The Use of Mobile Applications among Adolescents with Type 1 Diabetes

Results from Diabetes MILES Youth-Australia

Steven Trawley, Jessica L. Browne, Virginia L. Hagger, Christel Hendrieckx, Elizabeth Holmes-Truscott, Frans Pouwer, Timothy C. Skinner, Jane Speight

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Background: The use of mobile applications ("apps") for diabetes management is a rapidly developing area and has relevance to adolescents who tend to be early technology adopters. Apps may be useful for supporting self-management or connecting young people with type 1 diabetes (T1D) with their peers. However, outside controlled trials testing the effectiveness of apps, little is known about app usage in this population. Our aim was to explore app usage among adolescents with T1D.

    Methods: Diabetes MILES Youth-Australia is a national, online cross-sectional survey focused on behavioral and psychosocial aspects relevant to adolescents with T1D. Associations between app usage and demographic, clinical, and psychosocial variables were analyzed using logistic regression.

    Results: In total, 425 adolescents with T1D responded to the app questions (mean age, 16 ± 2 years; 62% female; diabetes duration 7 ± 4 years). Overall, 21% (n = 87) indicated that they used an app for diabetes management. Of these, 89% (n = 77) reported carbohydrate counting as the most common purpose. Of those not using apps, 44% (n = 149) indicated that this was due either to no awareness of suitable apps or a belief that apps could not help. App usage was associated significantly with shorter T1D duration, higher socioeconomic status, and at least seven daily blood glucose checks.

    Conclusions: Only one in five respondents were using apps to support their diabetes management; most apps used were not diabetes specific. App users can be characterized as having a more recent T1D diagnosis, checking blood glucose more frequently, and being from a middle-to-high socioeconomic background.

    Original languageEnglish
    Pages (from-to)813-819
    Number of pages7
    JournalDiabetes Technology and Therapeutics
    Volume18
    Issue number12
    DOIs
    Publication statusPublished - Dec 2016

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    Mobile Applications
    Type 1 Diabetes Mellitus
    Blood Glucose
    Self Care
    Social Class
    Cross-Sectional Studies
    Logistic Models
    Carbohydrates
    Demography
    Technology
    Population

    Cite this

    Trawley, S., Browne, J. L., Hagger, V. L., Hendrieckx, C., Holmes-Truscott, E., Pouwer, F., ... Speight, J. (2016). The Use of Mobile Applications among Adolescents with Type 1 Diabetes: Results from Diabetes MILES Youth-Australia. Diabetes Technology and Therapeutics, 18(12), 813-819. https://doi.org/10.1089/dia.2016.0233
    Trawley, Steven ; Browne, Jessica L. ; Hagger, Virginia L. ; Hendrieckx, Christel ; Holmes-Truscott, Elizabeth ; Pouwer, Frans ; Skinner, Timothy C. ; Speight, Jane. / The Use of Mobile Applications among Adolescents with Type 1 Diabetes : Results from Diabetes MILES Youth-Australia. In: Diabetes Technology and Therapeutics. 2016 ; Vol. 18, No. 12. pp. 813-819.
    @article{c5d3893ea2ed48719f5505ae2d2ecba1,
    title = "The Use of Mobile Applications among Adolescents with Type 1 Diabetes: Results from Diabetes MILES Youth-Australia",
    abstract = "Background: The use of mobile applications ({"}apps{"}) for diabetes management is a rapidly developing area and has relevance to adolescents who tend to be early technology adopters. Apps may be useful for supporting self-management or connecting young people with type 1 diabetes (T1D) with their peers. However, outside controlled trials testing the effectiveness of apps, little is known about app usage in this population. Our aim was to explore app usage among adolescents with T1D. Methods: Diabetes MILES Youth-Australia is a national, online cross-sectional survey focused on behavioral and psychosocial aspects relevant to adolescents with T1D. Associations between app usage and demographic, clinical, and psychosocial variables were analyzed using logistic regression. Results: In total, 425 adolescents with T1D responded to the app questions (mean age, 16 ± 2 years; 62{\%} female; diabetes duration 7 ± 4 years). Overall, 21{\%} (n = 87) indicated that they used an app for diabetes management. Of these, 89{\%} (n = 77) reported carbohydrate counting as the most common purpose. Of those not using apps, 44{\%} (n = 149) indicated that this was due either to no awareness of suitable apps or a belief that apps could not help. App usage was associated significantly with shorter T1D duration, higher socioeconomic status, and at least seven daily blood glucose checks. Conclusions: Only one in five respondents were using apps to support their diabetes management; most apps used were not diabetes specific. App users can be characterized as having a more recent T1D diagnosis, checking blood glucose more frequently, and being from a middle-to-high socioeconomic background.",
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    Trawley, S, Browne, JL, Hagger, VL, Hendrieckx, C, Holmes-Truscott, E, Pouwer, F, Skinner, TC & Speight, J 2016, 'The Use of Mobile Applications among Adolescents with Type 1 Diabetes: Results from Diabetes MILES Youth-Australia', Diabetes Technology and Therapeutics, vol. 18, no. 12, pp. 813-819. https://doi.org/10.1089/dia.2016.0233

