Type 1 Diabetes Mellitus
Conditions
Keywords
adolescent, young adult, knowledge, self-care
Brief summary
This study is a randomized controlled trial assessing diabetes knowledge (using a Mercy-What I Know About Diabetes Test (MWIKAD) validated survey) and self-care practices (using a validated Self-management of Type 1 Diabetes-Adolescence (SMOD-A) survey) at baseline, 3 months and 6 months. The intervention group will receive a minimum of 78 text messages related to diabetes over the course of 26 weeks from study enrollment. Subjects are invited to respond to some text messages which will be in the form of a multiple-choice question and if they do, they will receive an additional text message in response to their answer.
Interventions
BEHAVIORALTexting
From baseline appointment to 6 month follow up, those participants randomly assigned to the texting intervention will receive a text message every Monday, Wednesday and Friday. Some text messages will be informational only, others will ask the participant for a response to a multiple-choice question with immediate feedback on the answer chosen.
Sponsors
University of Colorado, Denver
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 21 Years
Healthy volunteers
Yes
Inclusion criteria
1. Diagnosis of type 1 diabetes mellitus 2. Receiving care in the pediatric clinic at the Barbara Davis Center (BDC) 3. Age 15-20 at study enrollment 4. English literate and English speaking 5. Ability to complete the required surveys 6. Have a personal cell phone with service compatible with EZTexting Platform 7. Able to provide informed assent or consent (if 18 years of age or older) and parental informed consent (if needed).
Exclusion criteria
1. Not planning to continue care in the pediatric clinic at BDC for at least the next 6 months. 2. Diabetes Diagnosis other than Type 1 Diabetes 3. Inability for the adolescent to respond to text messages (e.g. due to developmental delay)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in knowledge about type 1 diabetes | 6 months from intervention | Measured by the Mercy-What I Know About Diabetes Test (MWIKAD) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in diabetes self-care practices | at 3 months and 6 months | Assessed by the Self-Management of Type 1 Diabetes in Adolescents (SMOD-A) tool |
| Change in Hemoglobin A1c | at 3 months and 6 months | — |
| Change in blood glucose testing frequency | at 3 months and 6 months | — |
| Change in percent of blood glucoses high, in range and low | at 3 months and 6 months | — |
| Percent of text messages responded to in the study. | After 6 months of texting intervention | — |
Countries
United States
Outcome results
None listed