p>","DOI":"10.1371\/journal.pdig.0000861","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:27:02Z","timestamp":1761931622000},"page":"e0000861","update-policy":"https:\/\/doi.org\/10.1371\/journal.pdig.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Caregiver experiences of an integrative patient-centered digital health application for pediatric type 1 diabetes care: Findings from a pilot clinical trial"],"prefix":"10.1371","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5193-8582","authenticated-orcid":true,"given":"Shazhan","family":"Amed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Pinkney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9719-925X","authenticated-orcid":true,"given":"Fatema S.","family":"Abdulhussein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8751-0756","authenticated-orcid":true,"given":"Anila","family":"Virani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlie","family":"Zachariuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhpreet K.","family":"Tamana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2254-0262","authenticated-orcid":true,"given":"Shruti","family":"Muralidharan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2193-178X","authenticated-orcid":true,"given":"Matthias","family":"G\u00f6rges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Barrett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"van Rooij","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0928-8867","authenticated-orcid":true,"given":"Elizabeth M.","family":"Borycki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Kushniruk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Longstaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1374-3172","authenticated-orcid":true,"given":"Alice","family":"Virani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyeth W.","family":"Wasserman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the TrustSphere Collaborative","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"issue":"10205","key":"pdig.0000861.ref001","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1016\/S0140-6736(19)31142-0","article-title":"Advances in technology for management of type 1 diabetes","volume":"394","author":"RW Beck","year":"2019","journal-title":"Lancet"},{"issue":"2","key":"pdig.0000861.ref002","first-page":"70","article-title":"Advances in Type 1 Diabetes Technology Over the Last Decade","volume":"15","author":"C Zimmerman","year":"2019","journal-title":"Eur Endocrinol"},{"issue":"6","key":"pdig.0000861.ref003","doi-asserted-by":"crossref","first-page":"971","DOI":"10.2337\/dc15-0078","article-title":"Current state of type 1 diabetes treatment in the U.S.: updated data from the T1D Exchange clinic registry","volume":"38","author":"KM Miller","year":"2015","journal-title":"Diabetes Care"},{"issue":"10","key":"pdig.0000861.ref004","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.2337\/dc20-0348","article-title":"Youth Involvement in the Decision to Start CGM Predicts Subsequent CGM Use","volume":"43","author":"VA Miller","year":"2020","journal-title":"Diabetes Care"},{"issue":"4","key":"pdig.0000861.ref005","first-page":"230","article-title":"State of Type 1 Diabetes Management and Outcomes from the T1D Exchange in 2016-2018. Diabetes Technol Ther. 2019 Feb;21(2):66-72. doi: 10.1089\/dia.2018.0384","volume":"21","author":"NC Foster","year":"2019","journal-title":"Erratum in: Diabetes Technol Ther"},{"issue":"3","key":"pdig.0000861.ref006","article-title":"Factors Affecting the Quality of Person-Generated Wearable Device Data and Associated Challenges: Rapid Systematic Review","volume":"9","author":"S Cho","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"issue":"5","key":"pdig.0000861.ref007","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1016\/j.molonc.2014.08.006","article-title":"Emerging uses of patient generated health data in clinical research","volume":"9","author":"WA Wood","year":"2015","journal-title":"Mol Oncol"},{"issue":"1","key":"pdig.0000861.ref008","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/1932296815622453","article-title":"A Digital Ecosystem of Diabetes Data and Technology: Services, Systems, and Tools Enabled by Wearables, Sensors, and Apps","volume":"10","author":"ND Heintzman","year":"2015","journal-title":"J Diabetes Sci Technol"},{"issue":"1","key":"pdig.0000861.ref009","doi-asserted-by":"crossref","first-page":"18994","DOI":"10.1038\/s41598-024-70073-7","article-title":"Innovation and challenges of artificial intelligence technology in personalized healthcare","volume":"14","author":"Y-H Li","year":"2024","journal-title":"Sci Rep"},{"issue":"4","key":"pdig.0000861.ref010","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/1932296817691305","article-title":"Pilot