Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial.
Source: Ca-stensoe-Seiden-faden, P., et al. 2018 - Pubmed ID: 29945861
Setting: Denmark, Outpatient Clinic
Study design:
RCT
Follow up: 12 months
Patient group:
Sample size:
Total: 151 (148)
IG: 76 (75)
CG: 75 (73)
Inclusion criteria:
- Diabetes type 1
- 14-22 years old
- HbA1c ≥64 mmol/mol (8%) at last visit and an average HbA1c>58 mmol/mol and (7.5%) at the last three visits prior to invitation
Type of technology:
App (mhealth)
- Contact with health care providers
- Education
- Peer support (chat)
Intervention:
Intervention: The mhealth app provides a platform for young people to access information and support from peers, parents, and health care providers.
Duration: NA
Add on: +
Control group: Usual care, quarterly clinic visits
Clinical effect:
- HbA1c ↑ (worse)
- PCD →
- PAID →
- HCCQ →
Patient safety: NA
Patient experiences/
Staff experiences:
Patient experiences:
- Young people: 10.5 days usage (mean)
- Parents: 5 days usage (mean)
- 7 (9%) young people and 13 (27%) parents never used the app after the introductory session
- App use declined rapidly
A total of 43 (57%) young people and eight (16%) parents reported technical issues.
Staff experiences: NA
Investment:
Staff resources
- Development of App
- Education
Running:
Staff resources
- Answering messages from patients.
Organization: NA
Health care utilization:
- Acute diabetes related hospitalizations →
- Severe hypoglycemia →