Evidence map›Paper›PMID 34647896›Full record

ArticleJMIR diabetes2021

A Novel Mobile Health App to Educate and Empower Young People With Type 1 Diabetes to Exercise Safely: Prospective Single-Arm Mixed Methods Pilot Study.

Vinutha B Shetty, Wayne H K Soon, Alison G Roberts, Leanne Fried, Heather C Roby, Grant J Smith, Paul A Fournier, Timothy W Jones, Elizabeth A Davis

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PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vinutha B ShettyDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Australia.ORCID https://orcid.org/0000-0001-9140-2168
Wayne H K SoonTelethon Kids Institute, Children's Diabetes Centre, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-5424-3927
Alison G RobertsTelethon Kids Institute, Children's Diabetes Centre, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0003-3455-6448
Leanne FriedTelethon Kids Institute, Children's Diabetes Centre, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-5905-9379
Heather C RobyTelethon Kids Institute, Children's Diabetes Centre, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-2844-0484
Grant J SmithTelethon Kids Institute, Children's Diabetes Centre, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-0584-1875
Paul A FournierTelethon Kids Institute, Children's Diabetes Centre, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-9963-9685
Timothy W JonesDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Australia.ORCID https://orcid.org/0000-0002-7989-1998
Elizabeth A DavisDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Australia.ORCID https://orcid.org/0000-0003-4244-5473

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmpowering young people with type 1 diabetes (T1D) to manage their blood glucose levels during exercise is a complex challenge faced by health care professionals due to the unpredictable nature of exercise and its effect on blood glucose levels. Mobile health (mHealth) apps would be useful as a decision-support aid to effectively contextualize a blood glucose result and take appropriate action to optimize glucose levels during and after exercise. A novel mHealth app acT1ve was recently developed, based on expert consensus exercise guidelines, to provide real-time support for young people with T1D during exercise.

objectiveOur aim was to pilot acT1ve in a free-living setting to assess its acceptability and functionality, and gather feedback on the user experience before testing it in a larger clinical trial.

methodsA prospective single-arm mixed method design was used. Ten participants with T1D (mean age 17.7 years, SD 4.2 years; mean HbA

resultsThe main themes arising from the interview analysis were "increased knowledge," "increased confidence to exercise," and "suitability" for people who were less engaged in exercise. The uMARS scores for acT1ve were high (out of 5) for its total quality (median 4.3, IQR 4.2-4.6), engagement (median 3.9, IQR 3.6-4.2), functionality (median 4.8, IQR 4.5-4.8), information (median 4.6, IQR 4.5-4.8), esthetics (median 4.3, IQR 4.0-4.7), subjective quality (median 4.0, IQR 3.8-4.2), and perceived impact (median 4.3, IQR 3.6-4.5).

conclusionsThe acT1ve app is functional and acceptable, with a high user satisfaction. The efficacy and safety of this app will be tested in a randomized controlled trial in the next phase of this study.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12619001414101; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378373.

Indexed as

acT1veblood glucose levelexercisemobile health apptype 1 diabetesyoung people

Identifiers

PMID34647896
PMCPMC8554675

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.