Advancing diabetes management in adolescents

Comparative effectiveness of mobile self-monitoring blood glucose technology and family-centered goal setting

Tamara Hannon, Lisa G. Yazel-Smith, Amy S. Hatton, Jennifer L. Stanton, Elizabeth A.S. Moser, Xiaochun Li, Aaron Carroll

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)776-781
Number of pages6
JournalPediatric Diabetes
Volume19
Issue number4
DOIs
StatePublished - Jun 1 2018

Fingerprint

Blood Glucose Self-Monitoring
Medical Informatics
Technology
Blood Glucose
Parents
Text Messaging
Glycosylated Hemoglobin A
Self Care
Blood Group Antigens
Analysis of Variance
Research

Keywords

  • adherence
  • blood glucose self-monitoring
  • patient-centered care
  • self-care
  • type 1 diabetes mellitus

ASJC Scopus subject areas

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

Cite this

Advancing diabetes management in adolescents : Comparative effectiveness of mobile self-monitoring blood glucose technology and family-centered goal setting. / Hannon, Tamara; Yazel-Smith, Lisa G.; Hatton, Amy S.; Stanton, Jennifer L.; Moser, Elizabeth A.S.; Li, Xiaochun; Carroll, Aaron.

In: Pediatric Diabetes, Vol. 19, No. 4, 01.06.2018, p. 776-781.

Research output: Contribution to journalArticle

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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.",
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