The Effects of a Mobile Phone Application on Quality of Life in Patients With Type 1 Diabetes Mellitus: A Randomized Controlled Trial
Open accessAbstract
Background: The combination of an increasing prevalence of diabetes mellitus and more people having access to smartphones creates opportunities for patient care. This study aims to investigate whether the use of the Diabetes Under Control (DBEES) mobile phone application, a digital diabetes diary, results in a change in quality of life for patients with type 1 diabetes mellitus (T1DM) compared with the standard paper diary. Methods: In this randomized controlled open-label trial, 63 patients with T1DM having access to a smartphone were assigned to the intervention group using the DBEES application (n = 31) or the control group using the standard paper diary (n = 32). Primary outcome was the change in quality of life, as measured by the RAND-36 questionnaire, between both groups. Secondary outcomes included diabetes-related distress (PAID), HbA1c, frequency of self-monitoring blood glucose, and the usability of the diabetes application (SUS). Results: Patients had a median age (IQR) of 33 (21) years, diabetes duration of 17 (16) years, and an HbA1c of 62 ± 16 mmol/mol. No significant differences in the QOL, using the RAND-36, within and between both groups were observed after 3 months. Glycemic control, diabetes-related emotional distress, and frequency of self-monitoring of blood glucose remained within and between groups. Users reviewed the usability of DBEES with a 72 ± 20, on a range of 0-100. Conclusions: The use of the DBEES application in the management of patients with T1DM for 3 months yields no alterations in quality of life compared to the standard paper diary.
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Of the 27 papers, 7 focused on T1DM, with 308 patients in the intervention groups and 129 in the control groups.
“Of the 27 papers, 7 were focused on T1DM (308 patients in the intervention groups and 129 patients in the control groups) [43-49]”
From Effectiveness of Disease-Specific mHealth Apps in Patients With Diabetes Mellitus: Scoping Review (2021) · cites this paper as [43]
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Cites
(1993) · New England Journal of Medicine · doi:10.1056/nejm199309303291401 · Cited by 24,667 · see citing works
Guidelines for the process of cross-cultural adaptation of self-report measures
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000) · Spine · doi:10.1097/00007632-200012150-00014 · Cited by 14,542 · see citing works
Stratton, I. M. (2000) · BMJ · doi:10.1136/bmj.321.7258.405 · Cited by 9,059 · see citing works
Turner, R. C., Fox, C., Matthews, McElroy, H. H., Cull, C. A., Holman, R. R., Neil, P., Hadden, D. R., Wright, D., Manley, E., et al. (1998) · The Lancet · Cited by 8,419 · see citing works
An Empirical Evaluation of the System Usability Scale
Bangor, A., Kortum, P. T., & Miller, J. T. (2008) · International Journal of Human–Computer Interaction · doi:10.1080/10447310802205776 · Cited by 5,181 · see citing works
Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes
(2005) · New England Journal of Medicine · doi:10.1056/nejmoa052187 · Cited by 5,138 · see citing works
Ware, J. E. (2000) · Spine · doi:10.1097/00007632-200012150-00008 · Cited by 4,455 · see citing works
Usability Evaluation In Industry
(1996) · CRC Press eBooks · doi:10.1201/9781498710411 · Cited by 4,400 · see citing works
Gupta, A., & Uribarri, J. (2016) · Hormone Research in Paediatrics · doi:10.1159/000444053 · Cited by 4,019 · see citing works
Assessment of Diabetes-Related Distress
Polonsky, W. H., Anderson, B. J., Lohrer, P. A., Welch, G., Jacobson, A. M., Aponte, J. E., & Schwartz, C. E. (1995) · Diabetes Care · doi:10.2337/diacare.18.6.754 · Cited by 1,497 · see citing works
The Factor Structure of the System Usability Scale
Lewis, J. R., & Sauro, J. (2009) · Lecture Notes in Computer Science · doi:10.1007/978-3-642-02806-9_12 · Cited by 1,278 · see citing works
Karter, A. J., Ackerson, L. M., Darbinian, J. A., D’Agostino, R. B., Ferrara, A., Liu, J., & Selby, J. V. (2001) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)00742-2 · Cited by 595 · see citing works
van der Zee, K. I., Sanderman, R., Heyink, J., & de Haes, J. C. J. M. (1996) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0302_2 · Cited by 547 · see citing works
Liang, X., Wang, Q., Yang, X., Cao, J., Chen, J., Mo, X., Huang, J., Wang, L., & Gu, D. (2011) · Diabetic Medicine · doi:10.1111/j.1464-5491.2010.03180.x · Cited by 515 · see citing works
Snoek, F. J., Pouwer, F., Welch, G. W., & Polonsky, W. H. (2000) · Diabetes Care · doi:10.2337/diacare.23.9.1305 · Cited by 444 · see citing works
Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus
Pal, K., Eastwood, S. V., Michie, S., Farmer, A. J., Barnard, M. L., Peacock, R., Wood, B., Inniss, J. D., & Murray, E. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008776.pub2 · Cited by 344 · see citing works
