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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v9i1e41285</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/41285</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Challenges and Opportunities of the Use and Adoption of Telemedicine for Diabetes Care and Management During the COVID-19 Pandemic and Beyond</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Dinesen</surname>
            <given-names>Birthe</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author">
          <name name-style="western">
            <surname>Altabtabaei</surname>
            <given-names>Rabab</given-names>
          </name>
          <degrees>BSc, MSc</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-1004-4827</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Alhuwail</surname>
            <given-names>Dari</given-names>
          </name>
          <degrees>BSc, MSc, PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Information Science Department</institution>
            <institution>Kuwait University</institution>
            <addr-line>College of Life Sciences</addr-line>
            <addr-line>PO Box 5969</addr-line>
            <addr-line>Sabah AlSalem University City, 13060</addr-line>
            <country>Kuwait</country>
            <phone>965 24633214</phone>
            <email>dari.alhuwail@ku.edu.kw</email>
          </address>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0001-5038-3044</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Information Science Department</institution>
        <institution>Kuwait University</institution>
        <addr-line>Sabah AlSalem University City</addr-line>
        <country>Kuwait</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Health Informatics Unit</institution>
        <institution>Dasman Diabetes Institute</institution>
        <addr-line>Dasman</addr-line>
        <country>Kuwait</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Dari Alhuwail <email>dari.alhuwail@ku.edu.kw</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2023</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>15</day>
        <month>2</month>
        <year>2023</year>
      </pub-date>
      <volume>9</volume>
      <elocation-id>e41285</elocation-id>
      <history>
        <date date-type="received">
          <day>21</day>
          <month>7</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>2</day>
          <month>2</month>
          <year>2023</year>
        </date>
      </history>
      <copyright-statement>©Rabab Altabtabaei, Dari Alhuwail. Originally published in Iproceedings (https://www.iproc.org), 15.02.2023.</copyright-statement>
      <copyright-year>2023</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2023/1/e41285" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>More than half of the world’s population deals with noncommunicable diseases causing premature death. Leveraging digital solutions like telemedicine, health care providers (HCPs) can provide medical care remotely. Yet, there is little known about the contextual challenges and opportunities of leveraging telemedicine solutions in varying socioeconomic and cultural contexts, including Kuwait.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>The aims of this paper were as follows: (1) uncover the challenges and opportunities of adopting and using telemedicine for diabetes care and management from the viewpoints of HCPs and patients with diabetes; (2) explore nonfunctional requirements for telemedicine applications for diabetes care and management; and (3) offer recommendations to improve the adoption of telemedicine in Kuwait’s health care system for diabetes care and management.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>Through semistructured interviews, this study employed a qualitative and exploratory design to uncover rich context-specific findings. Participants were recruited via social media platforms. The analysis followed a thematic analysis approach and used the framework method. Researchers used the “diffusion of innovation” model as a lens to guide the analysis and interpretation of the results.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>A total of 20 interviews were conducted—10 (50%) HCPs and 10 (50%) patients with diabetes. The participants were familiar with and interested in adopting telemedicine. Challenges included a lack of telemedicine infrastructure and how to increase patients’ technology awareness. Patients with diabetes mentioned that telemedicine would save time and effort. The participants suggested developing a secure, user-friendly telemedicine solution. They stated the importance of telemedicine during the pandemic, as many diabetes cases can be followed up online, which reduces virus spread and increases patients’ safety.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>The findings from this study can give a better understanding of what HCPs and patients with diabetes need to accept the adoption of telemedicine in resource-rich countries like Kuwait. The COVID-19 pandemic impacted the ways HCPs deliver medical care to patients and encouraged both HCPs and patients to explore the digital platform for continuous care and management of diabetes.</p>
        </sec>
        <sec>
          <title>Conflicts of Interest</title>
          <p>None declared.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>telemedicine</kwd>
        <kwd>informatics</kwd>
        <kwd>kuwait</kwd>
        <kwd>public health informatics</kwd>
        <kwd>COVID19</kwd>
        <kwd>diabetes</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
