Evidence map›Paper›PMID 39832366›Full record

ArticleJMIR diabetes2025

Exploring the Needs and Preferences of Users and Parents to Design a Mobile App to Deliver Mental Health Peer Support to Adolescents With Type 1 Diabetes: Qualitative Study.

Titilola I Yakubu, Poonamdeep Jhajj, Samantha Pawer, Nicholas C West, Shazhan Amed, Tricia S Tang, Matthias Görges

Abstract read
In one paragraph

Article in JMIR diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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

7 authors.

Titilola I YakubuExperimental Medicine Program, Department of Medicine, The University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0002-3414-6257
Poonamdeep JhajjResearch Institute, BC Children's Hospital, Vancouver, BC, Canada.ORCID https://orcid.org/0009-0004-8042-8994
Samantha PawerResearch Institute, BC Children's Hospital, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0001-8497-0618
Nicholas C WestResearch Institute, BC Children's Hospital, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0001-8382-5136
Shazhan AmedResearch Institute, BC Children's Hospital, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0001-5193-8582
Tricia S Tang *Experimental Medicine Program, Department of Medicine, The University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0002-0105-1390
Matthias Görges *Research Institute, BC Children's Hospital, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0003-2193-178X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBeyond physical health, managing type 1 diabetes (T1D) also encompasses a psychological component, including diabetes distress, that is, the worries, fears, and frustrations associated with meeting self-care demands over the lifetime. While digital health solutions have been increasingly used to address emotional health in diabetes, these technologies may not uniformly meet the unique concerns and technological savvy across all age groups.

objectiveThis study aimed to explore the mental health needs of adolescents with T1D, determine their preferred modalities for app-based mental health support, and identify desirable design features for peer-delivered mental health support modeled on an app designed for adults with T1D.

methodsA semistructured qualitative focus group study was conducted with adolescents with T1D and parents of adolescents with T1D. Data were collected through pre-focus group surveys, including sociodemographic background, diabetes status, health care experiences, and focus group sessions, including their opinions on peer support and technology. A thematic analysis following an inductive and iterative process was performed to develop themes and subthemes from the collected information.

resultsFocus group participants included 10 adolescents (mean 16, SD 1 years; 8/10, 80% female; who had been living with diabetes for an average of 9, SD 5 years) and 10 parents (mean age 51, SD 7 years; 9/10, 90% female). Four core themes emerged: (1) experience: navigating adolescence with T1D, (2) empowerment: support systems that enabled better management of their T1D, (3) obstacles: societal barriers that affect adolescents' T1D management, and (4) innovation: adolescent-driven preferences for digital peer support platforms.

conclusionsApp-based peer support offers a promising avenue for addressing the mental health needs of adolescents with T1D. Understanding the unique support needs of these adolescents and using this information to suggest design considerations for a mental health peer support app is an important step toward addressing their complex emotional and social challenges.

Indexed as

adolescentdata collectiondepressiondiabetesdiabetes distressdigital interventionsdisease managementemotional healthfocus groupsmental healthmental health supportmHealthmobile appmobile healthparentpeer supportphysical healthpsychologicalqualitative studythematic analysistype 1type 1 diabetes

Identifiers

PMID39832366
PMCPMC11791445

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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.