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
Affiliations
- Nordsjællands Hospital, Pediatric and Adolescent Department, University of Copenhagen, Hillerød, Denmark.
- Institute of Public Health, Biostatistics, University of Copenhagen, Copenhagen, Denmark.
- Nordsjællands Hospital, Department of Clinical Research, University of Copenhagen, Hillerød, Denmark.
- Steno Diabetes Center, Copenhagen, University of Copenhagen, Gentofte, Denmark.
- Herlev Hospital, Pediatric and Adolescent Department, University of Copenhagen, Herlev, Denmark.
- Nordsjællands Hospital, Department of Cardiology, Nephrology, and Endocrinology, University of Copenhagen, Hillerød, Denmark.
- 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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