Study of a Novel Application for Data Visualization in Type 1 Diabetes","volume":"11","author":"JC Wong","year":"2017","journal-title":"J Diabetes Sci Technol"},{"issue":"4","key":"pdig.0000861.ref011","doi-asserted-by":"crossref","DOI":"10.2196\/24374","article-title":"Shaping Workflows in Digital and Remote Diabetes Care During the COVID-19 Pandemic via Service Design: Prospective, Longitudinal, Open-label Feasibility Trial","volume":"9","author":"K Braune","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"issue":"6","key":"pdig.0000861.ref012","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.7336","article-title":"A Mobile App for the Self-Management of Type 1 Diabetes Among Adolescents: A Randomized Controlled Trial","volume":"5","author":"S Goyal","year":"2017","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"pdig.0000861.ref013","doi-asserted-by":"crossref","DOI":"10.2196\/diabetes.8357","article-title":"Use of a Mobile App to Facilitate Blood Glucose Monitoring in Adolescents With Type 1 Diabetes: Single-Subject Nonrandomized Clinical Trial","volume":"3","author":"EJ Bellfield","year":"2018","journal-title":"JMIR Diabetes"},{"issue":"8","key":"pdig.0000861.ref014","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.6639","article-title":"Sugarsquare, a Web-Based Patient Portal for Parents of a Child With Type 1 Diabetes: Multicenter Randomized Controlled Feasibility Trial","volume":"19","author":"E Boogerd","year":"2017","journal-title":"J Med Internet Res"},{"issue":"6","key":"pdig.0000861.ref015","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.9487","article-title":"Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial","volume":"6","author":"P Castens\u00f8e-Seidenfaden","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"issue":"7","key":"pdig.0000861.ref016","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1177\/1357633X221125835","article-title":"The effect of an mHealth intervention for adolescents with Type 1 diabetes and their parents","volume":"30","author":"BE Holtz","year":"2024","journal-title":"J Telemed Telecare"},{"issue":"12","key":"pdig.0000861.ref017","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1089\/dia.2018.0255","article-title":"An Intervention by a Patient-Designed Do-It-Yourself Mobile Device App Reduces HbA1c in Children and Adolescents with Type 1 Diabetes: A Randomized Double-Crossover Study","volume":"20","author":"P Klee","year":"2018","journal-title":"Diabetes Technol Ther"},{"issue":"2","key":"pdig.0000861.ref018","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.8876","article-title":"Exploring the Influence of a Smartphone App (Young with Diabetes) on Young People\u2019s Self-Management: Qualitative Study","volume":"6","author":"GR Husted","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"issue":"7","key":"pdig.0000861.ref019","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1089\/dia.2018.0064","article-title":"Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns","volume":"20","author":"SA Mulvaney","year":"2018","journal-title":"Diabetes Technol Ther"},{"issue":"1","key":"pdig.0000861.ref020","doi-asserted-by":"crossref","DOI":"10.2196\/33639","article-title":"Feasibility and Impact of Remote Glucose Monitoring Among Patients With Newly Diagnosed Type 1 Diabetes: Single-Center Pilot Study","volume":"7","author":"S Crossen","year":"2022","journal-title":"JMIR Diabetes"},{"issue":"10","key":"pdig.0000861.ref021","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.36876","article-title":"Comprehensive Telehealth Model to Support Diabetes Self-Management","volume":"6","author":"G Aleppo","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"1","key":"pdig.0000861.ref022","article-title":"Virtual Endocrinology Care Emphasizing Data-Driven Insights and Continuous Engagement and Its Impact on Glycemic Outcomes in Patients With Uncontrolled Diabetes: A Real-world Retrospective Case Series","volume":"7","author":"CC Wu","year":"2022","journal-title":"JMIR Diabetes"},{"issue":"1","key":"pdig.0000861.ref023","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1038\/s41746-023-00956-y","article-title":"Digital health application integrating wearable data and behavioral patterns improves metabolic health","volume":"6","author":"AD Zahedani","year":"2023","journal-title":"NPJ Digit Med"},{"issue":"6","key":"pdig.0000861.ref024","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1111\/pedi.13363","article-title":"Parents\u2019 views about healthcare professionals having real-time remote access to their young child\u2019s diabetes data: Qualitative study","volume":"23","author":"B Kimbell","year":"2022","journal-title":"Pediatr