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Research Summary
Analyzed using Evidence Intelligence™

Diactive-1 App Improves Usability for Type 1 Diabetes Management

Powered by the Dediabetes Evidence Intelligence™ framework

Last updated September 9, 2026

Key finding

The Diactive-1 app demonstrated high usability, with an overall quality mean score of 4.33 [standard deviation (SD) =0.36] out of 5.00.

The study evaluated the usability of the Diactive-1 app for muscle-strengthening training in children and adolescents with Type 1 Diabetes, finding high usability scores.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The study evaluated the usability of the Diactive-1 app for muscle-strengthening training in children and adolescents with Type 1 Diabetes, finding high usability scores.

Clinical relevance

High usability of digital health tools like the Diactive-1 app is crucial for encouraging physical activity in children and adolescents with Type 1 Diabetes. Effective muscle-strengthening training can improve health outcomes and overall quality of life, making it essential for such tools to be accessible and engaging.

Keep in mind

Unclear effectiveness due to lack of statistical significance reporting. Limited generalizability as the study focused solely on Type 1 Diabetes. Potential bias in self-reported usability scores.

Published in

Journal Reference

Publication details and source links for this paper.

Ignacio H, Jacinto M, Nidia H, Yasmin E, Antonio G. Usability of the Diactive-1 App for Muscle-Strengthening Training in Children and Adolescents with Type 1 Diabetes. mHealth. 2025;11:16. doi:10.21037/mhealth-24-63

View DOIView on PubMedView on PMC

Main Effects

Overall quality mean score of 4.33 (SD = 0.36) out of 5.00, indicating high usability.

Functionality score of 4.52 (SD = 0.40), reflecting strong app performance.

Aesthetics score of 4.43 (SD = 0.45), showing positive user experience.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Diactive-1 app and Aesthetics score, Engagement score based on uMARS evaluation, Functionality score of acT1ve, and 4 more.

This study contributes evidence to

Intervention

Diactive-1 app

Outcome

Aesthetics score

Primary intervention

Diactive-1 app

Primary outcomes

  • Aesthetics score
  • Engagement score based on uMARS evaluation
  • Functionality score of acT1ve

Primary intervention

Diactive-1 app

Primary outcomes

Aesthetics scoreEngagement score based on uMARS evaluationFunctionality score of acT1ve

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

7
Evidence pairs
7
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 54

0

Related topics

7

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Aesthetics score

Diactive-1 app → Aesthetics score

Diactive-1 app → Aesthetics score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Engagement score based on uMARS evaluation

Diactive-1 app → Engagement score based on uMARS evaluation

Diactive-1 app → Engagement score based on uMARS evaluation

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Functionality score of acT1ve

Diactive-1 app → Functionality score of acT1ve

Diactive-1 app → Functionality score of acT1ve

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Information quality score

Diactive-1 app → Information quality score

Diactive-1 app → Information quality score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Subjective quality score

Diactive-1 app → Subjective quality score

Diactive-1 app → Subjective quality score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Usability evaluation score based on User Experience Questionnaire

Diactive-1 app → Usability evaluation score based on User Experience Questionnaire

Diactive-1 app → Usability evaluation score based on User Experience Questionnaire

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

Evidence Suggest

  • The app scored 4.33 for overall usability, indicating it is user-friendly.
  • Functionality and aesthetics received high scores of 4.52 and 4.43, respectively.
  • No meaningful usability variation was found across demographic groups.
who this applies

Who this applies to

  • Children and adolescents aged 6-18 with Type 1 Diabetes.
  • Individuals engaged in muscle-strengthening activities.
keep in mind

Keep in Mind

  • The study's findings may not apply to other diabetes types or age groups.
  • Usability scores are based on subjective ratings, which may introduce bias.
  • Further research is needed to assess long-term effectiveness and engagement.
between the lines

Between the Lines

  • Unclear effectiveness due to lack of statistical significance reporting.
  • Limited generalizability as the study focused solely on Type 1 Diabetes.
  • Potential bias in self-reported usability scores.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Powered by the Dediabetes Evidence Intelligence™ framework

This study contributes to evidence on Diactive-1 app and Aesthetics score, Diactive-1 app and Engagement score based on uMARS evaluation.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Aesthetics score Evidence Hub

All studies measuring Aesthetics score

1 studies
outcome_hub

Measures Aesthetics score as a key outcome.

Diactive-1 app Evidence Hub

All studies on Diactive-1 app

1 studies
intervention_hub

Contributes to Diactive-1 app evidence base.

Engagement score based on uMARS evaluation Evidence Hub

All studies measuring Engagement score based on uMARS evaluation

1 studies
outcome_hub

Measures Engagement score based on uMARS evaluation as a key outcome.

Information quality score Evidence Hub

All studies measuring Information quality score

1 studies
outcome_hub

Measures Information quality score as a key outcome.

Recent Diabetes Research

Latest published studies

recency_collection

Published within the last 2 years.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Diactive-1 app improve aesthetics score?

Emerging Evidence

Diactive-1 app appears to improve aesthetics score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Aesthetics score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
View Full Evidence

Does Diactive-1 app improve engagement score based on umars evaluation?

Emerging Evidence

Diactive-1 app appears to improve engagement score based on umars evaluation.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Engagement score based on uMARS evaluation

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
View Full Evidence

Does Diactive-1 app improve functionality score of act1ve?

Emerging Evidence

Diactive-1 app appears to improve functionality score of act1ve.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Functionality score of acT1ve

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
View Full Evidence

Does Diactive-1 app improve information quality score?

Emerging Evidence

Diactive-1 app appears to improve information quality score.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Information quality score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
View Full Evidence
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Next steps

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Explore in Evidence Explorer

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All studies on Diactive-1 app and Overall diet quality measured using Nordic Nutrition Recommendation scoreAll studies on Diactive-1 app and Aesthetics scoreAll studies on Diactive-1 app and Engagement score based on uMARS evaluationAll studies on Diactive-1 app and Functionality score of acT1ve

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Read related research summaries.

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