Associations Between Psychosocial Needs, Carbohydrate-Counting Behavior, and App Satisfaction: A Randomized Crossover App Trial on 92 Adults With Diabetes
dc.contributor.author | Choi, Joshua S. | |
dc.contributor.author | Ma, Darren | |
dc.contributor.author | Wolfson, Julian A. | |
dc.contributor.author | Wyman, Jean F. | |
dc.contributor.author | Adam, Terrence J. | |
dc.contributor.author | Fu, Helen N. | |
dc.contributor.department | Medicine, School of Medicine | |
dc.date.accessioned | 2025-01-23T17:40:11Z | |
dc.date.available | 2025-01-23T17:40:11Z | |
dc.date.issued | 2023-12-01 | |
dc.description.abstract | To 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.version | Author's manuscript | |
dc.identifier.citation | Choi 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.uri | https://hdl.handle.net/1805/45440 | |
dc.language.iso | en_US | |
dc.publisher | Wolters Kluwer | |
dc.relation.isversionof | 10.1097/CIN.0000000000001073 | |
dc.relation.journal | Computers, Informatics, Nursing : CIN | |
dc.rights | Publisher Policy | |
dc.source | PMC | |
dc.subject | Diabetes mellitus | |
dc.subject | Mobile applications | |
dc.subject | Motivation | |
dc.subject | Personal autonomy | |
dc.subject | Self-care | |
dc.title | Associations Between Psychosocial Needs, Carbohydrate-Counting Behavior, and App Satisfaction: A Randomized Crossover App Trial on 92 Adults With Diabetes | |
dc.type | Article |