Diabetes"},{"issue":"1","key":"pdig.0000861.ref025","doi-asserted-by":"crossref","first-page":"128","DOI":"10.3390\/s20010128","article-title":"Patient-Generated Health Data Integration and Advanced Analytics for Diabetes Management: The AID-GM Platform","volume":"20","author":"E Salvi","year":"2019","journal-title":"Sensors (Basel)"},{"issue":"1","key":"pdig.0000861.ref026","first-page":"40","article-title":"Patient and clinician experiences with telehealth for patient follow-up care","volume":"25","author":"K Donelan","year":"2019","journal-title":"Am J Manag Care"},{"issue":"10","key":"pdig.0000861.ref027","article-title":"Patient and Provider Experiences With Virtual Care in a Large, Ambulatory Care Hospital in Ontario, Canada During the COVID-19 Pandemic: Observational Study","volume":"24","author":"C Chu","year":"2022","journal-title":"J Med Internet Res"},{"issue":"1","key":"pdig.0000861.ref028","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/19322968211043498","article-title":"Six Digital Health Technologies That Will Transform Diabetes","volume":"17","author":"AN Klonoff","year":"2023","journal-title":"J Diabetes Sci Technol"},{"key":"pdig.0000861.ref029","unstructured":"What Is Patient-Centered Care? New England Journal of Medicine Catalyst. 2017. [Accessed 01\/11\/2025]. doi:10.1056\/CAT.17.0559 Available from: https:\/\/catalyst.nejm.org\/doi\/full\/10.1056\/CAT.17.0559"},{"issue":"1","key":"pdig.0000861.ref030","doi-asserted-by":"crossref","first-page":"33","DOI":"10.2337\/dsi21-0018","article-title":"Challenges and Opportunities in Using Telehealth for Diabetes Care","volume":"35","author":"SS Crossen","year":"2022","journal-title":"Diabetes Spectr"},{"key":"pdig.0000861.ref031","doi-asserted-by":"crossref","DOI":"10.2196\/53657","article-title":"Caregiver and Youth Characteristics That Influence Trust in Digital Health Platforms in Pediatric Care: Mixed Methods Study","volume":"26","author":"E Chow","year":"2024","journal-title":"J Med Internet Res"},{"key":"pdig.0000861.ref032","unstructured":"Pinkney S, Virani S, Abdulhussein FS, Amed S. Evaluating the feasibility and benefit of TrustSphere: a novel digital health solution for children living with Type 1 diabetes. Presented at the Advanced Technologies & Treatments for Diabetes conference at Barcelona, Spain & Online, 27\u201030 April 2022."},{"key":"pdig.0000861.ref033","doi-asserted-by":"crossref","DOI":"10.2196\/46432","article-title":"Designing a Collaborative Patient-Centered Digital Health Platform for Pediatric Diabetes Care in British Columbia: Formative Needs Assessment by Caregivers of Children and Youths Living With Type 1 Diabetes and Health Care Providers","volume":"6","author":"FS Abdulhussein","year":"2023","journal-title":"JMIR Pediatr Parent"},{"key":"pdig.0000861.ref034","first-page":"139","article-title":"Participatory Design, User Involvement and Health IT Evaluation","volume":"222","author":"A Kushniruk","year":"2016","journal-title":"Stud Health Technol Inform"},{"key":"pdig.0000861.ref035","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/B978-0-12-384968-7.00002-3","article-title":"Chapter 2 - Quantifying User Research.","volume-title":"Quantifying the User Experience","author":"J Sauro","year":"2012"},{"issue":"1","key":"pdig.0000861.ref036","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1038\/s41746-024-01105-9","article-title":"Sync fast and solve things-best practices for responsible digital health","volume":"7","author":"C Landers","year":"2024","journal-title":"NPJ Digit Med"},{"issue":"1","key":"pdig.0000861.ref037","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1038\/s41746-024-01256-9","article-title":"The case for inclusive co-creation in digital health innovation","volume":"7","author":"GC Nickel","year":"2024","journal-title":"NPJ Digit Med"},{"issue":"2","key":"pdig.0000861.ref038","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1111\/jgs.17540","article-title":"Empowering patients with the PREPARE advance care planning program results in reciprocal clinician communication","volume":"70","author":"S Nouri","year":"2022","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"pdig.0000861.ref039","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1186\/s12913-021-06456-7","article-title":"Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion","volume":"21","author":"M Gholamzadeh","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"pdig.0000861.ref040","doi-asserted-by":"crossref","first-page":"116290","DOI":"10.1016\/j.socscimed.2023.116290","article-title":"Better outcomes through patient - Provider therapeutic connections? An exploratory study of proposed mediating variables","volume":"338","author":"C Rathert","year":"2023","journal-title":"Soc Sci