Impact of android app educational interventions on depression, anxiety and stress of recently detected type II diabetes patients

Background: Persons with chronic disorders also suffer from undiagnosed mental health issues. Diabetes and stress are related to each other, people with diabetes mellitus have stress and stress in diabetes in turn affects their health. This study was conducted to assess the impact of android app educational interventions on depression, anxiety and stress among recently detected Type II diabetes patients. Materials and methods: The study was a randomized controlled trial. Total, 66 subjects were recruited, 33 in both control and intervention group. The study group got interventions by using mobile application based software and control group got web-based intervention. All were counselled with lifestyle education by using printed educational materials. Depression, Anxiety and Stress Scale (DASS-21) was used in the study. Results: Among the participants, 40.91% reported that they had at least one co-morbid condition. Only two participants had mental health issues. At baseline, 15.2% had depression, 43.9% had anxiety and 15.2% had stress, which were not different between control and intervention group. During follow up, the proportion of depression, anxiety and stress was decreased both in intervention and control group. In control group depression was decreased from 18.2% to 0%, anxiety was decreased from 45.5% to 4.5% and stress was also decreased from 18.2% to 4.5%. In intervention group, depression was decreased from 12.1% to 0%, anxiety was decreased from 42.4% to 0% and stress was also decreased from 12.1% to 0%. Conclusion: Technology mediated educational interventions and involvement of clinicians may have a greater impact to improve the mental health in diabetes patients.