{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:27:12Z","timestamp":1790612832841,"version":"4.1.0"},"reference-count":50,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People living with type 1 diabetes must adhere to an intense self-care regimen, which may impact their psychological well-being and contribute to poor self-management behaviors. Despite their potential, most mobile health and web-based apps for diabetes management prioritize glycemic control and often overlook psychological well-being. As a result, evidence on the effectiveness of these interventions in improving psychological well-being remains limited, and there is still uncertainty about which functions and features are the most effective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this review was to assess changes in the psychological well-being of people with type 1 diabetes and identify the functions and features of mobile and web-based interventions that may enhance their psychological well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Relevant studies were identified through PubMed, Web of Knowledge, Embase, Scopus, APA PsycInfo, and the Cochrane Central Register of Controlled Trials, with the search conducted at the end of November 2024. Studies were included if they quantitatively assessed the impact of mobile health or web-based apps on psychological well-being in people with type 1 diabetes using validated screening tools. A conventional content analysis approach was used to categorize the functions and features of the included interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 8 of the 2142 articles identified met the inclusion criteria and were included in the review. Six categories of functions were identified, each incorporating different sets of features: (1) therapy, (2) education, (3) self-management, (4) peer support, (5) health care professional\u2013patient support, and (6) parental support. Only 2 of the 8 studies reported improved psychological well-being. One of these 2 studies included therapy-based interventions, while the other combined self-management, education, and peer support functions. However, the limited number of studies and variability in study design and participant characteristics limited the ability to attribute the effectiveness in improving psychological well-being to specific functions and features or their combinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review highlights the limited effectiveness of currently available mobile health and web-based interventions in improving the psychological well-being of people living with type 1 diabetes. While some interventions showed promise, the findings highlight the need for targeted, theory-based approaches; stakeholder involvement in intervention design and development; and combination of functions and features to improve support and long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/75280","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T11:15:06Z","timestamp":1748517306000},"page":"e75280-e75280","source":"Crossref","is-referenced-by-count":1,"title":["Functions, Features, and Psychological Well-Being Impacts of Type 1 Diabetes Self-Management Mobile and Web Apps: Systematic Review"],"prefix":"10.2196","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6808-8874","authenticated-orcid":false,"given":"Titouan","family":"Cloarec","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0666-1622","authenticated-orcid":false,"given":"Katie","family":"Cunneen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1995-224X","authenticated-orcid":false,"given":"David","family":"Nickson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6843-6447","authenticated-orcid":false,"given":"Simon","family":"Leigh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6845-1049","authenticated-orcid":false,"given":"Petra","family":"Hanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6351-1340","authenticated-orcid":false,"given":"Carla","family":"Toro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"R1","unstructured":"Type 1 diabetes. International Diabetes Federation. 2023. URL: https:\/\/idf.org\/about-diabetes\/types-of-diabetes\/type-1-diabetes [Accessed 18-02-2025]"},{"issue":"10138","key":"R2","doi-asserted-by":"publisher","first-page":"2449","DOI":"10.1016\/S0140-6736(18)31320-5","article-title":"Type 1 diabetes","volume":"391","author":"DiMeglio","journal-title":"Lancet"},{"issue":"11","key":"R3","doi-asserted-by":"publisher","first-page":"2589","DOI":"10.2337\/dci21-0043","article-title":"The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)","volume":"44","author":"Holt","journal-title":"Diabetes Care"},{"issue":"Supplement_1","key":"R4","doi-asserted-by":"publisher","first-page":"S81","DOI":"10.2337\/dc14-S081","article-title":"Diagnosis and classification of diabetes mellitus","volume":"37","author":"American Diabetes Association","journal-title":"Diabetes Care"},{"issue":"6","key":"R5","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.2337\/dc06-0087","article-title":"Depressive symptoms in children and adolescents with type 1 diabetes: association with diabetes-specific characteristics","volume":"29","author":"Hood","journal-title":"Diabetes Care"},{"issue":"14","key":"R6","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147623","article-title":"What affects quality of life for people with type 1 diabetes?: a cross-sectional observational study","volume":"18","author":"Cho","journal-title":"Int J Environ Res Public Health"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Hendrieckx C Halliday JA Beeney LJ Speight J . Diabetes and Emotional Health: A Practical Guide for Healthcare Professionals Supporting Adults With Type 1 and Type 2 Diabetes. 