Developing digital mental health tools for youth with diabetes: an agenda for future research.

Katie M Babbott, Anna Serlachius
Author Information
  1. Katie M Babbott: Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
  2. Anna Serlachius: Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.

Abstract

Youth living with diabetes face a concurrent challenge: managing a chronic health condition and managing the psychosocial and developmental changes that are characteristic of adolescence and young adulthood. Despite these unique challenges, psychological support is often difficult for youth with diabetes to access due to a lack of trained mental health professionals and other resource constraints. Digital wellbeing tools offer the potential to improve access to psychological support for this population. However, very few digital wellbeing tools exist for youth with diabetes. Of those that do exist, very few are evidence-based therapies, undermining their contribution to the field. Given the increasing global prevalence of diabetes in young people, the support necessitated by the challenges experienced by this population is not always accessible in a face-to-face setting and cannot be effectively scaled to meet demand. To support the health and wellbeing of youth with diabetes, there is a clear need to develop digital interventions that are widely accessible to users, but, more saliently, grounded in empirical evidence that supports their efficacy. Thus, the purpose of this paper is to offer an agenda for future research, including insights into which psychological techniques and behavioral change theories may be a good conceptual fit for digital mental health interventions, and how these tools may be best developed and utilized by the individuals that need them. Scalable, evidence-based wellbeing tools for this population are urgently required to improve psychological outcomes, and potentially, improve the equity of service access.

Keywords

References

  1. JMIR Pediatr Parent. 2020 Oct 12;3(2):e23057 [PMID: 33001834]
  2. J Child Psychol Psychiatry. 2017 Apr;58(4):474-503 [PMID: 27943285]
  3. Curr Diab Rep. 2010 Dec;10(6):406-14 [PMID: 20821285]
  4. Diabet Med. 2021 Nov;38(11):e14591 [PMID: 33930211]
  5. J Pediatr. 2005 May;146(5):693-700 [PMID: 15870677]
  6. Health Promot J Austr. 2021 Feb;32 Suppl 1:104-114 [PMID: 32681656]
  7. J Med Internet Res. 2018 Jun 06;20(6):e199 [PMID: 29875089]
  8. Diabet Med. 2020 Mar;37(3):436-447 [PMID: 32017188]
  9. Diabetes Care. 2008 Aug;31(8):1521-6 [PMID: 18509204]
  10. J Child Psychol Psychiatry. 2020 Aug;61(8):928-940 [PMID: 32572961]
  11. J Health Psychol. 2012 Apr;17(3):313-23 [PMID: 21799080]
  12. J Med Internet Res. 2015 Dec 23;17(12):e287 [PMID: 26701961]
  13. Curr Diab Rep. 2022 Oct;22(10):493-500 [PMID: 35984566]
  14. Diabet Med. 2020 Nov;37(11):1854-1860 [PMID: 32614482]
  15. Diabetes Care. 2004 May;27(5):1047-53 [PMID: 15111519]
  16. Diabet Med. 2006 Sep;23(9):935-43 [PMID: 16922699]
  17. BMJ Open Diabetes Res Care. 2016 Mar 02;4(1):e000161 [PMID: 26977306]
  18. J Epidemiol Glob Health. 2020 Mar;10(1):107-111 [PMID: 32175717]
  19. Pediatr Diabetes. 2020 Sep;21(6):1050-1058 [PMID: 32506592]
  20. Evid Based Complement Alternat Med. 2014;2014:561320 [PMID: 24648848]
  21. Diabetes Metab Syndr Obes. 2023 Mar 09;16:693-711 [PMID: 36923685]
  22. Diabetes Care. 2001 Jul;24(7):1286-92 [PMID: 11423517]
  23. JMIR Res Protoc. 2022 Oct 24;11(10):e38635 [PMID: 36279167]
  24. Internet Interv. 2022 Jan 17;27:100496 [PMID: 35257001]
  25. J Med Internet Res. 2017 May 30;19(5):e187 [PMID: 28559223]
  26. J Adolesc Health. 2020 Aug;67(2S):S24-S33 [PMID: 32718511]
  27. J Med Internet Res. 2013 Jan 29;15(1):e15 [PMID: 23360729]
  28. Diabetes Care. 2016 Nov;39(11):1963-1971 [PMID: 27335319]
  29. JMIR Diabetes. 2023 May 5;8:e40641 [PMID: 36939680]
  30. JAMA. 2021 Nov 9;326(18):1795-1796 [PMID: 34677577]
  31. Pediatr Diabetes. 2022 Mar;23(2):258-269 [PMID: 34913548]
  32. Psychol Bull. 2021 Aug;147(8):749-786 [PMID: 34898233]
  33. JMIR Ment Health. 2022 May 11;9(5):e30716 [PMID: 35544295]
  34. Psychoneuroendocrinology. 2016 Aug;70:70-84 [PMID: 27179232]
  35. PLoS One. 2020 Aug 17;15(8):e0237647 [PMID: 32804989]
  36. BMJ Open. 2022 May 19;12(5):e058144 [PMID: 35589362]
  37. Front Psychiatry. 2018 Oct 18;9:481 [PMID: 30405450]
  38. Curr Diab Rep. 2014 Jan;14(1):449 [PMID: 24277675]
  39. JMIR Ment Health. 2021 Apr 29;8(4):e25847 [PMID: 33913817]
  40. Diabet Med. 2015 Jan;32(1):133-40 [PMID: 25131861]
  41. Curr Diab Rep. 2016 Jan;16(1):9 [PMID: 26748793]
  42. Curr Treat Options Psychiatry. 2019 Sep;6(3):221-231 [PMID: 33796435]
  43. J Pediatr Nurs. 2021 Nov-Dec;61:280-283 [PMID: 34375781]
  44. Am Psychol. 2016 Oct;71(7):590-601 [PMID: 27690487]
  45. NPJ Digit Med. 2022 Aug 18;5(1):119 [PMID: 35982146]
  46. PLoS One. 2019 Jun 5;14(6):e0217771 [PMID: 31166971]
  47. J Health Psychol. 2016 Jun;21(6):1157-69 [PMID: 25213114]
  48. JMIR Pediatr Parent. 2020 Jun 25;3(1):e20049 [PMID: 32540841]
  49. Lancet Digit Health. 2021 Apr;3(4):e260-e265 [PMID: 33678589]
  50. Pediatr Diabetes. 2022 Dec;23(8):1373-1389 [PMID: 36464988]
  51. Span J Psychol. 2022 Feb 02;25:e5 [PMID: 35105398]
  52. Diabetes Care. 2022 Mar 1;45(3):529-537 [PMID: 35015056]
  53. Diabet Med. 2008 Jan;25(1):91-6 [PMID: 18199136]

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