A Content Analysis of Text Messages in a Type 1 Diabetes Peer Mentoring Program—The Importance of Shared Interests

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 844-P
Author(s):  
ASHBY F. WALKER ◽  
CATHRYN JOHNSON ◽  
CLAUDIA ANEZ-ZABALA ◽  
SARAH R. DORVIL ◽  
MICHAEL J. HALLER ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Content Analysis ◽  
Peer Mentoring ◽  
Text Messages ◽  
Mentoring Program

Accessibility and Openness to Diabetes Management Support via Mobile Phones: A Survey of People with Type 1 Diabetes Using Advanced Diabetes Technologies (Preprint)

2022 ◽  
Author(s):  
Yu Kuei Lin ◽  
Caroline Richardson ◽  
Iulia Dobrin ◽  
Rodica Pop-Busui ◽  
Gretchen Piatt ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
Interactive Voice Response ◽  
Medical Center ◽  
Academic Medical Center ◽  
Text Messages ◽  
Management Support ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND Little is known about the feasibility of mobile health (mHealth) support among people with type 1 diabetes (T1D) using advanced diabetes technologies including continuous glucose monitors (CGMs) and hybrid closed-loop insulin pumps (HCLs). OBJECTIVE To evaluate patient access and openness to receiving mHealth diabetes support in people with T1D using CGMs/HCLs. METHODS We conducted a cross-sectional survey among T1D patients using CGMs or HCLs managed in an academic medical center. Participants reported information regarding their mobile device usage, cellular call/text message/internet connectivity, and openness to various channels of mHealth communication (smartphone applications or “apps”, text messages, and interactive voice response calls or IVR calls). Participants’ demographic characteristics and CGM data were collected from medical records. Analyses focused on differences in openness to mHealth and mHealth communication channels across groups defined by demographic variables and measures of glycemic control. RESULTS Among all participants (n=310; 64% female; mean age: 45 (SD:16)), 98% reported active cellphone use, and 80% were receptive to receiving mHealth support to improve glucose control. Among participants receptive to mHealth support, 98% were willing to share CGM glucose data for mHealth diabetes self-care assistance. Most (71%) were open to receiving messages via apps, 56% were open to text messages, and 12% were open to IVR calls. Older participants were more likely to prefer text messages (P=0.009) and IVR (P=0.03) than younger participants. CONCLUSIONS Most people with T1D who use advanced diabetes technologies have access to cell phones and are receptive to receiving mHealth support to improve diabetes control. CLINICALTRIAL Not applicable

scholarly journals Strengths-Based Behavioral Intervention for Parents of Adolescents With Type 1 Diabetes Using an mHealth App (Type 1 Doing Well): Protocol for a Pilot Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Marisa E Hilliard ◽  
Sahar S Eshtehardi ◽  
Charles G Minard ◽  
Rana Saber ◽  
Debbe Thompson ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Behavioral Intervention ◽  
Family Relationships ◽  
Family Conflict ◽  
Diabetes Care ◽  
Controlled Trial ◽  
Text Messages ◽  
Care Providers ◽  
Diabetes Outcomes

BACKGROUND Supportive parent involvement for adolescents’ type 1 diabetes (T1D) self-management promotes optimal diabetes outcomes. However, family conflict is common and can interfere with collaborative family teamwork. Few interventions have used explicitly strengths-based approaches to help reinforce desired management behaviors and promote positive family interactions around diabetes care. OBJECTIVE The aim of this protocol was to describe the development of a new, strengths-based behavioral intervention for parents of adolescents with T1D delivered via a mobile-friendly Web app called Type 1 Doing Well. METHODS Ten adolescent-parent dyads and 5 diabetes care providers participated in a series of qualitative interviews to inform the design of the app. The 3- to 4-month pilot intervention will involve 82 parents receiving daily prompts to use the app, in which they will mark the diabetes-related strength behaviors (ie, positive attitudes or behaviors related to living with or managing T1D) their teen engaged in that day. Parents will also receive training on how to observe diabetes strengths and how to offer teen-friendly praise via the app. Each week, the app will generate a summary of the teen’s most frequent strengths from the previous week based on parent reports, and parents will be encouraged to praise their teen either in person or from a library of reinforcing text messages (short message service, SMS). RESULTS The major outcomes of this pilot study will include intervention feasibility and satisfaction data. Clinical and behavioral outcomes will include glycemic control, regimen adherence, family relationships and conflict, diabetes burden, and health-related quality of life. CONCLUSIONS This strengths-based, mobile health (mHealth) intervention aims to help parents increase their awareness of and efforts to support their adolescents’ engagement in positive diabetes-related behaviors. If efficacious, this intervention has the potential to reduce the risk of family conflict, enhance collaborative family teamwork, and ultimately improve diabetes outcomes. CLINICALTRIAL ClinicalTrials.gov NCT02877680; https://clinicaltrials.gov/ct2/show/NCT02877680 (Archived by WebCite at http://www.webcitation.org/6xTAMN5k2)

