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Endocrine Abstracts (2025) 111 P87 | DOI: 10.1530/endoabs.111.P87

BSPED2025 Poster Presentations Diabetes 4 (10 abstracts)

ADNAT- a digital health assessment app for enhancing diabetes care and wellbeing in children and young people

Sze May Ng 1,2 , Luke Bracegirdle 3 , Joy Probyn 4 , Helen Cooper 5 , Gillian Lancaster 6 , Gareth McCray 6 , Joanna Kirkby 1 & Lucy Bray 1


1Edge Hill University, Ormskirk, United Kingdom; 2Mersey and West Lancashire Teaching Hospitals NHS Trust, Ormskirk, United Kingdom; 3Virtual Health SHED Ltd, Cheshire, United Kingdom; 4University of Salford, Manchester, United Kingdom; 5University of Chester, Chester, United Kingdom; 6Keele University, Keele, United Kingdom


Background: The Adolescent Diabetes Needs Assessment Tool (ADNAT) is a validated, evidence-based digital health assessment tool designed to support children and young people (CYP) with Type 1 Diabetes (T1D) to manage their condition and engage in shared decision-making. ADNAT has been developed into a mobile and tablet accessible app. The app supports healthcare professionals to provide targeted support across domains to improve mental health, wellbeing, nutrition and medicine self-management.

Methods: A multi-method evaluation conducted at an NHS site explored the acceptability and perceptions of CYP, parents and professionals of implementing the app into clinical practice.

Results: CYP reported that despite the app having ‘lots of questions’, it was ‘quick and easy’ to use as they could ‘dip in and out’ and didn’t have to do it all in ‘one go’. CYP also described how ADNAT improved their knowledge and helped them reflect on their diabetes management. Parents felt the ADNAT app helped their child gain control of their consultation and complete the assessment in a less rushed and more meaningful way. Professionals reported that whilst implementing ADNAT had required the paediatric diabetes team to adapt some systems, it had prompted a more targeted consultation based on a young person’s need.

Conclusion: ADNAT aims to replace traditional paper-based assessments, such as PedsQL, enabling CYP to complete assessments remotely via familiar technology before clinic appointments, thereby improving accessibility, the quality of consultations and saving time for both CYP and clinicians. To support the implementation and long-term sustainability of ADNAT, a dedicated website with user guidance and training materials for both professionals and CYP is under development. Following successful evaluation, ADNAT can be scaled beyond the initial NHS Trust to support national adoption in paediatric diabetes services.

Volume 111

52nd Annual Meeting of the British Society for Paediatric Endocrinology and Diabetes

Sheffield, UK
12 Nov 2025 - 14 Nov 2025

British Society for Paediatric Endocrinology and Diabetes 

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