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

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Standard

Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months : Randomized Controlled Trial. / Castensøe-Seidenfaden, Pernille; Husted, Gitte Reventlov; Jensen, Andreas Kryger; Hommel, Eva; Olsen, Birthe; Pedersen-Bjergaard, Ulrik; Kensing, Finn; Teilmann, Grete.

In: JMIR Mhealth Uhealth, Vol. 6, No. 6, e141, 26.06.2018.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Castensøe-Seidenfaden, P, Husted, GR, Jensen, AK, Hommel, E, Olsen, B, Pedersen-Bjergaard, U, Kensing, F & Teilmann, G 2018, 'Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial', JMIR Mhealth Uhealth, vol. 6, no. 6, e141. https://doi.org/10.2196/mhealth.9487

APA

Castensøe-Seidenfaden, P., Husted, G. R., Jensen, A. K., Hommel, E., Olsen, B., Pedersen-Bjergaard, U., ... Teilmann, G. (2018). Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial. JMIR Mhealth Uhealth, 6(6), [e141]. https://doi.org/10.2196/mhealth.9487

Vancouver

Castensøe-Seidenfaden P, Husted GR, Jensen AK, Hommel E, Olsen B, Pedersen-Bjergaard U et al. Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2018 Jun 26;6(6). e141. https://doi.org/10.2196/mhealth.9487

Author

Castensøe-Seidenfaden, Pernille ; Husted, Gitte Reventlov ; Jensen, Andreas Kryger ; Hommel, Eva ; Olsen, Birthe ; Pedersen-Bjergaard, Ulrik ; Kensing, Finn ; Teilmann, Grete. / Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months : Randomized Controlled Trial. In: JMIR Mhealth Uhealth. 2018 ; Vol. 6, No. 6.

Bibtex

@article{19fa5bf2809f44bfa82ecaf04b49451b,
title = "Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months: Randomized Controlled Trial",
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 (HbA1c) and three self-reported psychometric scales.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 HbA1c and three self-reported psychometric scales: Perceived Competence in Diabetes Scale; Health Care Climate Questionnaire; and Problem Areas In Diabetes care survey. Data were collected at baseline and at 2, 7, and 12 months.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, HbA1c was significantly higher (4.1 mmol/mol; 0.4 {\%}) in the Young with Diabetes group, compared to the control group (P=.04); this finding did not occur when comparing app users (Young with Diabetes use ≥5 days) with nonusers. Young people used Young with Diabetes on a mean of 10.5 days. They spent the most time chatting about alcohol and searching for information about sex. Most young people and half of the parents reported that Young with Diabetes helped them. More than 80{\%} would recommend Young with Diabetes to peers.CONCLUSIONS: Young with Diabetes did not improve HbA1c, but it may be a useful complement to self-management. Qualitative evaluation is needed to explore benefits and shortcomings of Young with Diabetes. Health care providers should address young peoples' knowledge about sensitive topics, provide them with peer support, and be aware of parents' need for information about how to support.TRIAL REGISTRATION: ClinicalTrials.gov NCT02632383; https://clinicaltrials.gov/ct2/show/NCT02632383 (Archived by WebCite at http://www.webcitation.org/6zCK2u7xM).",
author = "Pernille Castens{\o}e-Seidenfaden and Husted, {Gitte Reventlov} and Jensen, {Andreas Kryger} and Eva Hommel and Birthe Olsen and Ulrik Pedersen-Bjergaard and Finn Kensing and Grete Teilmann",
note = "{\circledC}Pernille Castens{\o}e-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.",
year = "2018",
month = "6",
day = "26",
doi = "10.2196/mhealth.9487",
language = "English",
volume = "6",
journal = "J M I R mHealth and uHealth",
issn = "2291-5222",
publisher = "J M I R Publications, Inc.",
number = "6",

}

RIS

TY - JOUR

T1 - Testing a Smartphone App (Young with Diabetes) to Improve Self-Management of Diabetes Over 12 Months

T2 - J M I R mHealth and uHealth

AU - Castensøe-Seidenfaden, Pernille

AU - Husted, Gitte Reventlov

AU - Jensen, Andreas Kryger

AU - Hommel, Eva

AU - Olsen, Birthe

AU - Pedersen-Bjergaard, Ulrik

AU - Kensing, Finn

AU - Teilmann, Grete

N1 - ©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.

PY - 2018/6/26

Y1 - 2018/6/26

N2 - 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 (HbA1c) and three self-reported psychometric scales.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 HbA1c and three self-reported psychometric scales: Perceived Competence in Diabetes Scale; Health Care Climate Questionnaire; and Problem Areas In Diabetes care survey. Data were collected at baseline and at 2, 7, and 12 months.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, HbA1c was significantly higher (4.1 mmol/mol; 0.4 %) in the Young with Diabetes group, compared to the control group (P=.04); this finding did not occur when comparing app users (Young with Diabetes use ≥5 days) with nonusers. Young people used Young with Diabetes on a mean of 10.5 days. They spent the most time chatting about alcohol and searching for information about sex. Most young people and half of the parents reported that Young with Diabetes helped them. More than 80% would recommend Young with Diabetes to peers.CONCLUSIONS: Young with Diabetes did not improve HbA1c, but it may be a useful complement to self-management. Qualitative evaluation is needed to explore benefits and shortcomings of Young with Diabetes. Health care providers should address young peoples' knowledge about sensitive topics, provide them with peer support, and be aware of parents' need for information about how to support.TRIAL REGISTRATION: ClinicalTrials.gov NCT02632383; https://clinicaltrials.gov/ct2/show/NCT02632383 (Archived by WebCite at http://www.webcitation.org/6zCK2u7xM).

AB - 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 (HbA1c) and three self-reported psychometric scales.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 HbA1c and three self-reported psychometric scales: Perceived Competence in Diabetes Scale; Health Care Climate Questionnaire; and Problem Areas In Diabetes care survey. Data were collected at baseline and at 2, 7, and 12 months.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, HbA1c was significantly higher (4.1 mmol/mol; 0.4 %) in the Young with Diabetes group, compared to the control group (P=.04); this finding did not occur when comparing app users (Young with Diabetes use ≥5 days) with nonusers. Young people used Young with Diabetes on a mean of 10.5 days. They spent the most time chatting about alcohol and searching for information about sex. Most young people and half of the parents reported that Young with Diabetes helped them. More than 80% would recommend Young with Diabetes to peers.CONCLUSIONS: Young with Diabetes did not improve HbA1c, but it may be a useful complement to self-management. Qualitative evaluation is needed to explore benefits and shortcomings of Young with Diabetes. Health care providers should address young peoples' knowledge about sensitive topics, provide them with peer support, and be aware of parents' need for information about how to support.TRIAL REGISTRATION: ClinicalTrials.gov NCT02632383; https://clinicaltrials.gov/ct2/show/NCT02632383 (Archived by WebCite at http://www.webcitation.org/6zCK2u7xM).

U2 - 10.2196/mhealth.9487

DO - 10.2196/mhealth.9487

M3 - Journal article

VL - 6

JO - J M I R mHealth and uHealth

JF - J M I R mHealth and uHealth

SN - 2291-5222

IS - 6

M1 - e141

ER -

ID: 199084650