摘要 : Mobile health applications (mHealth apps) have the potential to support youth with type 1 diabetes (T1D) as they transition to independence, but require sustained user-engagement if long-term health benefits, such as improved meta... 展开 Mobile health applications (mHealth apps) have the potential to support youth with type 1 diabetes (T1D) as they transition to independence, but require sustained user-engagement if long-term health benefits, such as improved metabolic control, are to be observed. As such, it is important for mHealth apps to be developed using an evidence-based framework, with early involvement of end-users. Although financial incentives may further promote app engagement and improve health outcomes, few mHealth apps for youth with TID have incorporated principles of behavioural economics into their design. In this hypothesis-generating, mixed-methods pilot study, we conducted focus groups with youth, parents, and healthcare providers (HCPs) to identify challenges related to self-management that could potentially be overcome by an innovative mHealth app offering user-selected financial rewards for youth participation in self-management behaviours. We developed and piloted the functionality of and satisfaction with a prototype of the Canadian Diabetes Incentives and Technology (CanDIT) app. Though rewards were earned and redeemed, and feedback on existing features was positive, we were unable to fully meet the needs of our target population. We present a summary of findings and discuss design features that app developers should consider in the future to optimize app usability and uptake by youth with T1D. 收起