    The Use of Mobile Applications among Adolescents with Type 1 Diabetes : Results from Diabetes MILES Youth-Australia. / Trawley, Steven; Browne, Jessica L.; Hagger, Virginia L.; Hendrieckx, Christel; Holmes-Truscott, Elizabeth; Pouwer, Frans; Skinner, Timothy C.; Speight, Jane.

    In: Diabetes Technology and Therapeutics, Vol. 18, No. 12, 12.2016, p. 813-819.

    Research output: Contribution to journalArticleResearchpeer-review

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    T1 - The Use of Mobile Applications among Adolescents with Type 1 Diabetes

    T2 - Results from Diabetes MILES Youth-Australia

    AU - Trawley, Steven

    AU - Browne, Jessica L.

    AU - Hagger, Virginia L.

    AU - Hendrieckx, Christel

    AU - Holmes-Truscott, Elizabeth

    AU - Pouwer, Frans

    AU - Skinner, Timothy C.

    AU - Speight, Jane

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    N2 - Background: The use of mobile applications ("apps") for diabetes management is a rapidly developing area and has relevance to adolescents who tend to be early technology adopters. Apps may be useful for supporting self-management or connecting young people with type 1 diabetes (T1D) with their peers. However, outside controlled trials testing the effectiveness of apps, little is known about app usage in this population. Our aim was to explore app usage among adolescents with T1D. Methods: Diabetes MILES Youth-Australia is a national, online cross-sectional survey focused on behavioral and psychosocial aspects relevant to adolescents with T1D. Associations between app usage and demographic, clinical, and psychosocial variables were analyzed using logistic regression. Results: In total, 425 adolescents with T1D responded to the app questions (mean age, 16 ± 2 years; 62% female; diabetes duration 7 ± 4 years). Overall, 21% (n = 87) indicated that they used an app for diabetes management. Of these, 89% (n = 77) reported carbohydrate counting as the most common purpose. Of those not using apps, 44% (n = 149) indicated that this was due either to no awareness of suitable apps or a belief that apps could not help. App usage was associated significantly with shorter T1D duration, higher socioeconomic status, and at least seven daily blood glucose checks. Conclusions: Only one in five respondents were using apps to support their diabetes management; most apps used were not diabetes specific. App users can be characterized as having a more recent T1D diagnosis, checking blood glucose more frequently, and being from a middle-to-high socioeconomic background.

    AB - Background: The use of mobile applications ("apps") for diabetes management is a rapidly developing area and has relevance to adolescents who tend to be early technology adopters. Apps may be useful for supporting self-management or connecting young people with type 1 diabetes (T1D) with their peers. However, outside controlled trials testing the effectiveness of apps, little is known about app usage in this population. Our aim was to explore app usage among adolescents with T1D. Methods: Diabetes MILES Youth-Australia is a national, online cross-sectional survey focused on behavioral and psychosocial aspects relevant to adolescents with T1D. Associations between app usage and demographic, clinical, and psychosocial variables were analyzed using logistic regression. Results: In total, 425 adolescents with T1D responded to the app questions (mean age, 16 ± 2 years; 62% female; diabetes duration 7 ± 4 years). Overall, 21% (n = 87) indicated that they used an app for diabetes management. Of these, 89% (n = 77) reported carbohydrate counting as the most common purpose. Of those not using apps, 44% (n = 149) indicated that this was due either to no awareness of suitable apps or a belief that apps could not help. App usage was associated significantly with shorter T1D duration, higher socioeconomic status, and at least seven daily blood glucose checks. Conclusions: Only one in five respondents were using apps to support their diabetes management; most apps used were not diabetes specific. App users can be characterized as having a more recent T1D diagnosis, checking blood glucose more frequently, and being from a middle-to-high socioeconomic background.

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