Exploring the views of adolescents with type 1 diabetes on digital mental health interventions: What functionality and content do they want?
Abstract
Background Adolescents with type 1 diabetes (T1D) experience higher rates of psychological disorders compared with their healthy peers. As poor psychological health has been associated with suboptimal glycaemic control and more frequent complications, there is an urgent need to develop more 'clinically usable' interventions. Digital mental health interventions offer unique advantages compared with in-person interventions; however, what adolescents with T1D want in terms of content and functionality is poorly understood. Accordingly, the current study conducted focus groups to examine the views of adolescents with T1D regarding digital mental health interventions. Methods Four focus groups were conducted, including 16 adolescents with T1D, ranging from 13 to 17 years in age (69% female). Transcripts were analysed using directed content analysis to examine (1) 'what adolescents dislike about existing digital mental health interventions?' and (2) 'what adolescents want in future digital mental health interventions?'. Results Findings provide a preliminary understanding of what adolescents dislike and also the type of content and functional features, which may be important to include in digital mental health programs for this population, such as a peer support feature (reported by 16 of 16), emotion and diabetes check-in feature (11 of 16) and diabetes-relevant content (12 of 16). Conclusions Early data suggest that digital mental health interventions should include a significant…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The qualitative findings from this study were in line with previous eHealth studies reporting participants' wishes for tailored intervention content, the ability to set reminders, and mobile accessibility.
“Similarly, the qualitative findings from this study were in line with previous eHealth studies reporting participants' wishes for tailored intervention content, the ability to set reminders, and mobile accessibility (Boggiss et al., 2021; Liverpool et al., 2020).”
From ACT2COPE: A pilot randomised trial of a brief online acceptance and commitment therapy intervention for people living with chronic health conditions during the COVID-19 pandemic (2023) · cites this paper as Boggiss et al., 2021
Cites
Three Approaches to Qualitative Content Analysis
Hsieh, H.-F., & Shannon, S. E. (2005) · Qualitative Health Research · doi:10.1177/1049732305276687 · Cited by 44,601 · see citing works
Tong, A., Sainsbury, P., & Craig, J. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzm042 · Cited by 42,509 · see citing works
Fitzpatrick, K. K., Darcy, A., & Vierhile, M. (2017) · JMIR Mental Health · doi:10.2196/mental.7785 · Cited by 2,730 · see citing works
Ebert, D. D., Zarski, A.-C., Christensen, H., Stikkelbroek, Y., Cuijpers, P., Berking, M., & Riper, H. (2015) · PLOS ONE · doi:10.1371/journal.pone.0119895 · Cited by 533 · see citing works
Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019) · JMIR mHealth and uHealth · doi:10.2196/14273 · Cited by 488 · see citing works
Buchberger, B., Huppertz, H., Krabbe, L., Lux, B., Mattivi, J. T., & Siafarikas, A. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.04.019 · Cited by 471 · see citing works
Liverpool, S., Mota, C. P., Sales, C. M. D., Čuš, A., Carletto, S., Hancheva, C., Sousa, S., Cerón, S. C., Moreno-Peral, P., Pietrabissa, G., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/16317 · Cited by 408 · see citing works
Kauer, S. D., Reid, S. C., Crooke, A. H. D., Khor, A., Hearps, S. J. C., Jorm, A. F., Sanci, L., & Patton, G. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1858 · Cited by 404 · see citing works
Eating problems in adolescents with Type 1 diabetes: a systematic review with meta‐analysis
Young, V., Eiser, C., Johnson, B., Brierley, S., Epton, T., Elliott, J., & Heller, S. R. (2012) · Diabetic Medicine · doi:10.1111/j.1464-5491.2012.03771.x · Cited by 397 · see citing works
Diabetes distress among adolescents with type 1 diabetes: a systematic review
Hagger, V., Hendrieckx, C., Sturt, J., Skinner, T. C., & Speight, J. (2016) · Current Diabetes Reports · doi:10.1007/s11892-015-0694-2 · Cited by 338 · see citing works
Ziegler, R., Heidtmann, B., Hilgard, D., Hofer, S., Rosenbauer, J., Holl, R., & DPV-Wiss-Initiative, F. T. (2011) · Pediatric Diabetes · doi:10.1111/j.1399-5448.2010.00650.x · Cited by 334 · see citing works
Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Taylor, A., Sadler, M., Mauras, N., & White, N. H. (2006) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj098 · Cited by 299 · see citing works
Greer, S., Ramo, D., Chang, Y.-J., Fu, M., Moskowitz, J., & Haritatos, J. (2019) · JMIR mHealth and uHealth · doi:10.2196/15018 · Cited by 265 · see citing works
Depression in Type 1 diabetes in children
Grey, M. J., Whittemore, R., & Tamborlane, W. V. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00312-4 · Cited by 262 · see citing works
Luo, C., Sanger, N., Singhal, N., Pattrick, K., Shams, I., Shahid, H., Hoang, P., Schmidt, J., Lee, J., Haber, S., et al. (2020) · eClinicalMedicine · doi:10.1016/j.eclinm.2020.100442 · Cited by 167 · see citing works
The use of focus groups in pediatric and adolescent research
Peterson‐Sweeney, K. (2005) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2004.08.006 · Cited by 165 · see citing works
Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
Grey, M. J., Whittemore, R., Jeon, S., Murphy, K., Faulkner, M. S., Delamater, A. M., & for the TeenCope Study Group (2013) · Diabetes Care · doi:10.2337/dc12-2199 · Cited by 162 · see citing works
Depressive Symptoms Predict Hospitalization for Adolescents With Type 1 Diabetes Mellitus
Stewart, S. M., Rao, U., Emslie, G. J., Klein, D., & White, P. C. (2005) · Pediatrics · doi:10.1542/peds.2004-1717 · Cited by 159 · see citing works
Hilliard, M. E., Powell, P. W., & Anderson, B. J. (2016) · American Psychologist · doi:10.1037/a0040359 · Cited by 157 · see citing works
Goyal, S., Nunn, C. A., Rotondi, M., Couperthwaite, A. B., Reiser, S., Simone, A., Katzman, D. K., Cafazzo, J. A., & Palmert, M. R. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7336 · Cited by 146 · see citing works
Flett, J. A. M., Conner, T. S., Riordan, B. C., Patterson, T., & Hayne, H. (2020) · Psychology & Health · doi:10.1080/08870446.2019.1711089 · Cited by 84 · see citing works
Holtz, B., Murray, K. M. E., Hershey, D. S., Dunneback, J. K., Cotten, S. R., Holmstrom, A. J., Vyas, A. K., Kaiser, M. K., & Wood, M. A. (2017) · JMIR mhealth and uhealth · doi:10.2196/mhealth.6654 · Cited by 69 · see citing works
Landau, Z., Mazor‐Aronovitch, K., Boaz, M., Magnazi, M. B., Graph‐Barel, C., Levek, N., & Pinhas‐Hamiel, O. (2011) · Pediatric Diabetes · doi:10.1111/j.1399-5448.2011.00800.x · Cited by 42 · see citing works
Boggiss, A. L., Consedine, N. S., Schache, K., Jefferies, C., Bluth, K., Hofman, P. L., & Serlachius, A. S. (2020) · Diabetic Medicine · doi:10.1111/dme.14352 · Cited by 36 · see citing works
Self-citationPilot study of a well-being app to support New Zealand young people during the COVID-19 pandemic
Serlachius, A., Boggiss, A., Lim, D., Schache, K., Wallace-Boyd, K., Brenton-Peters, J., Buttenshaw, E., Chadd, S., Cavadino, A., Cao, N., et al. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100464 · Cited by 35 · see citing works
Self-citationClarke, J., Proudfoot, J. G., Vatiliotis, V., Verge, C. F., Holmes-Walker, D. J., Campbell, L. V., Wilhelm, K. A., Moravac, C. C., Indu, P. S., & Bridgett, M. (2018) · Health Expectations · doi:10.1111/hex.12662 · Cited by 27 · see citing works
Hennessy, L. D., de Lange, M., Wiltshire, E. J., Jefferies, C., & Wheeler, B. J. (2020) · Diabetic Medicine · doi:10.1111/dme.14450 · Cited by 25 · see citing works
Impact of Facebook on Glucose Control in Type 1 Diabetes: A Three-Year Cohort Study
Petrovski, G., & Živković, M. (2017) · JMIR Diabetes · doi:10.2196/diabetes.7693 · Cited by 24 · see citing works
Hood, K. K., & Nansel, T. R. (2007) · Diabetes Spectrum · doi:10.2337/diaspect.20.4.251 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Garner, K., Boggiss, A. L., Jefferies, C., & Serlachius, A. S. (2021) · Pediatric Diabetes · doi:10.1111/pedi.13304 · Cited by 39 · see citing works
Self-citationBoggiss, A. L., Consedine, N. S., Hopkins, S. A., Silvester, C., Jefferies, C., Hofman, P. L., & Serlachius, A. S. (2023) · JMIR Diabetes · doi:10.2196/40641 · Cited by 30 · see citing works
Self-citationRacey, M., Whitmore, C., Alliston, P., Cafazzo, J. A., Crawford, A. S., Castle, D. J., Dragonetti, R., Fitzpatrick‐Lewis, D., Jovkovic, M., Melamed, O. C., et al. (2023) · JMIR Diabetes · doi:10.2196/44652 · Cited by 18 · see citing works
Court, R. J., Swallow, V. M., Yousfi, S. E., Gray‐Burrows, K. A., Sotir, F., Wheeler, G., Kellar, I., Lee, J. M., Mitchell, R., Mlynarczyk, W., et al. (2024) · Archives of Disease in Childhood · doi:10.1136/archdischild-2023-326044 · Cited by 8 · see citing works
