Using mobile technology to motivate adolescents with type 1 diabetes mellitus: A systematic review of recent literature

Deacon, Anthony James & Edirippulige, Sisira (2015) Using mobile technology to motivate adolescents with type 1 diabetes mellitus: A systematic review of recent literature. Journal of Telemedicine and Telecare, 21(8), pp. 431-438.

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Behavioural interventions have been shown to improve outcomes in patients with type 1 diabetes mellitus (T1DM). There are a small number of studies that suggest text-messages (TM), native mobile applications (NMAs), and other mobile tools may be useful platforms for delivering behavioural interventions to adolescents.


The aim of this study was to explore, by way of a systematic review of available literature, (a) the outcomes of interventions using mobile technology for youth with T1DM and (b) what mobile technologies, functional design elements and aesthetic design elements have the best evidence to support their use.


A search of six online databases returned 196 unique results, of which 13 met the inclusion criteria.


Four studies were randomised controlled trials (RCTs), and all others prospective cohort studies. TM (10) was the most common intervention technology, while NMAs were used in four studies. The most common outcome measured was HbA1c (9); however, only three studies showed a significant decrease. Similarly, the results reported for other outcome measures were mixed. The studies included in this review suggest that interventions which have data collection and clinician support functionality may be more effective in improving adherence and glycaemic control, but more evidence is needed. Further, the evidence base supporting the use of NMAs in T1DM management for adolescents is weak, with most studies adopting TM as the intervention tool. Overall, the studies lack adequate descriptions of their methodology, and better quality studies are required to inform future intervention design.

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ID Code: 87666
Item Type: Journal Article
Refereed: Yes
Keywords: Online health, ehealth, self-care
DOI: 10.1177/1357633X15605223
ISSN: 1758-1109
Subjects: Australian and New Zealand Standard Research Classification > INFORMATION AND COMPUTING SCIENCES (080000) > INFORMATION SYSTEMS (080600) > Computer-Human Interaction (080602)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PAEDIATRICS AND REPRODUCTIVE MEDICINE (111400) > Paediatrics (111403)
Divisions: Current > Schools > School of Information Systems
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2015 [The Authors]
Deposited On: 22 Sep 2015 22:47
Last Modified: 07 Mar 2016 13:19

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