Research Summary
Analyzed using Evidence Intelligence™

Web-based app improves psychological health in diabetes

Last updated August 16, 2026

Key finding

Participants reported a decrease in psychological distress after using the app.

This study explored the feasibility and user experiences of the MyDiaMate app for adults with diabetes, revealing improvements in psychological distress and self-efficacy.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Non-randomized CT

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

This study explored the feasibility and user experiences of the MyDiaMate app for adults with diabetes, revealing improvements in psychological distress and self-efficacy.

Clinical relevance

These findings suggest that digital self-help tools like MyDiaMate can play a role in improving mental health and self-management skills in diabetes care. By addressing psychological aspects, such tools may enhance overall well-being and potentially lead to better health outcomes for individuals managing diabetes.

Keep in mind

The study design was non-randomized, limiting causal inferences. The sample size and demographic details were not specified, affecting generalizability. No significant changes were observed in physiological outcomes like blood sugar levels.

Published in

Journal Reference

Publication details and source links for this paper.

Linda TM, Maartje DW, Hans K, Frank JS. Feasibility and user experiences of a web-based self-help app for adults with diabetes. Internet Interventions. 2021;25:100414. doi:10.1016/j.invent.2021.100414

Main Effects

Participants reported a decrease in psychological distress after using the app.

Participants reported a decrease in stress scores after using the app.

Participants reported a decrease in fatigue severity scores after using the app.

Participants reported an increase in self-efficacy regarding diabetes management after using the app.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to MyDiaMate and Diabetes management self-efficacy, Fatigue Severity Scale Score, Psychological Distress, and 3 more.

Primary intervention

MyDiaMate

Primary outcomes

  • Diabetes management self-efficacy
  • Fatigue Severity Scale Score
  • Psychological Distress

Evidence relationships

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

6
Evidence pairs
6
Relationships
2
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: 64

2

Related topics

6

Evidence pairs

117

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Diabetes Management Self-Efficacy

matched_outcome

Related evidence

Evidence topic

Mental Health

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes management self-efficacy

MyDiaMate → Diabetes management self-efficacy

MyDiaMate → Diabetes management self-efficacy

Evidence Intelligence™
EvidenceScore™
58
Emerging
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fatigue Severity Scale Score

MyDiaMate → Fatigue Severity Scale Score

MyDiaMate → Fatigue Severity Scale Score

Evidence Intelligence™
EvidenceScore™
58
Emerging
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Psychological Distress

MyDiaMate → Psychological Distress

MyDiaMate → Psychological Distress

Evidence Intelligence™
EvidenceScore™
58
Emerging
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Stress score

MyDiaMate → Stress score

MyDiaMate → Stress score

Evidence Intelligence™
EvidenceScore™
58
Emerging
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time spent in hyperglycaemic range

MyDiaMate → Time spent in hyperglycaemic range

MyDiaMate → Time spent in hyperglycaemic range

Evidence Intelligence™
EvidenceScore™
58
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time spent in hypoglycaemic range

MyDiaMate → Time spent in hypoglycaemic range

MyDiaMate → Time spent in hypoglycaemic range

Evidence Intelligence™
EvidenceScore™
58
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Participants experienced reduced psychological distress after using the app.
  • Stress and fatigue severity scores decreased among users.
  • Self-efficacy in diabetes management increased following app usage.
who this applies

Who this applies to

  • Adults diagnosed with diabetes.
  • Individuals seeking behavioral-lifestyle interventions for diabetes management.
keep in mind

Keep in Mind

  • The study's non-randomized design may introduce bias.
  • Results may not be applicable to all demographics of diabetes patients.
  • The lack of significant physiological outcome changes suggests further research is needed.
between the lines

Between the Lines

  • The study design was non-randomized, limiting causal inferences.
  • The sample size and demographic details were not specified, affecting generalizability.
  • No significant changes were observed in physiological outcomes like blood sugar levels.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on MyDiaMate and Fatigue Severity Scale Score, MyDiaMate and Diabetes Management Self-Efficacy.

Related evidence relationships

Explore in Evidence Explorer

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

Questions answered by this study

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

Does MyDiaMate improve diabetes management self-efficacy?

Emerging Evidence

MyDiaMate appears to improve diabetes management self-efficacy.

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

Ranked evidence signals

  1. 1

    Diabetes management self-efficacy

    EvidenceScore™ Emerging | EvidenceScore™ 58.5 | 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

Does MyDiaMate improve fatigue severity scale score?

Emerging Evidence

MyDiaMate appears to improve fatigue severity scale score.

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

Ranked evidence signals

  1. 1

    Fatigue Severity Scale Score

    EvidenceScore™ Emerging | EvidenceScore™ 58.5 | 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

Does MyDiaMate improve psychological distress?

Emerging Evidence

MyDiaMate appears to improve psychological distress.

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

Ranked evidence signals

  1. 1

    Psychological Distress

    EvidenceScore™ Emerging | EvidenceScore™ 58.5 | 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

Does MyDiaMate improve stress score?

Emerging Evidence

MyDiaMate appears to improve stress score.

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

Ranked evidence signals

  1. 1

    Stress score

    EvidenceScore™ Emerging | EvidenceScore™ 58.5 | 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
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