Adolescent Self-Care and Knowledge Education in Diabetes--Improved by Texting

University of Colorado, Denver148 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

148

Conditions

Type 1 Diabetes Mellitus

Interventions

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.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 21 YearsHealthy volunteers:

Medical Language ↔ Plain English

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)

Outcomes

Primary Outcomes

Change in knowledge about type 1 diabetes

Measured by the Mercy-What I Know About Diabetes Test (MWIKAD)

Time frame: 6 months from intervention

Secondary Outcomes

Change in diabetes self-care practices

Assessed by the Self-Management of Type 1 Diabetes in Adolescents (SMOD-A) tool

Time frame: at 3 months and 6 months

Change in Hemoglobin A1c

Time frame: at 3 months and 6 months

Change in blood glucose testing frequency

Time frame: at 3 months and 6 months

Change in percent of blood glucoses high, in range and low

Time frame: at 3 months and 6 months

Percent of text messages responded to in the study.

Time frame: After 6 months of texting intervention

Adolescent Self-Care and Knowledge Education in Diabetes--Improved by Texting

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes