1.Effects of the MyDiPP Mobile App on Health-Related Quality of Life Among Adults at Risk for Type 2 Diabetes: A Randomised Controlled Trial
Nurul Fatihah Mohd Fauzi ; Sharifah Wajihah Wafa Syed Saadun Tarek Wafa ; Nurulhuda Mat Hassan ; Naresh Bhaskar Ra ; Mohd Ibrahim Abdullah
Malaysian Journal of Health Sciences 2026;24(No. 2):135-155
The rising rates of type 2 diabetes mellitus (T2DM) pose a major health challenge, especially for adults at
high risk of developing the disease. Without early intervention, a substantial proportion of these individuals
will eventually develop the disease, diminishing their quality of life, leading to limitations in daily activities and
elevated psychological distress. Mobile health (mHealth) interventions such as the MyDiPP application have
been proposed as a potential tool to support diabetes prevention; however, evidence on their effects on HRQoL in
high-risk populations remains limited. This study aimed to evaluate the effect of the MyDiPP mobile application
intervention on the HRQoL among adults at high risk of developing T2DM. This randomised controlled trial (RCT)
involved 112 high-risk adults from Kuala Terengganu, Terengganu, Malaysia. They were randomly assigned to
either the MyDiPP mobile application intervention group (n=56) or a control group (n=56) receiving standard
health education. Changes in HRQoL at 6 and 12 months were analysed using repeated measures ANCOVA with
an intention-to-treat (ITT) approach. Findings showed limited improvements across HRQoL domains following the
MyDiPP intervention, particularly in role emotional (RE) and the mental component summary (MCS), reflecting
a mild but encouraging influence on HRQoL. Therefore, further research is required to determine whether largerscale studies can yield more substantial outcomes.

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