{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:14:16Z","timestamp":1790802856803,"version":"4.1.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100017012","name":"Roche Diabetes Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017012","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In a randomized controlled trial, the efficacy of a digital diabetes diary regarding a reduction of diabetes distress was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomized controlled trial with a 12-week follow-up was conducted in 41 study sites across Germany. Key eligibility criteria were a diagnosis of type 1, type 2, or gestational diabetes and regular self-monitoring of blood glucose. Participants were randomly assigned (2:1 ratio) to either use the digital diabetes logbook (mySugr PRO), or to the control group without app use. The primary outcome was the reduction in diabetes distress at the 12-week follow-up. All analyses were based on the intention-to-treat population with all randomized participants. The trial was registered at the German Register for Clinical Studies (DRKS00022923).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Between February 11, 2021, and June 24, 2022, 424 participants (50% female, 50% male) were included, with 282 being randomized to the intervention group (66.5%) and 142 to the control group (33.5%). A total of 397 participants completed the trial (drop-out rate: 6.4%). The median reduction in diabetes distress was 2.41 (interquartile range [IQR]: \u22122.50 to 8.11) in the intervention group and 1.25 (IQR: \u22125.00 to 7.50) in the control group. The model-based adjusted between-group difference was significant (\u22122.20, IQR: \u22124.02 to \u22120.38,\n                      <jats:italic>P<\/jats:italic>\n                      = .0182) favoring the intervention group. There were 27 adverse events, 17 (6.0%) in the intervention group, and 10 (7.0%) in the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The efficacy of the digital diabetes logbook was demonstrated regarding improvements in mental health in people with type 1, type 2, and gestational diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968241239870","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T08:44:17Z","timestamp":1711442657000},"page":"1362-1373","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Efficacy of a Digital Diabetes Logbook for People With Type 1, Type 2, and Gestational Diabetes: Results From a Multicenter, Open-Label, Parallel-Group, Randomized Controlled Trial"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5794-5596","authenticated-orcid":false,"given":"Dominic","family":"Ehrmann","sequence":"first","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-2677","authenticated-orcid":false,"given":"Norbert","family":"Hermanns","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany"},{"name":"Diabetes Clinic Mergentheim, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Finke-Gr\u00f6ne","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timm","family":"Roos","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Kober","sequence":"additional","affiliation":[{"name":"mySugr GmbH, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Roche Diabetes Care Deutschland GmbH, Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5937-1266","authenticated-orcid":false,"given":"Michael","family":"Krichbaum","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Haak","sequence":"additional","affiliation":[{"name":"Diabetes Clinic Mergentheim, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2373-3720","authenticated-orcid":false,"given":"Ralph","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Diabetes Clinic for Children and Adolescents, Muenster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2493-1304","authenticated-orcid":false,"given":"Lutz","family":"Heinemann","sequence":"additional","affiliation":[{"name":"Science Consulting in Diabetes GmbH, Kaarst, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosima","family":"Rieger","sequence":"additional","affiliation":[{"name":"Roche Diabetes Care GmbH, Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezgi","family":"Bingol","sequence":"additional","affiliation":[{"name":"mySugr GmbH, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Kulzer","sequence":"additional","affiliation":[{"name":"Research Institute Diabetes Academy Mergentheim, Bad Mergentheim, Germany"},{"name":"Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany"},{"name":"Diabetes Clinic Mergentheim, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Silbermann","sequence":"additional","affiliation":[{"name":"Roche Diabetes Care GmbH, Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,26]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"2. 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