Responsiveness of the Problem Areas In Diabetes (PAID) questionnaire
Welch, G. E., Weinger, K., Anderson, B. J., & Polonsky, W. H. (2003) · Diabetic Medicine · doi:10.1046/j.1464-5491.2003.00832.x · Cited by 264 · see citing works
Health-related quality of life as a predictor of mortality among community-dwelling older persons
Tsai, S.-Y., Chi, L.-Y., Lee, C.-H., & Chou, P. (2007) · European Journal of Epidemiology · doi:10.1007/s10654-006-9092-z · Cited by 134 · see citing works
Prediction of Mortality in Type 2 Diabetes From Health-Related Quality of Life (ZODIAC-4)
Kleefstra, N., Landman, G. W. D., Houweling, S. T., Ubink-Veltmaat, L. J., Logtenberg, S. J. J., Jong, B. M., Coyne, J. C., Groenier, K. H., & Bilo, H. J. G. (2008) · Diabetes Care · doi:10.2337/dc07-2072 · Cited by 102 · see citing works
Self-citationMcEwen, L. N., Kim, C., Haan, M. N., Ghosh, D., Lantz, P. M., Thompson, T. J., & Herman, W. H. (2009) · Primary care diabetes · doi:10.1016/j.pcd.2009.01.001 · Cited by 89 · see citing works
Rossi, M. C. E., Nicolucci, A., Pellegrini, F., Bruttomesso, D., Bartolo, P. D., Marelli, G., Dal Pos, M., Galetta, M., Horwitz, D., & Vespasiani, G. (2009) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2008.0020 · Cited by 69 · see citing works
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Prescribable mHealth apps identified from an overview of systematic reviews
Byambasuren, O., Sanders, S., Beller, E., & Glasziou, P. (2018) · npj Digital Medicine · doi:10.1038/s41746-018-0021-9 · Cited by 291 · see citing works
Wu, Y., Yao, X., Vespasiani, G., Nicolucci, A., Dong, Y., Kwong, J., Li, L., Sun, X., Tian, H., & Li, S. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.6522 · Cited by 283 · see citing works
Bonoto, B. C., de Araújo, V. E., Godói, I. P., de Lemos, L. L. P., Godman, B., Bennie, M., Diniz, L. M., & Junior, A. A. G. (2017) · JMIR mhealth and uhealth · doi:10.2196/mhealth.6309 · Cited by 294 · see citing works
Effectiveness of Disease-Specific mHealth Apps in Patients With Diabetes Mellitus: Scoping Review
Eberle, C., Löhnert, M., & Stichling, S. (2021) · JMIR mHealth and uHealth · doi:10.2196/23477 · Cited by 160 · see citing works
“Of the 27 papers, 7 were focused on T1DM (308 patients in the intervention groups and 129 patients in the control groups) [43-49], 12 were focused on T2DM (743 patients in the intervention groups and 645 patients in the control groups) [50-61], and 4 were focused on GDM (339 patients in the…”
Rapid evidence review of mobile applications for self-management of diabetes
Veazie, S., Winchell, K., Gilbert, J., Paynter, R., Ivlev, I., Eden, K. B., Nussbaum, K., Weiskopf, N., Guise, J.-M., & Helfand, M. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4410-1 · Cited by 170 · see citing works
Ghanbari, E., Yektatalab, S., & Mehrabi, M. (2021) · JMIR mHealth and uHealth · doi:10.2196/19262 · Cited by 104 · see citing works
Stevens, S., Gallagher, S., Andrews, T., Ashall-Payne, L., Humphreys, L., & Leigh, S. (2022) · Frontiers in Clinical Diabetes and Healthcare · doi:10.3389/fcdhc.2022.936752 · Cited by 84 · see citing works
El-Gayar, O., Ofori, M., & Nawar, N. (2021) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2021.103839 · Cited by 45 · see citing works
Al-Durra, M., Nolan, R. P., Seto, E., Cafazzo, J. A., & Eysenbach, G. (2018) · Journal of Medical Internet Research · doi:10.2196/11924 · Cited by 32 · see citing works
Angelini, S., Alicastro, G. M., Dionisi, S., & Di Muzio, M. (2019) · CIN: Computers, Informatics, Nursing · doi:10.1097/cin.0000000000000526 · Cited by 13 · see citing works
- Authors
- Drion, I., Pameijer, L. R., van Dijk, P. R., Groenier, K. H., Kleefstra, N., & Bilo, H. J. G.
- Affiliations
- Isala (NL)
- Diabetes Centre, Isala Clinics, Zwolle, Netherlands
- University Medical Center Groningen (NL)
- Corresponding author
- Drion, Iefke
- Venue
- Journal of Diabetes Science and Technology
- Publisher
- SAGE Publications
- Published
- 2015-05-11
- Volume
- 9
- Issue
- 5
- Pages
- 1086-1091
- ISSN
- 1932-2968 (ISSN-L)
- PMC
- PMC4667348
- OpenAlex
- W2244396567
- Cited by
- 74
- References
- 22
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 6 · 2021: 8 · 2020: 12 · 2019: 9 · 2018: 9 · 2017: 8 · 2016: 4 · 2015: 1
- FWCI
- 13.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Diabetes Science and Technology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 1 diabetes, mobile application, quality of life, diabetes distress, glycemic control, HbA1c, self-monitoring of blood glucose, usability, RAND-36, paper diaries
- MeSH terms
- Adolescent, Adult, Child, Diabetes Mellitus, Type 1, Female, Humans, Hypoglycemic Agents, Male, Middle Aged, Quality of Life, Self Care, Blood Glucose Self-Monitoring, Young Adult, Mobile Applications
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