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

(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/ Patient safety:

Clinical effect:

HbA1c ↑ (worse)

– PCD →

– PAID →

– HCCQ →

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences:

Usage (mean)

– Young people: 10.5 days

Parents: 5 days

7 (9%) young people and 13 (27%) parents never used the app after the introductory session.

– app use declined rapidly

Technical:

A total

of 43 (57%) young people and eight (16%) parents reported

technical issues.

Staff experiences:

NA

Costs and organization:

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 →

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)