Tang, T. S., Klein, G., Görges, M., Yip, A. K. W., Fisher, L., Polonsky, W. H., Hessler, D., & Taylor, D. (2024) · Diabetic Medicine · doi:10.1111/dme.15451 · Cited by 8 · see citing works
Yakubu, T., Jhajj, P., Pawer, S., West, N., Amed, S., Tang, T. S., & Görges, M. (2024) · JMIR Diabetes · doi:10.2196/64267 · Cited by 8 · see citing works
Developing digital mental health tools for youth with diabetes: an agenda for future research
Babbott, K. M., & Serlachius, A. S. (2023) · Frontiers in Clinical Diabetes and Healthcare · doi:10.3389/fcdhc.2023.1227332 · Cited by 8 · see citing works
Self-citationBoggiss, A. L., Babbott, K. M., Milford, Ā., Ellett, S. G., Consedine, N. S., Reid, S., Cao, N., Cavadino, A., Hopkins, S. A., Jefferies, C., et al. (2025) · Diabetic Medicine · doi:10.1111/dme.70115 · Cited by 6 · see citing works
Self-citationWu, Y., Long, T., Huang, J., Zhang, Q., Forbes, A., & Li, M. (2024) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2024.05.009 · Cited by 5 · see citing works
Serlachius, A. S., McClintock, J. M., Boggiss, A. L., Babbott, K. M., Hudson, C., Hofman, P. L., Thabrew, H., Cavadino, A., Jefferies, C., Paul, R. G., et al. (2025) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2025.105992 · Cited by 4 · see citing works
Self-citationWallace-Boyd, K., Boggiss, A. L., Ellett, S., Booth, R., Slykerman, R., & Serlachius, A. S. (2023) · Cogent Psychology · doi:10.1080/23311908.2023.2208916 · Cited by 3 · see citing works
“Similarly, the qualitative findings from this study were in line with previous eHealth studies reporting participants’ wishes for tailored intervention content, the ability to set reminders, and mobile accessibility (Boggiss et al., 2021; Liverpool et al., 2020).”
ResultSelf-citationDigital mental health needs a purpose-driven approach
Househ, M. S., Shah, H. A., Tariq, Z. U. A., Hassan, D. A., Khalifa, M., Schneider, J., Hamdi, M., Abd-Alrazaq, A. A., Ahmad, A., Solaiman, B., et al. (2026) · Nature Human Behaviour · doi:10.1038/s41562-025-02380-6 · Cited by 3 · see citing works
Serious games for mental health promotion in adolescents with chronic diseases: a scoping review
Wu, Y., Long, T., Huang, J., Zhang, Y., Zhang, Q., Zhang, J., & Li, M. (2024) · Mental Health Review Journal · doi:10.1108/mhrj-07-2023-0038 · Cited by 2 · see citing works
Self-Compassion and Chronic Medical Conditions
Finlay‐jones, A. L., Boggiss, A. L., & Serlachius, A. S. (2023) · Mindfulness in behavioral health · doi:10.1007/978-3-031-22348-8_19 · Cited by 1 · see citing works
Self-citationOliver, N. S. (2021) · Diabetic Medicine · doi:10.1111/dme.14709
Lifting Wellbeing in Youth with Diabetes: Exploring User Experiences with the LIFT App (Preprint)Preprint
Babbott, K. M., Ginsberg, K. H., Boggiss, A. L., McClintock, J. M., Hudson, C., Hofman, P. L., Paul, R. G., Cavadino, A., Thabrew, H., Jefferies, C., et al. (2025) · doi:10.2196/preprints.79896
Self-citationOnline education and support to improve diabetes self-management in youth with type 1 diabetes
Housni, A., Roy‐Fleming, A., Haag, S. C., Katz, A., Nakhla, M. M., & Brazeau, A. (2026) · BMC Digital Health · doi:10.1186/s44247-026-00241-4
Babbott, K. M., Ginsberg, K. H., Boggiss, A. L., McClintock, J. M., Hudson, C. O., Hofman, P. L., Paul, R. G., Cavadino, A., Thabrew, H., Jefferies, C., et al. (2026) · JMIR Diabetes · doi:10.2196/79896
Self-citationAlBurno, H., Mercken, L. A. G., de Vries, H., Mohannadi, D. A., & Schneider, F. (2026) · Health Systems · doi:10.1080/20476965.2026.2678819
- Authors
- Boggiss, A. L., Consedine, N. S., Schache, K. R., Wallace‐Boyd, K., Cao, N., Hofman, P. L., & Serlachius, A. S.
- Affiliations
- University of Auckland (NZ)
- Tamaki Health Auckland New Zealand
- Corresponding author
- Boggiss, Anna L.
- ORCID
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2021-05-14
- Volume
- 38
- Issue
- 11
- Pages
- e14591-e14591
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W3158235687
- Cited by
- 19
- References
- 29
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 5 · 2021: 2
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Funders
- Faculty of Medical and Health Sciences, University of Auckland
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- type 1 diabetes, adolescents, digital mental health interventions, user preferences, peer support, diabetes self-management, mental health, intervention design
- MeSH terms
- Self-Management, Adolescent, Mental Disorders, Child, Diabetes Mellitus, Type 1, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Mental Health, Peer Group, Time Factors, Health Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review