Text Message Intervention for Teens with Type 1 Diabetes Preserves HbA1c: Results of a Randomized Controlled Trial
| Autor: | Rachel M. Wasserman, Dayna E. Mcgill, Lisa K. Volkening, Lori M. Laffel, Barbara J. Anderson, Deborah A. Butler, Wendy Levy |
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| Rok vydání: | 2020 |
| Předmět: |
Blood Glucose
Male Pediatrics medicine.medical_specialty Adolescent endocrine system diseases Endocrinology Diabetes and Metabolism education 030209 endocrinology & metabolism Text message law.invention 03 medical and health sciences 0302 clinical medicine Endocrinology Randomized controlled trial law Diabetes mellitus Intervention (counseling) medicine Text messaging Humans Hypoglycemic Agents 030212 general & internal medicine Glycated Hemoglobin Text Messaging Type 1 diabetes business.industry Self-Management nutritional and metabolic diseases Original Articles medicine.disease Medical Laboratory Technology Diabetes Mellitus Type 1 Female business |
| Zdroj: | Diabetes Technol Ther |
| ISSN: | 1557-8593 1520-9156 |
| DOI: | 10.1089/dia.2019.0350 |
| Popis: | Aims: Teens with type 1 diabetes (T1D) often struggle with diabetes self-management, which may lead to suboptimal self-care and worsening hemoglobin A1c (HbA1c). Innovative strategies are needed to improve self-care and protect against glycemic decline, especially during adolescence. We aimed to assess the impact on HbA1c of two interventions, problem-solving and text messaging, in teens with T1D. Methods: In a two-site randomized controlled trial, teens (N = 301) 13–17 years of age with T1D were randomized to one of the four groups using a 2 × 2 factorial design: Teenwork (TW), Text Messaging (Text), TW+Text, or Usual Care. TW intervention included problem-solving aimed at improving T1D self-care for blood glucose (BG) monitoring and insulin bolus dosing. Text intervention involved text reminders to check BG. The primary outcome was change in HbA1c from baseline to 12 months. Results: At baseline, teens (51% female, 78% white, 59% pump-treated) were (mean ± SD) 15.0 ± 1.3 years, had diabetes duration of 6.5 ± 3.7 years, and HbA1c 8.5% ± 1.1%. There was no significant difference in HbA1c over time by study group. Responsiveness to text reminders by teens in the TEXT and TW+TEXT predicted glycemic benefit; TW did not. Conclusions: Despite no HbA1c difference by study group, greater response to text message reminders to check BG led to better glycemic control and no deterioration in HbA1c; the problem-solving intervention did not. Given the high penetration of mobile phones and the wide acceptance of text messaging among teens in general, it is encouraging that a text messaging intervention can preserve HbA1c, thus preventing the expected deterioration in glycemic control often seen in teens with T1D. |
| Databáze: | OpenAIRE |
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