2nd ed. Diabetes UK; 2019. URL: https:\/\/www.diabetes.org.uk\/sites\/default\/files\/2019-03\/0506%20Diabetes%20UK%20Australian%20Handbook_P4_FINAL_1.pdf [Accessed 06-10-2025]","DOI":"10.2196\/15007"},{"issue":"1","key":"R8","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s11892-015-0694-2","article-title":"Diabetes distress among adolescents with type 1 diabetes: a systematic review","volume":"16","author":"Hagger","journal-title":"Curr Diab Rep"},{"issue":"4","key":"R9","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1111\/dme.14216","article-title":"The cognitive and psychological effects of living with type 1 diabetes: a narrative review","volume":"37","author":"van Duinkerken","journal-title":"Diabet Med"},{"issue":"1","key":"R10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.pcd.2021.11.001","article-title":"A systematic review and meta-analysis to compare the prevalence of depression between people with and without type 1 and type 2 diabetes","volume":"16","author":"Farooqi","journal-title":"Prim Care Diabetes"},{"issue":"12","key":"R11","doi-asserted-by":"publisher","first-page":"1532","DOI":"10.1111\/dme.14048","article-title":"Transforming mental well-being for people with diabetes: research recommendations from Diabetes UK\u2019s 2019 Diabetes and Mental Well-Being Workshop","volume":"36","author":"Wylie","journal-title":"Diabet Med"},{"issue":"2","key":"R12","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1007\/s13300-023-01513-2","article-title":"A systematic literature review of psychological interventions for adults with type 1 diabetes","volume":"15","author":"Diribe","journal-title":"Diabetes Ther"},{"issue":"1","key":"R13","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.jpsychores.2014.03.013","article-title":"Mindfulness-based cognitive therapy for people with diabetes and emotional problems: long-term follow-up findings from the DiaMind randomized controlled trial","volume":"77","author":"van Son","journal-title":"J Psychosom Res"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/5341656","article-title":"Self-determination theory and quality of life of adults with diabetes: a scoping review","volume":"2023","author":"Sarfo","journal-title":"J Diabetes Res"},{"issue":"7","key":"R15","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1037\/a0040359","article-title":"Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families","volume":"71","author":"Hilliard","journal-title":"Am Psychol"},{"issue":"3","key":"R16","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1108\/IJHRH-05-2017-0020","article-title":"Mental health issues in children and adolescents with chronic illness","volume":"10","author":"Delamater","journal-title":"Int J Hum Rights Healthc"},{"issue":"6","key":"R17","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1007\/s00125-019-4864-7","article-title":"Digital health technology and mobile devices for the management of diabetes mellitus: state of the art","volume":"62","author":"Shan","journal-title":"Diabetologia"},{"issue":"1","key":"R18","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.jcjd.2018.03.010","article-title":"Improving glycemic control in adults and children with type 1 diabetes with the use of smartphone-based mobile applications: a systematic review","volume":"43","author":"Sun","journal-title":"Can J Diabetes"},{"issue":"11","key":"R19","doi-asserted-by":"publisher","first-page":"2089","DOI":"10.2337\/dc16-0346","article-title":"Do mobile phone applications improve glycemic control (HbA1c) in the self-management of diabetes? a systematic review, meta-analysis, and GRADE of 14 randomized trials","volume":"39","author":"Hou","journal-title":"Diabetes Care"},{"issue":"1","key":"R20","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-018-0331-6","article-title":"Impact of technology-based interventions for children and young people with type 1 diabetes on key diabetes self-management behaviours and prerequisites: a systematic review","volume":"19","author":"Knox","journal-title":"BMC Endocr Disord"},{"issue":"2","key":"R21","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1111\/pedi.13304","article-title":"Digital health interventions for improving mental health outcomes and wellbeing for youth with type 1 diabetes: a systematic review","volume":"23","author":"Garner","journal-title":"Pediatr Diabetes"},{"issue":"1","key":"R22","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-018-0699-4","article-title":"Registration of systematic reviews in PROSPERO: 30,000 records and counting","volume":"7","author":"Page","journal-title":"Syst Rev"},{"issue":"1","key":"R23","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-1-2","article-title":"The nuts and bolts of PROSPERO: an international prospective register of systematic reviews","volume":"1","author":"Booth","journal-title":"Syst Rev"},{"issue":"3","key":"R24","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/S2213-8587(19)30412-7","article-title":"Type 1 diabetes-early life origins and changing epidemiology","volume":"8","author":"Norris","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"1","key":"R25","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan-a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","journal-title":"Syst Rev"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2023-076335","article-title":"Updated recommendations for the Cochrane rapid review methods guidance for rapid reviews of effectiveness","volume":"384","author":"Garritty","journal-title":"BMJ"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","journal-title":"BMJ"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions","volume":"355","author":"Sterne","journal-title":"BMJ"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.3389\/fcdhc.2023.1209236","article-title":"Internet-based cognitive-behavioral therapy is effective in reducing depressive symptomatology in type 1 diabetes: results of a randomized controlled trial","volume":"4","author":"Carreira","journal-title":"Front Clin Diabetes Healthc"},{"issue":"4","key":"R30","doi-asserted-by":"publisher","DOI":"10.2196\/diabetes.9531","article-title":"Glucose control, disease burden, and educational gaps in people with type 1 diabetes: exploratory study of an integrated mobile diabetes app","volume":"3","author":"Tack","journal-title":"JMIR Diabetes"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.21037\/mhealth-23-33","article-title":"Internet-based cognitive behavioral therapy intervention for youth with type 1 diabetes and depressive symptoms: a pilot and feasibility study","volume":"10","author":"Singh","journal-title":"Mhealth"},{"issue":"5","key":"R32","doi-asserted-by":"publisher","first-page":"1086","DOI":"10.1177\/1932296815585871","article-title":"The