Evaluating a mental health support mobile app for adults with type 1 diabetes living in rural and remote communities: The REACHOUT pilot study
Authors' conclusion
While reach was relatively low, metrics for adoption and maintenance are promising. Improvements in distress were observed for the total sample, but these changes were reduced when controlling for sex and age, with significance maintained only for women. Digital health-enabled peer support may be instrumental in the delivery of mental health support to geographically isolated communities.
Study context
- Population
- Adults with T1D living in rural and remote communities
- Participants
- 46 adults
- Comparison
- Baseline vs 6 months of REACHOUT peer-led mental health support app
- REACHOUTn = 46
- Outcome
- RE-AIM reach, adoption and maintenance
Methodological detailssingle-group, pre-post, RE-AIM framework
- Single-group
- Pre-post
- RE-AIM framework
Main finding
As reported in the abstract
Reach: eligible adults enrolled in REACHOUT
3%
Adoption: diabetes education centres participating in recruitment
55%
Maintenance: peer supporters who became peer supporters for a subsequent RCT of REACHOUT
56%
Maintenance: participants who became peer supporters for a subsequent RCT of REACHOUT
24%
Further findings
Diabetes distress, depressive symptoms and perceived support, baseline to post-intervention · 6 months
- Reduction in overall distress
- P = 0.007
- Reduction in powerlessness
- P = 0.009
- Reduction in management distress
- P = 0.001
- Reduction in social perception distress
- P = 0.023
- Reduction in eating distress
- P = 0.032
- Reduction in depressive symptoms
- P = 0.009
- Elevations in support from family/friends and peers
- After adjusting for sex and age, only support-related improvements persisted
Distress and support by sex · 6 months
- Women reported lower overall distress, three distress subscales, and higher family/friends and peer support; men did not
Original publication
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