Med"},{"issue":"3","key":"pdig.0000861.ref041","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1111\/1468-0009.12416","article-title":"Organizing Care for Patients With Chronic Illness Revisited","volume":"97","author":"EH Wagner","year":"2019","journal-title":"Milbank Q"},{"issue":"4","key":"pdig.0000861.ref042","doi-asserted-by":"crossref","first-page":"511","DOI":"10.2307\/3350391","article-title":"Organizing Care for Patients with Chronic Illness","volume":"74","author":"EH Wagner","year":"1996","journal-title":"The Milbank Quarterly"},{"key":"pdig.0000861.ref043","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1111\/j.1475-6773.2011.01354.x","article-title":"Patient-physician role relationships and patient activation among individuals with chronic illness","volume":"47","author":"JA Alexander","year":"2012","journal-title":"Health Serv Res"},{"issue":"4","key":"pdig.0000861.ref044","doi-asserted-by":"crossref","first-page":"100","DOI":"10.7812\/TPP\/23.022","article-title":"Benefits and Challenges of Remote Patient Monitoring as Perceived by Health Care Practitioners: A Systematic Review","volume":"27","author":"LP Serrano","year":"2023","journal-title":"Perm J"},{"issue":"2","key":"pdig.0000861.ref045","doi-asserted-by":"crossref","DOI":"10.2196\/10362","article-title":"Health Care Professionals\u2019 Perceptions of Home Telemonitoring in Heart Failure Care: Cross-Sectional Survey","volume":"21","author":"IT Aamodt","year":"2019","journal-title":"J Med Internet Res"},{"issue":"4","key":"pdig.0000861.ref046","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1093\/jamiaopen\/ooz036","article-title":"Patient-generated health data management and quality challenges in remote patient monitoring","volume":"2","author":"R Abdolkhani","year":"2019","journal-title":"JAMIA Open"},{"issue":"1","key":"pdig.0000861.ref047","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1186\/s12913-018-3545-4","article-title":"Perceptions of patients with chronic obstructive pulmonary disease and their health care providers towards using mHealth for self-management of exacerbations: a qualitative study","volume":"18","author":"YJG Korpershoek","year":"2018","journal-title":"BMC Health Serv Res"},{"issue":"11","key":"pdig.0000861.ref048","doi-asserted-by":"crossref","DOI":"10.2196\/19180","article-title":"Advanced Symptom Management System for Patients with Malignant Pleural Mesothelioma (ASyMSmeso): Mixed Methods Study","volume":"22","author":"R Maguire","year":"2020","journal-title":"J Med Internet Res"},{"key":"pdig.0000861.ref049","doi-asserted-by":"crossref","first-page":"2055207619828220","DOI":"10.1177\/2055207619828220","article-title":"Use of wearable sensors for pregnancy health and environmental monitoring: Descriptive findings from the perspective of patients and providers","volume":"5","author":"J Runkle","year":"2019","journal-title":"Digit Health"},{"key":"pdig.0000861.ref050","doi-asserted-by":"crossref","first-page":"2623","DOI":"10.2147\/PPA.S181604","article-title":"Improving safety and efficiency in care: multi-stakeholders\u2019 perceptions associated with a peritoneal dialysis virtual care solution","volume":"12","author":"L Jeffs","year":"2018","journal-title":"Patient Prefer Adherence"},{"key":"pdig.0000861.ref051","unstructured":"Glooko. Diabetes Management App. [Accessed 01\/11\/2025]. Available from: https:\/\/glooko.com\/"},{"key":"pdig.0000861.ref052","doi-asserted-by":"crossref","first-page":"1063290","DOI":"10.3389\/fendo.2023.1063290","article-title":"Remote glucose monitoring is feasible for patients and providers using a commercially available population health platform","volume":"14","author":"SS Crossen","year":"2023","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"4","key":"pdig.0000861.ref053","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1210\/clinem\/dgab859","article-title":"Teamwork, Targets, Technology, and Tight Control in Newly Diagnosed Type 1 Diabetes: the Pilot 4T Study","volume":"107","author":"P Prahalad","year":"2022","journal-title":"J Clin Endocrinol Metab"},{"issue":"5","key":"pdig.0000861.ref054","article-title":"A New Technology-Enabled Care Model for Pediatric Type 1 Diabetes","volume":"3","author":"D Scheinker","year":"2022","journal-title":"NEJM Catal Innov Care Deliv"},{"issue":"12","key":"pdig.0000861.ref055","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1089\/dia.2018.0251","article-title":"A Pilot Study of Use of a Software Platform for the Collection, Integration, and Visualization of Diabetes Device Data by Health Care Providers in a Multidisciplinary Pediatric Setting","volume":"20","author":"JC Wong","year":"2018","journal-title":"Diabetes Technol Ther"},{"issue":"4","key":"pdig.0000861.ref056","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1200\/JOP.2011.000323","article-title":"Patient-physician