1 School of Psychology, Deakin University , Geelong, Australia .
2 The Australian Centre for Behavioural Research in Diabetes , Diabetes Victoria, Melbourne, Australia .
Diabetes Technol Ther. 2017 Dec;19(12):730-738. doi: 10.1089/dia.2017.0235. Epub 2017 Oct 13.
While the number of diabetes-specific mobile applications (apps) continues to grow, there is a lack of knowledge about their actual use.
The second MILES (Management and Impact for Long-term Empowerment and Success)-Australia study was a national cross-sectional survey of the psychological, behavioral, and social aspects of diabetes for adults with type 1 diabetes (T1D) and type 2 diabetes (T2D). Associations between diabetes-specific app usage and demographic, clinical, and psychosocial variables were examined.
Of the 1589 respondents responding to the diabetes-specific app questions, 795 had T1D (mean ± standard deviation age 43 ± 14 years; 61% women; diabetes duration 19 ± 14 years) and 794 had T2D (age 60 ± 9 years; 40% women; diabetes duration 11 ± 7 years). Among adults with T1D, 24% (n = 188) reported using apps, with carbohydrate counting (74%; n = 139) as the most common cited purpose. App usage was significantly associated with shorter diabetes duration, more frequent glucose monitoring, and lower self-reported HbA1c. Among adults with T2D, 8% (n = 64) reported using apps, with glucose monitoring (62%; n = 39) as the most common purpose. For all respondents, the most commonly reported reason for not using apps was a belief that they could not help with diabetes self-management.
A minority of adults with T1D and T2D use apps to support their self-management. App use among adults with T1D is associated with a more recent T1D diagnosis, more frequent glucose monitoring, and lower self-reported HbA1c. Future efforts should focus on this association and determine the mechanisms by which app use is related to better clinical outcomes.
尽管糖尿病专用移动应用程序（apps）的数量不断增加，但人们对其实际使用情况知之甚少。
第二项 MILES（长期赋权和成功的管理和影响）-澳大利亚研究是一项针对成人 1 型糖尿病（T1D）和 2 型糖尿病（T2D）的心理、行为和社会方面的全国性横断面调查。研究考察了糖尿病专用应用程序使用情况与人口统计学、临床和社会心理变量之间的关联。
在回应糖尿病专用应用程序问题的 1589 名受访者中，795 名患有 T1D（平均年龄±标准差为 43±14 岁；61%为女性；糖尿病病程 19±14 年），794 名患有 T2D（年龄 60±9 岁；40%为女性；糖尿病病程 11±7 年）。在 T1D 成人中，24%（n=188）报告使用应用程序，其中最常见的用途是计算碳水化合物（74%；n=139）。应用程序的使用与较短的糖尿病病程、更频繁的血糖监测以及较低的自我报告 HbA1c 显著相关。在 T2D 成人中，8%（n=64）报告使用应用程序，其中最常见的用途是血糖监测（62%；n=39）。对于所有受访者，不使用应用程序的最常见原因是他们认为应用程序无法帮助他们进行糖尿病自我管理。
少数 T1D 和 T2D 成人使用应用程序来支持自我管理。T1D 成人中应用程序的使用与更近期的 T1D 诊断、更频繁的血糖监测以及较低的自我报告 HbA1c 相关。未来的努力应重点关注这一关联，并确定应用程序使用与更好的临床结果之间的关系机制。
