Associations Between Psychosocial Needs, Carbohydrate-Counting Behavior, and App Satisfaction: A Randomized Crossover App Trial on 92 Adults With Diabetes

dc.contributor.authorChoi, Joshua S.
dc.contributor.authorMa, Darren
dc.contributor.authorWolfson, Julian A.
dc.contributor.authorWyman, Jean F.
dc.contributor.authorAdam, Terrence J.
dc.contributor.authorFu, Helen N.
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2025-01-23T17:40:11Z
dc.date.available2025-01-23T17:40:11Z
dc.date.issued2023-12-01
dc.description.abstractTo examine whether psychosocial needs in diabetes care are associated with carbohydrate counting and if carbohydrate counting is associated with satisfaction with diabetes applications' usability, a randomized crossover trial of 92 adults with type 1 or 2 diabetes requiring insulin therapy tested two top-rated diabetes applications, mySugr and OnTrack Diabetes. Survey responses on demographics, psychosocial needs (perceived competence, autonomy, and connectivity), carbohydrate-counting frequency, and application satisfaction were modeled using mixed-effect linear regressions to test associations. Participants ranged between 19 and 74 years old (mean, 54 years) and predominantly had type 2 diabetes (70%). Among the three tested domains of psychosocial needs, only competence-not autonomy or connectivity-was found to be associated with carbohydrate-counting frequency. No association between carbohydrate-counting behavior and application satisfaction was found. In conclusion, perceived competence in diabetes care is an important factor in carbohydrate counting; clinicians may improve adherence to carbohydrate counting with strategies designed to improve perceived competence. Carbohydrate-counting behavior is complex; its impact on patient satisfaction of diabetes application usability is multifactorial and warrants consideration of patient demographics such as sex as well as application features for automated carbohydrate counting.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationChoi JS, Ma D, Wolfson JA, Wyman JF, Adam TJ, Fu HN. Associations Between Psychosocial Needs, Carbohydrate-Counting Behavior, and App Satisfaction: A Randomized Crossover App Trial on 92 Adults With Diabetes. Comput Inform Nurs. 2023;41(12):1026-1036. Published 2023 Dec 1. doi:10.1097/CIN.0000000000001073
dc.identifier.urihttps://hdl.handle.net/1805/45440
dc.language.isoen_US
dc.publisherWolters Kluwer
dc.relation.isversionof10.1097/CIN.0000000000001073
dc.relation.journalComputers, Informatics, Nursing : CIN
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectDiabetes mellitus
dc.subjectMobile applications
dc.subjectMotivation
dc.subjectPersonal autonomy
dc.subjectSelf-care
dc.titleAssociations Between Psychosocial Needs, Carbohydrate-Counting Behavior, and App Satisfaction: A Randomized Crossover App Trial on 92 Adults With Diabetes
dc.typeArticle
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