e-mail communication: the kaiser permanente experience","volume":"7","author":"D Baer","year":"2011","journal-title":"J Oncol Pract"},{"key":"pdig.0000861.ref057","doi-asserted-by":"crossref","first-page":"108393","DOI":"10.1016\/j.pec.2024.108393","article-title":"The use of asynchronous digital two-way communication between patients and healthcare professionals after hospital discharge: A scoping review","volume":"128","author":"LWH Jensen","year":"2024","journal-title":"Patient Educ Couns"},{"key":"pdig.0000861.ref058","doi-asserted-by":"crossref","first-page":"85","DOI":"10.2147\/JHL.S289176","article-title":"Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare","volume":"13","author":"R Harrison","year":"2021","journal-title":"J Healthc Leadersh"},{"key":"pdig.0000861.ref059","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1038\/s41746-018-0059-8","article-title":"Beyond \u201cimplementation\u201d: digital health innovation and service design","volume":"1","author":"J Shaw","year":"2018","journal-title":"NPJ Digit Med"},{"issue":"1","key":"pdig.0000861.ref060","doi-asserted-by":"crossref","DOI":"10.2196\/14512","article-title":"Back to the Future: Achieving Health Equity Through Health Informatics and Digital Health","volume":"8","author":"LC Brewer","year":"2020","journal-title":"JMIR Mhealth Uhealth"},{"key":"pdig.0000861.ref061","unstructured":"Careteam Technologies. [Accessed 01\/21\/2025]. Available from: https:\/\/www.getcareteam.com\/"},{"issue":"7","key":"pdig.0000861.ref062","doi-asserted-by":"crossref","DOI":"10.2196\/21929","article-title":"The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities","volume":"9","author":"M Ayaz","year":"2021","journal-title":"JMIR Med Inform"},{"key":"pdig.0000861.ref063","first-page":"70061","article-title":"TrustSphere - Enabling patient-directed access to clinical and patient-generated health data: a novel multi-source architecture","author":"T van Rooij","year":"2024","journal-title":"JMIR Preprints"},{"issue":"12","key":"pdig.0000861.ref064","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1136\/bmjqs-2015-004411","article-title":"SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process","volume":"25","author":"G Ogrinc","year":"2016","journal-title":"BMJ Qual Saf"},{"issue":"3","key":"pdig.0000861.ref065","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/pedi.12566","article-title":"Type 1 diabetes incidence and prevalence trends in a cohort of Canadian children and youth","volume":"19","author":"DA Fox","year":"2018","journal-title":"Pediatr Diabetes"},{"key":"pdig.0000861.ref066","doi-asserted-by":"crossref","unstructured":"Brooke J. SUS: A \u2018Quick and Dirty\u2019 Usability Scale. Usability Evaluation In Industry. 1996. https:\/\/doi.org\/10.1201\/9781498710411-35","DOI":"10.1201\/9781498710411-35"},{"issue":"3","key":"pdig.0000861.ref067","first-page":"158","article-title":"Item benchmarks for the system usability scale","volume":"3","author":"JR Lewis","year":"2008","journal-title":"Journal of Usability Studies"},{"issue":"3","key":"pdig.0000861.ref068","first-page":"114","article-title":"Determining what individual SUS scores mean","volume":"4","author":"A Bangor","year":"2009","journal-title":"Journal of Usability Studies"},{"issue":"8","key":"pdig.0000861.ref069","doi-asserted-by":"crossref","DOI":"10.2196\/37290","article-title":"System Usability Scale Benchmarking for Digital Health Apps: Meta-analysis","volume":"10","author":"M Hyzy","year":"2022","journal-title":"JMIR Mhealth Uhealth"},{"key":"pdig.0000861.ref070","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"PA Harris","year":"2019","journal-title":"J Biomed Inform"},{"issue":"2","key":"pdig.0000861.ref071","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"PA Harris","year":"2009","journal-title":"J Biomed Inform"},{"issue":"2","key":"pdig.0000861.ref072","doi-asserted-by":"crossref","first-page":"142","DOI":"10.3390\/psych4020013","article-title":"Qualitative Methods with Nvivo Software: A Practical Guide for Analyzing Qualitative Data","volume":"4","author":"DB Allsop","year":"2022","journal-title":"Psych"}],"container-title":["PLOS Digital Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:27:22Z","timestamp":1761931642000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000861"}},"subtitle":[],"editor":[{"given":"Haleh","family":"Ayatollahi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":72,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,31]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pdig.0000861","relation":{},"ISSN":["2767-3170"],"issn-type":[{"value":"2767-3170","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]}}}