An Internet-Based Program to Improve Self-Management in Adolescents With Type 1 Diabetes

Abstract

OBJECTIVETo report results from YourWay, an Internet-based self-management intervention for adolescents with type 1 diabetes.RESEARCH DESIGN AND METHODSA total of 72 adolescents with type 1 diabetes, ages 13–17 years, were randomized to a usual-care-plus-Internet support or a usual-care group. The intervention was designed to enhance problem-solving barriers to self-management. A1C was obtained from medical records, and problem-solving and self-management were obtained via adolescent report.RESULTSGroup differences were not statistically significant using intent-to-treat analyses. Using as-treated analyses, adolescents in the treatment condition showed statistically significant improvement in self-management (d = 0.64; P = 0.02) and important improvements in problem-solving (d = 0.30; P = 0.23) and A1C (d = −0.28; P = 0.27). Mean A1C for the intervention group remained constant (−0.01%), while the control group increased (0.33%).CONCLUSIONSThis brief trial suggests that self-management support delivered through a secure website may improve self-management and offset typical decreases in adolescent glycemic control.

What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?

“…The use of personal narratives and peer-based learning has been employed successfully in behavioral interventions for other health related challenges, such as substance abuse and self-management of diabetes. [71][72][73] Cultural tailoring and message framing of interventions have also been used successfully in conjunction with educational material for VHPs. Additionally, most behavioral researchers would encourage researchers interested in implementing interventions for behavioral change to utilize a theoretical model to provide a framework for development; however, few of the studies identified in this review discussed the use of a theoretical model.…”

Multifactorial intervention in diabetes care using real-time monitoring and tailored feedback in type 2 diabetes

“…management [4][5][6]. Several studies, including our own, have shown that adopting a u-healthcare system in diabetes management helps patients improve their glucose control and reduce side effects such as hypoglycemia or weight gain [7,8].…”

A Critical Review of the Use of Technology to Provide Psychosocial Support for Children and Young People with Long-Term Conditions

“…represented 2848 children and young people ranging from 18 to 433 per study; an inclusion of 25 to 99% of those eligible to participate (eligibility to participate was not reported in eight studies Horan et al, 1990;Joshi et al, 2009;Mosnaim et al, 2008;Mulvaney et al, 2010;Shegog et al, 2001;Yoon & Godwin, 2007). A sample size calculation was only made in 12 (44%) studies Franklin et al, 2006;Guendelman et al, 2002;Iafusco et al, 2011;Jan et al, 2007;Jones et al, 2010;Krishna et al, 2003;McPherson et al, 2006;Mosnaim et al, 2008;Palermo et al, 2009;Shegog et al, 2001;Zorc et al, 2009).…”