Design of an mHealth app for the self-management of adolescent type 1 diabetes: a pilot study.

Journal of Medical Internet Research
Joseph A CafazzoMark R Palmert

Abstract

The use of mHealth apps has shown improved health outcomes in adult populations with type 2 diabetes mellitus. However, this has not been shown in the adolescent type 1 population, despite their predisposition to the use of technology. We hypothesized that a more tailored approach and a strong adherence mechanism is needed for this group. To design, develop, and pilot an mHealth intervention for the management of type 1 diabetes in adolescents. We interviewed adolescents with type 1 diabetes and their family caregivers. Design principles were derived from a thematic analysis of the interviews. User-centered design was then used to develop the mobile app bant. In the 12-week evaluation phase, a pilot group of 20 adolescents aged 12-16 years, with a glycated hemoglobin (HbA(1c)) of between 8% and 10% was sampled. Each participant was supplied with the bant app running on an iPhone or iPod Touch and a LifeScan glucometer with a Bluetooth adapter for automated transfers to the app. The outcome measure was the average daily frequency of blood glucose measurement during the pilot compared with the preceding 12 weeks. Thematic analysis findings were the role of data collecting rather than decision making; the need for fast, discrete t...Continue Reading

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Citations

Sep 28, 2013·Translational Behavioral Medicine·Jessica Y BrelandJessica Yu
Oct 10, 2013·QJM : Monthly Journal of the Association of Physicians·S Goyal, J A Cafazzo
Aug 8, 2012·Journal of Medical Internet Research·Dag Helge FrøislandFinn Skårderud
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