scholarly journals Use of Ecological Momentary Assessment to Measure Self-Monitoring of Blood Glucose Adherence in Youth With Type 1 Diabetes

2020 ◽  
Vol 33 (3) ◽  
pp. 280-289 ◽  
Author(s):  
Jennifer L. Warnick ◽  
Sarah C. Westen ◽  
Anastasia Albanese-O’Neill ◽  
Stephanie L. Filipp ◽  
Desmond Schatz ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Ecological Momentary Assessment ◽  
Self Monitoring ◽  
Ecological Momentary ◽  
Momentary Assessment

scholarly journals A mobile app identifies momentary psychosocial and contextual factors related to mealtime self-management in adolescents with type 1 diabetes

2019 ◽  
Vol 26 (12) ◽  
pp. 1627-1631 ◽  
Author(s):  
Shelagh A Mulvaney ◽  
Sarah E Vaala ◽  
Rachel B Carroll ◽  
Laura K Williams ◽  
Cindy K Lybarger ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Problem Solving ◽  
Ecological Momentary Assessment ◽  
Mobile App ◽  
Self Management ◽  
Within Subjects ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Effective diabetes problem solving requires identification of risk factors for inadequate mealtime self-management. Ecological momentary assessment was used to enhance identification of factors hypothesized to impact self-management. Adolescents with type 1 diabetes participated in a feasibility trial for a mobile app called MyDay. Meals, mealtime insulin, self-monitored blood glucose, and psychosocial and contextual data were obtained for 30 days. Using 1472 assessments, mixed-effects between-subjects analyses showed that social context, location, and mealtime were associated with missed self-monitored blood glucose. Stress, energy, mood, and fatigue were associated with missed insulin. Within-subjects analyses indicated that all factors were associated with both self-management tasks. Intraclass correlations showed within-subjects accounted for the majority of variance. The ecological momentary assessment method provided specific targets for improving self-management problem solving, phenotyping, or integration within just-in-time adaptive interventions.

scholarly journals Technological Ecological Momentary Assessment Tools to Study Type 1 Diabetes in Youth: Viewpoint of Methodologies

JMIR Diabetes ◽  
10.2196/27027 ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. e27027
Author(s):  
Mary Katherine Ray ◽  
Alana McMichael ◽  
Maria Rivera-Santana ◽  
Jacob Noel ◽  
Tamara Hershey
Keyword(s):  
Type 1 Diabetes ◽  
Ecological Momentary Assessment ◽  
Diabetes Care ◽  
Daily Life ◽  
Blood Pressure Monitoring ◽  
Assessment Tools ◽  
Personal Digital Assistants ◽  
Ecological Momentary ◽  
Momentary Assessment

Type 1 diabetes (T1D) is one of the most common chronic childhood diseases, and its prevalence is rapidly increasing. The management of glucose in T1D is challenging, as youth must consider a myriad of factors when making diabetes care decisions. This task often leads to significant hyperglycemia, hypoglycemia, and glucose variability throughout the day, which have been associated with short- and long-term medical complications. At present, most of what is known about each of these complications and the health behaviors that may lead to them have been uncovered in the clinical setting or in laboratory-based research. However, the tools often used in these settings are limited in their ability to capture the dynamic behaviors, feelings, and physiological changes associated with T1D that fluctuate from moment to moment throughout the day. A better understanding of T1D in daily life could potentially aid in the development of interventions to improve diabetes care and mitigate the negative medical consequences associated with it. Therefore, there is a need to measure repeated, real-time, and real-world features of this disease in youth. This approach is known as ecological momentary assessment (EMA), and it has considerable advantages to in-lab research. Thus, this viewpoint aims to describe EMA tools that have been used to collect data in the daily lives of youth with T1D and discuss studies that explored the nuances of T1D in daily life using these methods. This viewpoint focuses on the following EMA methods: continuous glucose monitoring, actigraphy, ambulatory blood pressure monitoring, personal digital assistants, smartphones, and phone-based systems. The viewpoint also discusses the benefits of using EMA methods to collect important data that might not otherwise be collected in the laboratory and the limitations of each tool, future directions of the field, and possible clinical implications for their use.

scholarly journals Technological Ecological Momentary Assessment Tools to Study Type 1 Diabetes in Youth: Viewpoint of Methodologies (Preprint)

2021 ◽  
Author(s):  
Mary Katherine Ray ◽  
Alana McMichael ◽  
Maria Rivera-Santana ◽  
Jacob Noel ◽  
Tamara Hershey
Keyword(s):  
Type 1 Diabetes ◽  
Ecological Momentary Assessment ◽  
Diabetes Care ◽  
Daily Life ◽  
Blood Pressure Monitoring ◽  
Assessment Tools ◽  
Personal Digital Assistants ◽  
Ecological Momentary ◽  
Momentary Assessment

UNSTRUCTURED Type 1 diabetes (T1D) is one of the most common chronic childhood diseases, and its prevalence is rapidly increasing. The management of glucose in T1D is challenging, as youth must consider a myriad of factors when making diabetes care decisions. This task often leads to significant hyperglycemia, hypoglycemia, and glucose variability throughout the day, which have been associated with short- and long-term medical complications. At present, most of what is known about each of these complications and the health behaviors that may lead to them have been uncovered in the clinical setting or in laboratory-based research. However, the tools often used in these settings are limited in their ability to capture the dynamic behaviors, feelings, and physiological changes associated with T1D that fluctuate from moment to moment throughout the day. A better understanding of T1D in daily life could potentially aid in the development of interventions to improve diabetes care and mitigate the negative medical consequences associated with it. Therefore, there is a need to measure repeated, real-time, and real-world features of this disease in youth. This approach is known as ecological momentary assessment (EMA), and it has considerable advantages to in-lab research. Thus, this viewpoint aims to describe EMA tools that have been used to collect data in the daily lives of youth with T1D and discuss studies that explored the nuances of T1D in daily life using these methods. This viewpoint focuses on the following EMA methods: continuous glucose monitoring, actigraphy, ambulatory blood pressure monitoring, personal digital assistants, smartphones, and phone-based systems. The viewpoint also discusses the benefits of using EMA methods to collect important data that might not otherwise be collected in the laboratory and the limitations of each tool, future directions of the field, and possible clinical implications for their use.

Accuracy of Blood Glucose Meters for Self-Monitoring Affects Glucose Control and Hypoglycemia Rate in Children and Adolescents with Type 1 Diabetes

2015 ◽  
Vol 17 (4) ◽  
pp. 275-282 ◽  
Author(s):  
Claudia Boettcher ◽  
Axel Dost ◽  
Stefan A. Wudy ◽  
Marion Flechtner-Mors ◽  
Martin Borkenstein ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Children And Adolescents ◽  
Glucose Control ◽  
Self Monitoring

scholarly journals Adherence of self-monitoring of blood glucose in persons with type 1 diabetes in Sweden

2017 ◽  
Vol 5 (1) ◽  
pp. e000342 ◽  
Author(s):  
Peter Moström ◽  
Elsa Ahlén ◽  
Henrik Imberg ◽  
Per-Olof Hansson ◽  
Marcus Lind
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Self Monitoring
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