effects of a mobile phone application on quality of life in patients with type 1 diabetes mellitus: a randomized controlled trial","volume":"9","author":"Drion","journal-title":"J Diabetes Sci Technol"},{"issue":"11","key":"R33","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1089\/dia.2020.0048","article-title":"Type 1 doing well: pilot easibility and acceptability study of a strengths-based mHealth app for parents of adolescents with type 1 diabetes","volume":"22","author":"Hilliard","journal-title":"Diabetes Technol Ther"},{"issue":"6","key":"R34","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.9487","article-title":"Testing a smartphone app (Young with Diabetes) to improve self-management of diabetes over 12 months: randomized controlled trial","volume":"6","author":"Castens\u00f8e-Seidenfaden","journal-title":"JMIR Mhealth Uhealth"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1177\/20552076231204435","article-title":"Evaluation of Support, a self-guided online type 1 diabetes self-management education and support web application-a mixed methods study","volume":"9","author":"Xie","journal-title":"Digit Health"},{"issue":"1","key":"R36","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1007\/s42000-024-00609-z","article-title":"Can a mobile application improve glucose-related and patient-reported outcome measures (PROMs) in people with type 1 diabetes mellitus? a randomized controlled trial using the mySugr app","volume":"24","author":"Cuixart","journal-title":"Hormones (Athens)"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2021.06.019","article-title":"Cognitive behavioral therapy in adolescents with type 1 diabetes: an integrative review","volume":"60","author":"Rechenberg","journal-title":"J Pediatr Nurs"},{"issue":"4","key":"R38","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1001\/jamapsychiatry.2020.4364","article-title":"Internet-based cognitive behavioral therapy for depression: a systematic review and individual patient data network meta-analysis","volume":"78","author":"Karyotaki","journal-title":"JAMA Psychiatry"},{"issue":"2","key":"R39","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1111\/pedi.12807","article-title":"Efficacy of mindfulness-based stress reduction in emerging adults with poorly controlled, type 1 diabetes: a pilot randomized controlled trial","volume":"20","author":"Ellis","journal-title":"Pediatr Diabetes"},{"issue":"2","key":"R40","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1177\/26350106211070266","article-title":"The effects of diabetes self-management education on quality of life for persons with type 1 diabetes: a systematic review of randomized controlled trials","volume":"48","author":"Davidson","journal-title":"Sci Diabetes Self Manag Care"},{"issue":"4","key":"R41","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1093\/jpepsy\/jsaa015","article-title":"Psychoeducation for children with chronic conditions: a systematic review and meta-analysis","volume":"45","author":"Day","journal-title":"J Pediatr Psychol"},{"issue":"6","key":"R42","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0179685","article-title":"Psycho-educational interventions for children and young people with type 1 diabetes in the UK: how effective are they? a systematic review and meta-analysis","volume":"12","author":"Charalampopoulos","journal-title":"PLoS One"},{"issue":"1","key":"R43","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-022-01039-x","article-title":"Using mHealth applications for self-care - an integrative review on perceptions among adults with type 1 diabetes","volume":"22","author":"Stephen","journal-title":"BMC Endocr Disord"},{"issue":"10","key":"R44","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.1093\/jpepsy\/jsab064","article-title":"Parenting and psychological health in youth with type 1 diabetes: systematic review","volume":"46","author":"Trojanowski","journal-title":"J Pediatr Psychol"},{"issue":"6","key":"R45","doi-asserted-by":"publisher","DOI":"10.2196\/10115","article-title":"Considerations for the development of mobile phone apps to support diabetes self-management: systematic review","volume":"6","author":"Adu","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"R46","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-024-01560-4","article-title":"Impact of digitally enabled peer support interventions on diabetes distress and depressive symptoms in people living with type 1 diabetes: a systematic review","volume":"25","author":"Yakubu","journal-title":"Curr Diab Rep"},{"key":"R47","doi-asserted-by":"publisher","DOI":"10.2196\/64267","article-title":"Exploring the needs and preferences of users and parents to design a mobile app to deliver mental health peer support to adolescents with type 1 diabetes: qualitative study","volume":"10","author":"Yakubu","journal-title":"JMIR Diabetes"},{"key":"R48","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2021.100373","article-title":"Efficacy of digital health interventions in youth with chronic medical conditions: a meta-analysis","volume":"24","author":"Domhardt","journal-title":"Internet Interv"},{"issue":"4","key":"R49","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1111\/jcpp.12663","article-title":"Annual research review: digital health interventions for children and young people with mental health problems - a systematic and meta-review","volume":"58","author":"Hollis","journal-title":"J Child Psychol Psychiatry"},{"issue":"6","key":"R50","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1111\/dme.12887","article-title":"How to assess diabetes distress: comparison of the Problem Areas in Diabetes Scale (PAID) and the Diabetes Distress Scale (DDS)","volume":"33","author":"Schmitt","journal-title":"Diabet Med"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2025\/1\/e75280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:06:14Z","timestamp":1782842774000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2025\/1\/e75280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,19]]},"references-count":50,"URL":"https:\/\/doi.org\/10.2196\/75280","relation":{},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,19]]},"article-number":"v27i10138e75280"}}