Text messaging to enhance glucose monitoring and self-care in teens with type 1 diabetes: Teens’ perceptions predict outcomes
Authors' conclusion
Teens with POS perceptions to TM reminders were likely to respond and their responsiveness yielded glycemic benefit, suggesting need to consider opinions of teens with T1D to maximize their intervention engagement and resulting benefits.
Study context
- Population
- Teens with T1D receiving text-messaging reminders 1–4 times daily to check glucose and reply with the result; 51 % male, mean age 14.8 ± 1.2 years
- Participants
- 135 participants
- Exposure
- Text-messaging (TM) reminder perception categories: positive vs neutral vs negative
- Outcome
- Responsiveness to TM reminders (replying with a glucose value) by perception category
- Follow-up
- 18 months
Methodological detailsqualitative assessments quarterly
- Qualitative assessments quarterly
Main finding
As reported in the abstract
Responding with a glucose value to TM reminders
Share of participants
- Positive (POS) vs negative (NEG) or POS/NEG: P = 0.002 — POS more likely to respond
Observational data: associations, not effects.
Further findings
HbA1c improvement in POS teens with TM responsiveness on ≥ 50 % of days · 18 months
- HbA1c improvement
- 0.81 % (p = 0.004)
Original publication
Text messaging to enhance glucose monitoring and self-care in teens with type 1 diabetes: Teens’ perceptions predict outcomes. Diabetes Res Clin Pract. Published 22 May 2024. doi:10. 1016/ j. diabres. 2024. 111719
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