‘Living with challenges in the shadow of diabetes’: An interview study among adults with diabetic peripheral neuropathy

2019 ◽  
Vol 40 (2) ◽  
pp. 73-80
Author(s):  
Ylva Wessman ◽  
Christel Bahtsevani
Keyword(s):  
Type 1 Diabetes ◽  
Content Analysis ◽  
Peripheral Neuropathy ◽  
Diabetic Peripheral Neuropathy ◽  
Qualitative Content Analysis ◽  
Related Complication ◽  
Changes Over Time ◽  
Diabetes Related Complication ◽  
Over Time

Diabetic peripheral neuropathy is a diabetes-related complication with vague and progressive symptoms with few available treatments. The aim of this study was to describe the experiences of diabetic peripheral neuropathy among adults living with type 1 diabetes. Twelve interviews were performed and qualitative content analysis was used. The overarching theme ‘living with challenges in the shadow of diabetes’ substantiated by the categories ‘pay attention to changes over time’, ‘frequent needs to facilitate living’ and ‘burdens to manage’ represents a daily awareness of the complication where autodidactic strategies were implemented. The conclusion indicates that it might be beneficial if nurses in diabetes care initiate an open-minded dialogue with adults with diabetic peripheral neuropathy to highlight their experiences and to discuss further strategies to facilitate living.

scholarly journals STRATEGIES TO EDUCATE YOUNG PEOPLE WITH TYPE 1 DIABETES MELLITUS ON INSULIN THERAPY: SYSTEMATIC REVIEW

2020 ◽  
Vol 29 ◽  
Author(s):  
Rebecca Ortiz La Banca ◽  
Valéria de Cássia Sparapani ◽  
Mariana Bueno ◽  
Taine Costa ◽  
Emilia Campos de Carvalho ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 1 Diabetes ◽  
Young People ◽  
Insulin Therapy ◽  
Type 1 Diabetes Mellitus ◽  
Children And Adolescents ◽  
Text Messages ◽  
Educational Strategies

ABSTRACT Objective: to identify evidence available in the literature on educational strategies used in the teaching of insulin therapy to children and adolescents with Type 1 diabetes mellitus. Method: systematic review undertaken in five databases, using the descriptors Insulin/therapeutic use, Patient education as topic, Diabetes mellitus type 1, Child, Infant, Adolescent and keywords, without any time limit. Primary studies on insulin therapy teaching were included, while research on insulin pumps was excluded. Results: 243 studies were identified, 13 of which were included. The results present educational strategies focused on children, adolescents and young people of up to 24 years of age, applied individually or in groups; by telephone contact or text messages by mobile phone; dramatization and educational camps; by a single professional or a multidisciplinary team. The strategies described in the analyzed studies addressed the adjustment of insulin dosages in everyday situations and education for insulin management, associated with the nutritional strategy of carbohydrate counting, diabetes education with a specific module on insulin therapy and intensive insulin use. The studies analyzed the effect of the educational intervention on several clinical and behavioral outcomes, such as glycated hemoglobin and self-efficacy. Conclusion: this review could not identify a single educational strategy able to improve metabolic and psychosocial outcomes. In most cases, nurses are the professionals responsible for the development of educational strategies focused on insulin therapy in children and adolescents with diabetes, regardless of the context in which they will be deployed. This confirms their role as educators.

scholarly journals Benefits and Drawbacks of Continuous Glucose Monitoring (CGM) Use in Young Children With Type 1 Diabetes: A Qualitative Study From a Country Where the CGM Is Not Reimbursed

2021 ◽  
Vol 8 ◽  
pp. 237437352110565
Author(s):  
Kağan Ege Karakuş ◽  
Sibel Sakarya ◽  
Gül Yeşiltepe Mutlu ◽  
Metehan Berkkan ◽  
Serra Muradoğlu ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Content Analysis ◽  
Pain Relief ◽  
Continuous Glucose Monitoring ◽  
Social Life ◽  
Life Experiences ◽  
Daily Life ◽  
Qualitative Interviews ◽  
Glucose Monitoring

