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JMIR Mhealth Uhealth. 2018 Jun 26;6(6):e141. doi: 10.2196/mhealth.9487.

Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial.

JMIR mHealth and uHealth

Pernille Castensøe-Seidenfaden, Gitte Reventlov Husted, Andreas Kryger Jensen, Eva Hommel, Birthe Olsen, Ulrik Pedersen-Bjergaard, Finn Kensing, Grete Teilmann

Affiliations

  1. Nordsjællands Hospital, Pediatric and Adolescent Department, University of Copenhagen, Hillerød, Denmark.
  2. Institute of Public Health, Biostatistics, University of Copenhagen, Copenhagen, Denmark.
  3. Nordsjællands Hospital, Department of Clinical Research, University of Copenhagen, Hillerød, Denmark.
  4. Steno Diabetes Center, Copenhagen, University of Copenhagen, Gentofte, Denmark.
  5. Herlev Hospital, Pediatric and Adolescent Department, University of Copenhagen, Herlev, Denmark.
  6. Nordsjællands Hospital, Department of Cardiology, Nephrology, and Endocrinology, University of Copenhagen, Hillerød, Denmark.
  7. Department of Computer Science, University of Copenhagen, Copenhagen, Denmark.

PMID: 29945861 PMCID: PMC6039771 DOI: 10.2196/mhealth.9487

Abstract

BACKGROUND: Young people often struggle to self-manage type 1 diabetes during the transition from childhood to adulthood. Mobile health (mHealth) apps may have the potential to support self-management, but evidence is limited and randomized controlled trials are needed.

OBJECTIVE: We assessed whether the mHealth app "Young with Diabetes" improved young people's self-management measured by glycated hemoglobin (HbA

METHODS: Young people (14-22 years) with inadequate glycemic control and their parents were enrolled in a randomized controlled trial and assigned either to Young with Diabetes and usual care (Young with Diabetes group) or to usual care alone (control). Young with Diabetes use was monitored; functions included a chat room, contact the health care provider, reminders, tips, information about the diabetes department and type 1 diabetes topics, carbohydrate counting, and a parents' section. Outcomes included HbA

RESULTS: A total of 151 young people were randomized (Young with Diabetes group=76, control=75) and 49 parents agreed to participate. At 12 months, HbA

CONCLUSIONS: Young with Diabetes did not improve HbA

TRIAL REGISTRATION: ClinicalTrials.gov NCT02632383; https://clinicaltrials.gov/ct2/show/NCT02632383 (Archived by WebCite at http://www.webcitation.org/6zCK2u7xM).

©Pernille Castensøe-Seidenfaden, Gitte Reventlov Husted, Andreas Kryger Jensen, Eva Hommel, Birthe Olsen, Ulrik Pedersen-Bjergaard, Finn Kensing, Grete Teilmann. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 26.06.2018.

Keywords: diabetes; mHealth; randomized controlled trial; self-management; transition; young people

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