Culturally adapted mobile application for optimizing metabolic control in type 1 diabetes: a pilot study

Objective. To evaluate whether use of a culturally adapted mobile application (app) for adolescents with type 1 diabetes is associated with improved metabolic control. Methods. The Dominican Republic’s National Institute of Diabetes, Endocrinology, and Nutrition and the Learning to Live clinic recru...

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Vydané v:Revista panamericana de salud pública Ročník 48; číslo 86; s. 1 - 8
Hlavní autori: Cepeda-Marte, Jenny L., Moore, Arelis, Ruiz-Matuk, Carlos B., Salado-Díaz, Daniela D., Socias-Pappaterra, Pablo, Ho-Sang, Vivian W.Y., Mella-Bonilla, Isabella
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Pan American Health Organization (Organizacion Panamericana de la Salud) 01.01.2024
Organización Panamericana de la Salud
Pan American Health Organization
Predmet:
Adolescents
Blood tests
Cultural sensitivity
Density
Diabetes
diabetes mellitus, type 1
glycemic control
Health Policy & Services
Hemoglobin
Insulin
Lipoproteins
Metabolic control
Metabolism
mobile applications
Nutrition
Original Research
Patients
Pediatrics
Pilot projects
Quality of life
Software
Triglycerides
Type 1 diabetes mellitus
glycemic control
insulin
Diabetes mellitus, type 1
mobile applications
aplicaciones móviles
aplicativos móveis
Diabetes mellitus tipo 1
controle glicêmico
control glucémico
insulina
ISSN:1020-4989, 1680-5348, 1680-5348
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Shrnutí:Objective. To evaluate whether use of a culturally adapted mobile application (app) for adolescents with type 1 diabetes is associated with improved metabolic control. Methods. The Dominican Republic’s National Institute of Diabetes, Endocrinology, and Nutrition and the Learning to Live clinic recruited 23 pediatric participants for the study. Blood tests were performed before and after use of the app for a period of 3 months. Based on the user profile, participants were encouraged to use the app’s bolus insulin calculator after each meal. The app included a list of regionally and culturally specific foods, color-coded to indicate a high glycemic index (GI) as red; medium GI as yellow; and low GI as green. The color-coding was designed to assist participants in making healthier eating choices. Results. There were statistically significant improvements in lipid profile. Mean high-density lipoprotein values rose to acceptable levels, while low-density lipoproteins and triglyceride levels fell to the recommended values. The overall quality of life increased, although glycated hemoglobin levels showed no statistically significant changes. Conclusion. The findings of this study suggest that using this culturally tailored app can help young patients with type 1 diabetes to improve metabolic health.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
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Author contributions.
JC, AM, and CRM conceived the original idea, planned the experiments; JC, DS, PSP, VW, and IM collected the data; JC, AM and CRM analyzed the data and contributed data or analysis tools and interpreted the results; and all of the authors wrote and reviewed the paper. All authors reviewed and approved the final version.
Conflicts of interest.
None declared.
ISSN:1020-4989
1680-5348
1680-5348
DOI:10.26633/RPSP.2024.86