Mobile applications for adolescents with type 1 diabetes <i>mellitus</i>: integrative literature review

Chaves, Fernanda Figueredo; Carvalho, Thamiris Lucchesi Abranches de; Paraíso, Emerson Cabrera; Pagano, Adriana Silvina; Reis, Ilka Afonso; Torres, Heloísa Carvalho

doi:10.1590/1982-0194201700070

Acessibilidade / Reportar erro

Brasil

Acta Paulista de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Integrative Review • Acta Paul Enferm. 30 (5) • Sep-Oct 2017 • https://doi.org/10.1590/1982-0194201700070 copy

Mobile applications for adolescents with type 1 diabetes mellitus: integrative literature review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To examine the functionalities of mobile applications for self-care of adolescents with type 1 diabetes mellitus.

Methods:

Integrative review targeting articles in journals indexed in the following databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin American Health Sciences Literature, PubMed (National Library of Medicine), Scopus, and Web of Science in the period between 2012 and 2017 using the following descriptors and their respective descriptors in English and Spanish: mobile applications, self-care and type 1diabetes mellitus.

Results:

Databank query yielded 248 articles, out of which 12 articles met the selection criteria and were included in the final analysis. Applications were examined in terms of functionalities catering for glycemic control, insulin therapy, diet, physical activity, sentiment analysis and social relationships. No article reported on an application featuring all of the examined functionalities.

Conclusion:

Mobile application functionalities were pointed out as essential aids in glycemic control of adolescents with type 1 diabetes mellitus.

Keywords
Diabetes mellitus, type 1; Adolescent; Mobile applications; Self care; Scientific and technical publications

