Adaptation of an mHealth Solution for the Nutritional Management of Diabetes in a Low- and Middle-Income Country: Pre-Post Mixed Methods Pilot Study

Cecilia Anza-Ramirez   ^{1 *} , MSc ;   Karen Bonilla-Aguilar   ^{1 *} , MSc ;   David Beran   ² , PhD ;   Jean-Luc Mando   ³ , MSc ;   Lorena Saavedra-Garcia   ¹ , MSc ;   Monica Julissa Angulo-Barranca   ⁴ , MD ;   Marco Alexi Taboada Garcia   ^{5, 6} , MSc ;   Leonardo Albitres-Flores   ¹ , MD ;   Alejandro Loayza   ⁷ , BSc ;   Jessica Hanae Zafra-Tanaka   ^{1, 2} , PhD ;   Olivia Heller   ⁸ , MSc ;   María Lazo-Porras   ¹ , PhD ;   Montserrat Castellsague Pique Perolini   ⁸ , DSN

¹ CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru

² Division of Tropical and Humanitarian Medicine, University of Geneva and Geneva University Hospitals, Geneva, Switzerland

³ KmKoncept Sàrl, Veyrier, Switzerland

⁴ Pediatric Diabetes Reference Center, Nuna Integral Pediatrics Clinic, Lima, Peru

⁵ Nutrition, Faculty of Science and Engineering, Universidad Peruana Cayetano Heredia, Lima, Peru

⁶ EsSalud, Lima, Peru

⁷ Nutrition and Dietetics, Universidad Peruana de Ciencias Aplicadas, Lima, Peru

⁸ Division of Tropical and Humanitarian Medicine, Geneva University Hospitals, Geneva, Switzerland

*these authors contributed equally