An evaluation of diabetes targeted apps for Android smartphone in relation to behaviour change techniques.

BACKGROUND: Mobile applications (apps) could support diabetes management through dietary, weight and blood glucose self-monitoring, as well as by promoting behaviour change. The present study aimed to evaluate diabetes apps for content, functions and behaviour change techniques (BCTs). METHODS: Diabetes self-management apps for Android smartphones were searched for on the Google Play Store. Ten apps each from the following search terms were included; 'diabetes', 'diabetes type 1', 'diabetes type 2', 'gestational diabetes'. Apps were evaluated by being scored according to their number of functions and BCTs, price, and user rating. RESULTS: The mean (SD) number of functions was 8.9 (5.9) out of a possible maximum of 27. Furthermore, the mean (SD) number of BCTs was 4.4 (2.6) out of a possible maximum of 26. Apps with optimum BCT had significantly more functions [13.8; 95% confidence interval (CI) = 11.9-15.9] than apps that did not (4.7; 95% CI = 3.2-6.2; P < 0.01) and significantly more BCTs (5.8; 95% CI = 4.8-7.0) than apps without (3.1; 95% CI = 2.2-4.1; P < 0.01). Additionally, apps with optimum BCT also cost more than other apps. In the adjusted models, highly rated apps had an average of 4.8 (95% CI = 0.9-8.7; P = 0.02) more functions than lower rated apps. CONCLUSIONS: 'Diabetes apps' include few functions or BCTs compared to the maximum score possible. Apps with optimum BCTs could indicate higher quality. App developers should consider including both specific functions and BCTs in 'diabetes apps' to make them more helpful. More research is needed to understand the components of an effective app for people with diabetes.

Digit Ordering Test: clinical, psychometric, and experimental evaluation of a verbal working memory test.

Cooper, Sagar, Jordan, Harvey, and Sullivan (1991) proposed a Digit Ordering Test (DOT) for the assessment of verbal working memory: A series of seven digits has to be memorized and immediately recalled in ascending order. In several studies Cooper and co-workers showed selectively reduced DOT performance in patients with Parkinson's disease (PD). We present results from three studies on the properties of this test. In study 1 we replicated the original findings and evaluated a new scoring method. Study 2 addressed the psychometric features of the DOT and provides normative data based on a total of 134 test protocols (PD: 18, other neurological patients: 60, healthy controls: 56). In study 3 we used an experimental modification of the test (DOT-EXP) to evaluate the effects of the presentation rate on serial recall and digit ordering performance. The standard presentation rate of seven digits in 5 s was confirmed as most sensitive for detection of verbal working memory deficits. Findings confirmed that the DOT addresses the manipulatory component of verbal working memory and conveniently detects respective deficits in clinical testing.