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Adherence to evidence-based guidelines among diabetes self-management apps.

Breland JY, Yeh VM, Yu J. Adherence to evidence-based guidelines among diabetes self-management apps. Translational behavioral medicine. 2013 Sep 1; 3(3):277-86.

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Abstract:

Smartphone apps can provide real-time, interactive self-management aid to individuals with diabetes. It is currently unclear whether existing diabetes self-management apps follow evidence-based guidelines. The purpose of this study was to evaluate the extent to which existing diabetes self-management apps address the seven self-management behaviors recommended by the American Association of Diabetes Educators (the AADE7™). The term "diabetes" identified relevant self-management apps via the Apple App Store search engine in March 2012. Ratings were based on app descriptions and downloads. Chi-square analyses assessed differences in apps based on developer type. Apps promoted a median of two AADE7™ skills. Overall reliability between description and download ratings was good (kappa? = .66). Reliability of individual skills was variable (kappa? = .25 to .91). Most diabetes apps do not conform to evidence-based recommendations, and future app reviews would benefit from testing app performance. Future apps may also benefit from theory-based designs.




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