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Smartphone Application-Based Rehabilitation Program for Older Adults With Type 2 Diabetes Mellitus: Insights From the
Tina Agnes1, G Arun Maiya1, Muralidhar M Kulakarni2
1Centre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.
Journal of Diabetes Science and Technology
|August 26, 2025
Summary
A new smartphone app for diabetes rehabilitation in older adults has been validated. It offers a user-friendly platform with multimedia content, ready for effectiveness testing.
Area of Science:
- Gerontology
- Digital Health
- Diabetes Management
Background:
- Older adults with chronic conditions can benefit from smartphone technology.
- Type 2 diabetes mellitus (T2DM) presents unique challenges for older adults.
- Rehabilitation programs are crucial for managing T2DM in this demographic.
Purpose of the Study:
- To design and develop a smartphone application tailored for T2DM rehabilitation in older adults.
- To validate the usability and content of the developed smartphone application.
Main Methods:
- A three-phase approach: needs assessment, application design/development, and content validation.
- Utilized the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V) for validation.
- Involved direct user interaction, expert review, and observation during testing.
Main Results:
- The application features six modules with diverse content formats (photos, videos, text, flyers).
- Validation involved 8 experts and 25 older adults (over 60) with T2DM.
- Achieved high median understandability (experts >90, users >80) and actionability scores (experts 100, users >100) via PEMAT-A/V.
Conclusions:
- The developed smartphone application has successfully passed content validation.
- The validated application is prepared for further evaluation of its efficacy in T2DM rehabilitation for older adults.

