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Randomized Controlled Trial
. 2018 Jun;19(4):776-781.
doi: 10.1111/pedi.12648. Epub 2018 Mar 4.

Advancing diabetes management in adolescents: Comparative effectiveness of mobile self-monitoring blood glucose technology and family-centered goal setting

Tamara S Hannon  1 , Lisa G Yazel-Smith  2 , Amy S Hatton  3 , Jennifer L Stanton  4 , Elizabeth A S Moser  5 , Xiaochun Li  6 , Aaron E Carroll  7
Affiliations
Randomized Controlled Trial

Advancing diabetes management in adolescents: Comparative effectiveness of mobile self-monitoring blood glucose technology and family-centered goal setting

Tamara S Hannon et al. Pediatr Diabetes. 2018 Jun.

Abstract

Background: As adolescents gain autonomy, it remains important for parents to be involved with diabetes management to avoid deterioration in glycemic control. Technologies for self-monitoring of blood glucose (SMBG) allow for remote monitoring in real-time by parents. This research compared 3 strategies for improving SMBG and diabetes self-care in the short-term. These strategies were: (1) health information technology (HIT)-enhanced blood glucose meter that shared blood glucose data among patients, their parent, and care providers, and allowed for text messaging; (2) family-centered goal setting; and (3) a combination of (1) and (2).

Methods: One hundred twenty-eight participants enrolled; 97 adolescent-parent pairs attended clinic at 3-month intervals during the 6-month intervention. Differences between treatment groups were evaluated using analysis of variance (ANOVAs) for continuous variables and χ2 tests for frequencies. Within patient changes were evaluated using paired t tests.

Results: Participants in the HIT-enhanced SMBG group had no change in mean glycosylated hemoglobin (HbA1c). Participants assigned to family-centered goal setting had a non-significant decrease in HbA1c of -0.3% (P = .26) from baseline to 6 months. Participants in the combined approach had a significant decrease in HbA1c of -0.6% (P = .02) from baseline to 3 months, but the decrease of -0.4% at 6 months was non-significant (P = .51). The change in HbA1c from baseline to 3 months was greater for the combined approach than for the HIT-enhanced SMBG (P = .05) or family-centered goal setting (P = .01).

Conclusions: Our data suggest that utilizing the family-centered goal setting strategy when implementing HIT-enhanced diabetes technology deserves further study.

Keywords: adherence; blood glucose self-monitoring; patient-centered care; self-care; type 1 diabetes mellitus.

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Figures

Figure 1.
Figure 1.
CONSORT Flow Diagram
Figure 2.
Figure 2.
Change in HbA1c from baseline to three months and six months for the three arms.
See this image and copyright information in PMC

References

    1. Pihoker C, et al. (2013) Insulin regimens and clinical outcomes in a type 1 diabetes cohort: the SEARCH for Diabetes in Youth study. Diabetes care 36(1):27–33. - PMC - PubMed
    1. Carroll AE, DiMeglio LA, Stein S, & Marrero DG (2011) Contracting and monitoring relationships for adolescents with type 1 diabetes: a pilot study. Diabetes technology & therapeutics 13(5):543–549. - PMC - PubMed
    1. Hilliard ME, Guilfoyle SM, Dolan LM, & Hood KK (2011) Prediction of adolescents’ glycemic control 1 year after diabetes-specific family conflict: the mediating role of blood glucose monitoring adherence. Archives of pediatrics & adolescent medicine 165(7):624–629. - PMC - PubMed
    1. Ingerski LM, Anderson BJ, Dolan LM, & Hood KK (2010) Blood glucose monitoring and glycemic control in adolescence: contribution of diabetes-specific responsibility and family conflict. The Journal of adolescent health : official publication of the Society for Adolescent Medicine 47(2):191–197. - PMC - PubMed
    1. Carroll AE, DiMeglio LA, Stein S, & Marrero DG (2011) Using a cell phone-based glucose monitoring system for adolescent diabetes management. The Diabetes educator 37(1):59–66. - PMC - PubMed

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