FEATURE ARTICLEDevelopment and Evaluation of Theory-Based Diabetes Support ServicesGUO, SOPHIE HUEY-MING MSN, RN; LIN, YUNG-HSIU PhD; CHEN, RONG-RONG PhD; KAO, SHU-FEN PhD, RN; CHANG, HER-KUN PhDAuthor Information Author Affiliations: Graduate Institute of Business and Management (Ms Guo, Dr Chang) and Department of Information Management (Dr Chang), Chang Gung University, Taoyuan; and Department of Information Management, Ta Hwa University of Science and Technology (Dr Lin), Service Systems Technology Center, Industrial Technology Research Institute (Dr Chen), and Newton’s A Art & Technology Ltd Co. (Dr Kao), Hsinchu, Taiwan. This work was supported in part by the National Science Council and Chang Gung University, Taiwan, under grants NSC95-2745-H-182-005-HPU and UARPD3A0151. The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Her-Kun Chang, PhD, Department of Information Management, Chang Gung University, 259 Wenhwa 1st Rd, Kweishan, Taoyuan 333, Taiwan (firstname.lastname@example.org). CIN: Computers, Informatics, Nursing: January 2013 - Volume 31 - Issue 1 - p 17-26 doi: 10.1097/NXN.0b013e318266ca22 Buy Take the CE Test Metrics Abstract Technology-enabled support services for diabetes can fulfill patient demand to care for diabetes independently. Patients benefit from such services after greater adoption of the services in healthcare systems. Unfortunately, conventional service development fails to thoroughly understand patient care support, making it difficult to achieve the desired design, and posing substantial challenges in adopting these services. Thus, previously developed services in many cases are not as patients expected, as evidenced by their low acceptance among patients. To solve this problem, adequate strategies must be developed by incorporating theoretical knowledge as a solid foundation in order to improve service design. This study develops technology-enabled diabetes support services based on the self-care theory. A set of self-care service scenarios is also established and combined with theoretical concepts. The developed services consist of a nurse-led consultation service and a mobile application service. Additionally, user acceptance is confirmed by assessing patient perceptions of the diabetes support services in a group of patients with diabetes (N = 27). Results of analysis reveal that patients respond favorably toward the services. Patient preference and perceived ease of use attest to their intention to use the services. Greater adoption of the services can be anticipated, owing to a higher levels of preference and higher perceived ease of use. This study demonstrated that the self-care theory can be linked to nursing informatics research and chronic care clinical practices. © 2013 Lippincott Williams & Wilkins, Inc.