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Table 2 Key findings of barriers and facilitators of app usage and useful features of app use

From: Mobile phone applications and their use in the self-management of Type 2 Diabetes Mellitus: a qualitative study among app users and non-app users

Barriers to using apps

App-specific

 Technological issues: app failing to work as intended (e.g. connectivity ongoing issue), not being user friendly, difficult to navigate

 Initial setup issues: units of measurement (American vs Australian), cost of app, font size

User-specific

 Perceptions of app use:

  Feeling they did not need an app

  Not knowing about available apps

  Not having thought of using an app for self management before

 Self-perception of diabetes

  “Not being bad enough”

  Current care being sufficient

 Self-perception of technological literacy

 Internet connectivity

Perceived facilitators and useful features of app use

Apps perceived to be useful and majority would recommend the app

App specific

 App user-friendly: easy navigation, clear designs, intuitive technology

 Convenience: ease of blood glucose monitoring, discretion of using phone, inbuilt exercise technology, time taken to perform tasks

 Features of apps: BGL connectivity with glucometer, calculating content of food

User-specific

 Personal and social factors

  Health literacy and technical literacy likely to influence positive attitudes towards app use

  Many open to the idea of using an app; however, some felt current management was sufficient

 Interaction with health-care professionals

  Recommendation by healthcare profession well received. Others stated they would use an app if their GP would recommend it

  Use of app not often disclosed to health professional

  Healthcare professional discussing app use encouraged self-reflection on diabetes management