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Adherence to evidence-based guidelines among diabetes self-management apps
Jessica Y Breland1, Vivian M Yeh, Jessica Yu
1Department of Psychology, Rutgers, The State University of New Jersey, 152 Frelinghuysen Road, Piscataway, NJ 08854 USA ; Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, 112 Paterson Street, New Brunswick, NJ 08901 USA.
Translational Behavioral Medicine
|September 28, 2013
Summary
Most diabetes self-management apps do not follow evidence-based guidelines. This study found that apps promoted a median of only two recommended self-management skills, indicating a need for improvement in app design for diabetes care.
Area of Science:
- Digital Health
- Diabetes Self-Management
- Mobile Health Applications
Background:
- Smartphone applications offer real-time, interactive support for individuals managing diabetes.
- The adherence of current diabetes self-management apps to evidence-based guidelines remains largely unexamined.
Purpose of the Study:
- To assess the extent to which existing diabetes self-management applications incorporate the seven self-management behaviors recommended by the American Association of Diabetes Educators (AADE7™).
Main Methods:
- A search for "diabetes" in the Apple App Store in March 2012 identified relevant self-management apps.
- App ratings were determined by app descriptions and download numbers.
- Chi-square analyses were employed to compare apps based on developer type.
Main Results:
- Apps, on average, addressed a median of two AADE7™ skills.
- Inter-rater reliability between app description and download ratings was good (kappa = .66), but reliability for individual skills varied (kappa = .25 to .91).
Conclusions:
- The majority of current diabetes self-management apps do not align with evidence-based recommendations.
- Future evaluations of diabetes apps should include performance testing.
- Incorporating theory-based designs could enhance the effectiveness of future diabetes self-management applications.
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