Investigating the daily life experiences of patients using Continuous Glucose Monitoring (CGM) can highlight the benefits and barriers in using this system for people with type 1 diabetes (T1D). Semi-structured qualitative interviews were conducted with the caregivers of 10 children aged <9 years, all of whom had been treated for T1D and had used CGM >6 months. These interviews were analyzed using the content analysis approach and from these interviews, four meta themes emerged: metabolic control, barriers to CGM use, CGM use in daily life, and comparison with fingersticks. Families reported the following as benefits of CGM: pain relief, better hypoglycemia and hyperglycemia management, increased control over diet and social life, reduced worries at school and during the night, and convenience in entrusting the child to the care of others. Cost, concerns related to accuracy and reliability of measurements, insertion, adhesion and removal issues all emerged as barriers to CGM use. The most prominent issue was the economic burden of CGM. Families accept this burden, even though it is challenging, as their experiences in using CGM are positive and they feel that CGM is necessary for T1D management.

scholarly journals Randomized Trial of a Positive Psychology Intervention for Adolescents With Type 1 Diabetes

2019 ◽  
Vol 44 (5) ◽  
pp. 620-629 ◽  
Author(s):  
Sarah S Jaser ◽  
Robin Whittemore ◽  
Leena Choi ◽  
Samuel Nwosu ◽  
William E Russell
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Positive Psychology ◽  
Text Messages ◽  
Blood Glucose Monitoring ◽  
Phone Calls ◽  
Positive Psychology Intervention

Abstract Objective To evaluate the effects of a positive psychology intervention for adolescents with type 1 diabetes (T1D) on adherence, glycemic control, and quality of life. Methods Adolescents with T1D (n = 120) and their caregivers were randomized to either an Education (EDU) (n = 60) or Positive Affect (PA) intervention (n = 60). Adolescents in the PA group received the intervention reminders (gratitude, self-affirmation, parental affirmation, and small gifts) via text messages or phone calls over 8 weeks. Questionnaires were completed by adolescents and caregivers and clinical data (glucometer and HbA1c) were collected at baseline 3 and 6 months. Data were analyzed using generalized linear modeling. Results After adjusting for covariates, adolescents in the PA group demonstrated significant improvement in quality of life at 3 months, compared to the EDU group, but this was not sustained at 6 months. Similarly, the PA group showed a significant decrease in disengagement coping at 3 months but not at 6 months. There was no significant intervention effect on blood glucose monitoring, but the odds of clinically significantly improvement (checking at least one more time/day) were about twice as high in the PA group as the EDU group. No significant effects were found for glycemic control. Conclusions A positive psychology intervention had initial significant, positive effects on coping and quality of life in adolescents with T1D. A more intensive or longer-lasting intervention may be needed to sustain these effects and to improve adherence and glycemic control.

Effect of mobile phone short text messages on glycaemic control in children with type 1 diabetes

2014 ◽  
Vol 20 (3) ◽  
pp. 153-156 ◽  
Author(s):  
Bassam Bin-Abbas ◽  
Musleh Jabbari ◽  
Abdullah Al-Fares ◽  
Abdelmoneim El-Dali ◽  
Fahad Al-Orifi
Keyword(s):  
Type 1 Diabetes ◽  
Glycaemic Control ◽  
Mobile Phone ◽  
Text Messages ◽  
Short Text

scholarly journals MyDiaText™: Feasibililty and Functionality of a Text Messaging System for Youth With Type 1 Diabetes

2019 ◽  
Vol 45 (3) ◽  
pp. 253-259 ◽  
Author(s):  
Tara Kaushal ◽  
Kathleen A. Montgomery ◽  
Reid Simon ◽  
Kelly Lord ◽  
Jennifer Dougherty ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
User Satisfaction ◽  
Text Messaging ◽  
Pilot Trial ◽  
Text Message ◽  
Text Messages ◽  
Support Tool ◽  
Reading Text

Purpose The purpose of this study was to determine the feasibility and functionality of MyDiaText™, a website and text messaging platform created to support behavior change in adolescents with type 1 diabetes (T1DM) and to evaluate user satisfaction of the application. Methods This study was a nonrandomized, prospective, pilot trial to test the feasibility and user interface with MyDiaText, a text message system for 10- to 17-year-old youths with newly diagnosed T1DM. Feasibility was evaluated by assessing for the user’s ability to create a profile on the website. Functionality was defined by assessing whether a subject responded to at least 2 text messages per week and by their accumulating points on the website. User satisfaction of the text messaging system was assessed using an electronic survey. The 4 phases of this study were community engagement—advisory sessions, screening and enrollment, intervention, and follow-up. Results Twenty subjects (14 male, 6 female) were enrolled. All subjects were able to create a profile, and of these, 86% responded to at least 2 text messages per week. A survey administered during follow-up showed that users enjoyed reading text messages, found them useful, and thought the frequency of messages was appropriate. Conclusion MyDiaText is a feasible, functional behavioral support tool for youth with T1DM. Users of the application reported high satisfaction with text messages and the reward system.

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