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"I've Always Wanted to Find That Peace That Everyone Talks About with Mindfulness": The Development of an Asynchronous Mindfulness-Training Mobile Health Application for Adolescents with Type 1 Diabetes.

Kaitlyn Rechenberg, Rebecca Koerner, Carley Geiss

Comprehensive child and adolescent nursing May 6, 2026 DOI: 10.1080/24694193.2026.2668721 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Pilot study Peer reviewed
Sample size 12
Population Adolescents aged 12–19 with type 1 diabetes for more than 6 months who completed the 8-week mHealth mindfulness-training intervention
Duration 8-week intervention
Topics Meditation
Keywords Type 1 diabetes Adolescents Mhealth
Key findings Adolescents with type 1 diabetes reported that the Appricate© mHealth mindfulness-training app was easy to use and engaging, and they experienced improvements in sleep, stress and anxiety management, and management of school and after-school activities.

Abstract

Adolescents with type 1 diabetes (T1D) report increased stress and anxiety in comparison to their peers, which may result in out-of-range glycemic outcomes. Complementary therapies such as mindfulness may improve stress and anxiety. However, mindfulness training is mostly delivered in-person for adolescents. As adolescents with T1D are high consumers of technology, with busy schedules that impede their ability to complete in-person training, we designed an mHealth application, Appricate©, to deliver mindfulness-training. The goal of this pilot study was to qualitatively describe the experience of participating in an 8-week mHealth mindfulness-training intervention based on the principles of MBSR, Appricate©, among adolescents with T1D. We conducted semi-structured interviews with 12 adolescents aged 12 to 19 years old who had T1D for >6 months and had completed our 8-week mHealth mindfulness-training intervention. We identified five themes based on participant interviews: (1) initial appeal and attractiveness, (2) usability, (3) engagement, (4) user outcomes, and (5) recommendations. Appricate© was reported as "well made" that was "very easy to use" with engaging lessons. Participants had improved sleep, stress and anxiety management and better ability to manage school and after-school activities after using Appricate©. Participants also recommended additional content and options for personalization.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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