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Accepted for/Published in: JMIR Diabetes

Date Submitted: Jun 25, 2025
Date Accepted: May 4, 2026

The final, peer-reviewed published version of this preprint can be found here:

SMARTCLOTH-Odyssey for Nutrition Education in Type 1 Diabetes: Development and Acceptability Study of a Gamified Web-Based Platform for Diabetes Nurse Educators Using a Human-Centered Design Approach

Molina-Recio G, Ariza-Jimenez AB, Membrillo-del Pozo A, Zafrilla-Sanchez S, Alvarez-Moral J, Velez-Leon JL, Gonzalez-Illanes R, Molina-Luque R

SMARTCLOTH-Odyssey for Nutrition Education in Type 1 Diabetes: Development and Acceptability Study of a Gamified Web-Based Platform for Diabetes Nurse Educators Using a Human-Centered Design Approach

JMIR Diabetes 2026;11:e79648

DOI: 10.2196/79648

PMID: 42789256

SMARTCLOTH-Odyssey for Nutrition Education in Type 1 Diabetes: Development and Acceptability Study of a Gamified Web-Based Platform for Diabetes Nurse Educators Using a Human-Centered Design Approach

  • Guillermo Molina-Recio; 
  • Ana-Belen Ariza-Jimenez; 
  • Alberto Membrillo-del Pozo; 
  • Sandra Zafrilla-Sanchez; 
  • Jose Alvarez-Moral; 
  • Jose-Luis Velez-Leon; 
  • Rosa Gonzalez-Illanes; 
  • Rafael Molina-Luque

ABSTRACT

Background:

The onset of type 1 diabetes mellitus (DM1) in adolescence represents a challenge for patients, families, and healthcare professionals. Diabetes nurse educators identify a lack of adolescent-friendly educational resources, especially in nutrition education. Digital technology offers an opportunity to develop innovative tools to address these needs from a user-centred approach.

Objective:

To design and evaluate the acceptability of the SMARTCLOTH-Odyssey platform, an interactive web tool aimed at adolescents with recent DM1, to facilitate nutrition education based on carbohydrate counting from the perspective of nurse educators

Methods:

A mixed study was carried out in three phases: (1) qualitative analysis through two focus groups with nurse educators in the Andalusian Community to identify barriers and needs; (2) development of the digital tool following a human-centred design methodology, incorporating narrative and gamified elements; (3) quantitative evaluation of acceptability through an ad hoc questionnaire applied to 40 professionals who tested the platform.

Results:

Participants highlighted the lack of homogeneous and adapted debut materials and the need for emotionally sensitive and visually appealing tools. SMARTCLOTH-Odyssey was rated positively in terms of usefulness, clarity and clinical applicability. 97.5% felt it could facilitate nutrition education, and 90% said they would use it in their practice. The platform was perceived as intuitive, innovative and adapted to the characteristics of the adolescent patient.

Conclusions:

SMARTCLOTH-Odyssey constitutes a viable and well-valued proposal by nurse educators. It has the potential to improve nutrition education from the diagnosis of DM1. Its participatory development reinforces its applicability and sustainability in real clinical contexts. Clinical Trial: META-PF-0007-2022


 Citation

Please cite as:

Molina-Recio G, Ariza-Jimenez AB, Membrillo-del Pozo A, Zafrilla-Sanchez S, Alvarez-Moral J, Velez-Leon JL, Gonzalez-Illanes R, Molina-Luque R

SMARTCLOTH-Odyssey for Nutrition Education in Type 1 Diabetes: Development and Acceptability Study of a Gamified Web-Based Platform for Diabetes Nurse Educators Using a Human-Centered Design Approach

JMIR Diabetes 2026;11:e79648

DOI: 10.2196/79648

PMID: 42789256

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