Type 2 & other diabetes

How Frequently and for How Long Do Adults With Type 2 Diabetes Use Management Apps? The REALL Study

J Diabetes Sci TechnolPublished Prospective observational cohort study

Authors' conclusion

App use and testing decreased markedly over time. Variations in the predictors of frequency of App use suggest that the utilization of mobile technologies requires a tailored approach that addresses the specific needs of individual users, compared with adopting a one-size-fits-all strategy, and that IUs and NIUs may require very different strategies of customization.

Study context

Population
Unselected adults with T2D who independently elected to download and pair a CONTOUR DIABETES App with their CONTOUR NEXT ONE glucose meter; mean age 51.6 years, 48% female, diabetes duration 6.9 years, self-reported HbA1c 8.1% (36.3 mmol/mol)
Participants
108 vs 353
Exposure
Insulin users vs noninsulin users
  • Insulin users (IUs)n = 108
  • Noninsulin users (NIUs)n = 353
Outcome
Predictors of utilization of a T2D management App over time
Follow-up
16 weeks
Methodological detailsnational sample, 16-week follow-up
  • National sample
  • 16-week follow-up

Main finding

As reported in the abstract

App use

Mean duration of App use

85.4 days

Stopped using the App before 16 weeks

40%

Observational data: associations, not effects.

Further findings

Frequency of glucose testing

IUs tested more frequently than NIUs, but frequency and intensity of testing decreased markedly for both groups over time

Original publication

How Frequently and for How Long Do Adults With Type 2 Diabetes Use Management Apps? The REALL Study. J Diabetes Sci Technol. Published 20 November 2021. doi:10.1177/19322968211058766

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