ArticleJMIR diabetes2022
Association Between Mobile Health App Engagement and Weight Loss and Glycemic Control in Adults With Type 2 Diabetes and Prediabetes (D'LITE Study): Prospective Cohort Study.
Article in JMIR diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Effect of Multimodal App-Based Interventions on Glycemic Control in Patients With Type 2 Diabetes: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Digital Management of Early-Onset Type 2 Diabetes: Empowerment, Challenges, and Future Outlook.Current diabetes reports · 2026Review
- Calorie-Counting Apps for Monitoring and Managing Calorie Intake in Adults Living With Weight-Related Chronic Diseases: Decade-Long Scoping Review (2013-2024).JMIR mHealth and uHealth · 2026Article
- Development and Formative Usability Evaluation of a Theory-Driven Progressive Web Application for Young Adult Wellness Engagement (MiCARE): Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Digital Health Solutions for Type 2 Diabetes and Prediabetes: Systematic Review of Engagement Barriers, Facilitators, and Outcomes.JMIR diabetes · 2026Review
- Real-World Long-Term Engagement With a Mobile App Intervention to Improve Self-Management of Type 2 Diabetes Mellitus in China (SMARTDiabetes): Mixed Methods Study.JMIR mHealth and uHealth · 2026Article
- Digital health literacy and associated factors among community-dwelling older adults with multimorbidity: a cross-sectional study.Frontiers in public health · 2026Article
- Evaluation of the BALANCE Program as a Digital Therapeutic Solution for Type 2 Diabetes Management: Protocol for a Prospective Lifestyle Intervention Study.JMIR research protocols · 2025Article
- Public perceptions and engagement in mHealth: a European survey on attitudes toward health apps use and data sharing.European journal of public health · 2025Article
- Effects of Using a Digital Peer-Supported App on Glycated Hemoglobin Changes Among Patients With Type 2 Diabetes: Prospective Single-Arm Pilot Study.JMIR formative research · 2025Article
- Comparative Effectiveness of Wearable Devices and Built-In Step Counters in Reducing Metabolic Syndrome Risk in South Korea: Population-Based Cohort Study.JMIR mHealth and uHealth · 2025Article
- Digital health management models improve the metabolism, sleep, and gut microbiota in patients with metabolic disorders.Frontiers in nutrition · 2025Article
- Article
- The usefulness of an application-supported nutritional intervention on non-high-density lipoprotein cholesterol in people with a risk of lifestyle-related diseases.PLOS digital health · 2024Article
- Article
- Clinical Service Incorporating Mobile Technology on Weight Loss in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease: A Translation From Research Trial.Endocrinology, diabetes & metabolism · 2024Article
- Effectiveness of a Digital Health Application for the Treatment of Diabetes Type II-A Pilot Study.Journal of clinical medicine · 2023Article
- Implementation of a mobile application for outpatient care after liver transplantation.Digital healthArticle
- A theory-driven user-centered design framework for wellness applications targeting young adults: The MiCARE methodology.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMobile health apps are increasingly used as early intervention to support behavior change for diabetes prevention and control, with the overarching goal of lowering the overall disease burden.
objectiveThis prospective cohort study conducted in Singapore aimed to investigate app engagement features and their association with weight loss and improved glycemic control among adults with diabetes and prediabetes from the intervention arm of the Diabetes Lifestyle Intervention using Technology Empowerment randomized controlled trial.
methodsDiabetes and prediabetes participants (N=171) with a median age of 52 years, BMI of 29.3 kg/m
resultsThe median overall app engagement rate was maintained above 90% at 6 months. Participants who were actively engaged in ≥5 app features were associated with the greatest overall weight reduction of 10.6% from baseline (mean difference -6, 95% CI -8.9 to -3.2; P<.001) at 6 months. Adhering to the carbohydrate limit of >5.9 days per week and choosing healthier food options for >4.3 days per week had the most impact, eliciting weight loss of 9.1% (mean difference -5.2, 95% CI -8.2 to -2.2; P=.001) and 8.8% (mean difference -4.2, 95% CI -7.1 to -1.3; P=.005), respectively. Among the participants with diabetes, those who had a complete meal log for >5.1 days per week or kept within their carbohydrate limit for >5.9 days per week each achieved greater HbA
conclusionsHigher app engagement led to greater weight loss and HbA
trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12617001112358; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12617001112358.
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Registered trials
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.