Title	Author/Year/Country	Level of evidence	Summary of conclusions/recommendations
Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: Mixed-methods study	Froisland, D., et al (2012)⁽¹⁰10. Froisland D, Arsand E, Skarderud, F. Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: Mixed-methods study. J Med Internet Res. 2012; 14(4):e111.⁾ Norway	Quasi-experimental study Level III	Participants reported greater understanding of diabetes selfcare after using the Diamob application.
Design of an mHealth app for the self-management of adolescent type 1 diabetes: A pilot study	Cafazzo, J., et al (2012)⁽¹¹11. Mulvaney SA, Anders S, Smith AK, Pittel EJ, Johnson KB. A pilot test of a tailored mobile and web-based diabetes messaging system for adolescents. J Telemed Telecare. 2012; 18(2):115-8.⁾ Canada	Quasi-experimental study Level III	Using in-app incentives was associated with improved frequency of glycemic monitoring.
Using mobile phones to measure adolescent diabetes adherence	Mulvaney SA., et al. (2012)⁽¹²12. Lyons EJ, Hatkevich C. Prevalence of behavior changing strategies in fitness video games: theory-based content analysis. J Med Internet Res. 2013; 15(5):e81.⁾ USA	Quasi-experimental study Level III	Mobile applications offer a viable method for glycemic monitoring and insulin administration in adolescents.
A pilot test of a tailored mobile and web-based diabetes messaging system for adolescents.	Mulvaney SA., et al. (2012)⁽¹³13. Årsand E, Muzny M, Bradway M, Muzik J, Hartvigsen G. Performance of the First Combined Smartwatch and Smartphone Diabetes Diary Application Study. J Diabetes Sci Technol. 2015; 9(3): 556-63.⁾ USA	Quasi-experimental study Level III	The study results demonstrate the viability of the SuperEgo application in hyperglycemia treatment.
Preparing Adolescents With Chronic Disease for Transition to Adult Care: A Technology Program.	Huang JS., et al (2014)⁽¹⁴14. Baskaran V, Prescod F, Dong L. A Smartphone-based cloud computing tool for managing type 1 diabetes in Ontarians. Can J Diabetes. 2015; 39 (3):200-3.⁾ USA	Individual study with experimental design Level II	Mentions several recommendations on the use of glycemic monitoring and health education resources in the MD2Me application.
Can smartphone-based logging support diabetologists in solving glycemic control problems?	Tiefengrabner M., et al (2014)⁽¹⁵15. Conway N, Campbell I, Forbes P, Cunningham S, Wake D. mHealth applications for diabetes: User preference and implications for app development. Health Informatics J. 2016; 22(4): 1111-20.⁾ Austria	Quasi-experimental study Level III	The application offered the basis for recommendations that can improve participants’ glycemic control.
Integrating visual dietary documentation in mobile- phone-based self-management application for adolescents with type 1 diabetes.	Frøisland DH., et al (2015)⁽¹⁶16. Huang JS, Terrones L, Tompane T, Dillon L, Pian M, Gottschalk M, et al. Preparing Adolescents With Chronic Disease for Transition to Adult Care: A Technology Program. Pediatrics. 2014; 133(6): e1639-e1646.⁾ Norway	Quasi-experimental study Level III	The study conclusion is that implementing the Diamob application helps adolescents to understand the basics of diabetes.
Performance of the first combined smartwatch and smartphone diabetes diary application study.	Årsand E., et al (2015)⁽¹⁷17. Mulvaney SA, Rothman RL, Dietrich MS, Wallston KA, Grove E, Elasy TA, et al. Using mobile phones to measure adolescent diabetes adherence. Health Psychol. 2012; 31(1):43-50.⁾ Norway	Descriptive study Level III	The study demonstrated the My Diabetes application provides easy ways to monitor blood glucose, physical activity, and healthy eating information.
mHealth applications for diabetes: User preference and implications for app development.	Conway N., et al (2015) ⁽¹⁸18. Grossi LM, Pisa IT, Marin HF. Oncoaudit: desenvolvimento e avaliação de aplicativo para enfermeiros auditores. Acta Paul Enferm. 2014; 27(2):179-85.⁾ United Kingdom	Descriptive study Level IV	The study demonstrated most participants would like to use an application to help with self-care management.
Technology Use for Diabetes Problem Solving in Adolescents with Type 1 Diabetes: Relationship to Glycemic Control.	Kumah-Crystal YA., et al (2015)⁽⁵5. Kumah-Crystal YA, Hood KK, Ho YX, Lybarger CK, O'Connor BH, Rothman RL, et al. Technology use for diabetes problem solving in adolescents with type 1 diabetes: relationship to glycemic control. Diabetes Technol Ther. 2015; 17(7): 449-54.⁾ USA	Quasi-experimental study Level III	The study addresses important issues of using technology for problem solving in diabetes and self-management.
A Smartphone-Based Cloud Computing Tool for Managing Type 1 Diabetes in Ontarians.	Baskaran V, et al (2015)⁽¹⁹19. Pagoto S, Schneider K, Jojic M, DeBiasse M, Mann D. Evidence-Based Strategies in Weight-Loss Mobile Apps. Am J Prevent Med. 2013; 45 (5):576-82.⁾ Canada	Expert opinion Level VI	The study points the way to the successful implementation of a type 1 diabetes mellitus application involving minimal investment.
Welltang - A smart phone-based diabetes management application - Improves blood glucose control in Chinese people with diabetes	Zhou W., (2016)⁽⁶6. Zhou W, Chen M, Yuan J, Sun Y. Welltang - A smart phone-based diabetes management application - Improves blood glucose control in Chinese people with diabetes. Diabetes Res Clin Pract. 2016; 116:105-10.⁾ China	Randomized controlled clinical study Level I	The application has messages encouraging users to initiate and/or maintain self-care behaviors, support their treatment plans, and improve their quality of life.

Function	Goal	Functionality
Glycemic control	Monitoring	Alarm sound
		Measurement record
		Award for goal achievement for glycemic control
		Data transfer via Bluetooth
Insulin therapy	Insulin application	Alarm sound
Insulin therapy	Insulin application	Administration record
Diet	Carbohydrate counting	carbohydrate counting and record per portion
Diet	Carbohydrate counting	Meal photo taking and sharing
Physical activity	Exercise practice	Practice record
		Step count
		Alarm sound
Approach to feelings	Perception of mood state	Use of emoticons
Approach to feelings	Barrier identification	Coaching (self-care questions)
Social relationships	Family context	Graphs with weekly glycemic monitoring records
	Health professionals context	Message sending
	Peers context	Chat rooms

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author, Heloísa de Carvalho Torres, Av. Professor Alfredo Balena, 190, 30130-100, Belo Horizonte, MG, Brazil. heloisa@enf.ufmg.com