Telemedical support to improve glycemic control in adolescents with type 1 diabetes mellitus

Rami, Birgit; Popow, Christian; Horn, Werner; Waldhoer, Thomas; Schober, Edith

doi:10.1007/s00431-006-0156-6

Cited by 129 publications

(172 citation statements)

References 11 publications

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“…44,50 Studies that involve more adolescent-friendly protocols, including internet and SMS facilities, are starting to appear in the literature with some encouraging results , although to date the adolescent obesity literature is sparse. [51][52][53][54][55][56] Much clinical research relies on hospital and health-care networks. Adolescents may Clinical research in adolescents K Steinbeck et al receive most of their health care through community youth health services and primary care.…”

Section: The Specific Challenges Of Adolescent Researchmentioning

confidence: 99%

Clinical research in adolescents: challenges and opportunities using obesity as a model

et al. 2008

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Adolescent medicine is relatively young, compared to paediatric or adult medicine. Descriptive and observational studies have dominated the adolescent literature, including those studies published in the International Journal of Obesity. In addition, many studies have combined child and adolescent age groups, making it difficult to determine adolescent-specific outcomes. It is important that high quality intervention studies in adolescents occur. Adolescence is a time of extraordinary plasticity. Habits, attitudes and physical morbidity that develop during adolescence set up trajectories that have a profound influence on health and wellbeing for the long term. Overweight and obesity are an excellent example of the need for high quality intervention studies and yet in the last two decades there have been very few randomized, controlled trials of overweight and obesity management in adolescents. There are a number of complexities in adolescent research that create additional challenges to those that accompany any clinical research. These include recruitment and retention, issues around consent and confidentiality and the central role that parents play in supporting the research protocol. Pubertal stage is a potential confounder and needs to be accurately measured. This is certainly true for studies in overweight and obesity where excess adiposity influences pubertal and other hormones. The opportunities to undertake quality research in adolescents are likely to be enhanced by the use of novel approaches which acknowledge the unique features of adolescents and their world.

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Section: The Specific Challenges Of Adolescent Researchmentioning

confidence: 99%

Clinical research in adolescents: challenges and opportunities using obesity as a model

et al. 2008

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“…24 SMS messaging appears ideal for sending and receiving small snippets of data, such as BG values. SMS messages have provided reminders for clinic visits, 25,26 tuberculosis medication compliance, 27 and asthma control, 28,29 as well as diabetes monitoring [30][31][32][33][34][35][36][37][38] in adults. Few studies have focused on teens.…”

mentioning

confidence: 99%

Computerized Automated Reminder Diabetes System (CARDS): E-Mail and SMS Cell Phone Text Messaging Reminders to Support Diabetes Management

Hanauer

Wentzell

Laffel

et al. 2009

Diabetes Technology & Therapeutics

242

259

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Background: Cell phone text messaging, via the Short Messaging Service (SMS), offers the promise of a highly portable, well-accepted, and inexpensive modality for engaging youth and young adults in the management of their diabetes. This pilot and feasibility study compared two-way SMS cell phone messaging with e-mail reminders that were directed at encouraging blood glucose (BG) monitoring. Methods: Forty insulin-treated adolescents and young adults with diabetes were randomized to receive electronic reminders to check their BG levels via cell phone text messaging or e-mail reminders for a 3-month pilot study. Electronic messages were automatically generated, and participant replies with BG results were processed by the locally developed Computerized Automated Reminder Diabetes System (CARDS). Participants set their schedule for reminders on the secure CARDS website where they could also enter and review BG data. Results: Of the 40 participants, 22 were randomized to receive cell phone text message reminders and 18 to receive e-mail reminders; 18 in the cell phone group and 11 in the e-mail group used the system. Compared to the e-mail group, users in the cell phone group received more reminders (180.4 vs. 106.6 per user) and responded with BG results significantly more often (30.0 vs. 6.9 per user, P ϭ 0.04). During the first month cell phone users submitted twice as many BGs as e-mail users (27.2 vs. 13.8 per user); by month 3, usage waned. Conclusions: Cell phone text messaging to promote BG monitoring is a viable and acceptable option in adolescents and young adults with diabetes. However, maintaining interest levels for prolonged intervals remains a challenge.

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“…Providers using health IT to connect with their patients may improve overall patient-provider communication and also help to promote patient autonomy and empower patients' with management of their own health. Providers using health IT tools to communicate with patients have reported improved medication adherence and appointment compliance for various ailments (4,(23)(24)(25)(26). Whether health IT applications are preferred by patients and whether a broader disease population can effectively use and benefit from such devices remain unclear.…”

Section: Discussionmentioning

confidence: 99%

Usability of a CKD Educational Website Targeted to Patients and Their Family Members

Diamantidis

Zuckerman

Fink

et al. 2012

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives Web-based technology is critical to the future of healthcare. As part of the Safe Kidney Care cohort study evaluating patient safety in CKD, this study determined how effectively a representative sample of patients with CKD or family members could interpret and use the Safe Kidney Care website (www. safekidneycare.org), an informational website on safety in CKD.Design, setting, participants, & measurements Between November of 2011 and January of 2012, persons with CKD or their family members underwent formal usability testing administered by a single interviewer with a second recording observer. Each participant was independently provided a list of 21 tasks to complete, with each task rated as either easily completed/noncritical error or critical error (user cannot complete the task without significant interviewer intervention).Results Twelve participants completed formal usability testing. Median completion time for all tasks was 17.5 minutes (range=10-44 minutes). In total, 10 participants had greater than or equal to one critical error. There were 55 critical errors in 252 tasks (22%), with the highest proportion of critical errors occurring when participants were asked to find information on treatments that may damage kidneys, find the website on the internet, increase font size, and scroll to the bottom of the webpage. Participants were generally satisfied with the content and usability of the website.Conclusions Web-based educational materials for patients with CKD should target a wide range of computer literacy levels and anticipate variability in competency in use of the computer and internet.

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Telemedical support to improve glycemic control in adolescents with type 1 diabetes mellitus

Abstract: Our telemedical support program, VIE-DIAB, proved to be feasible in adolescents and helped to improve glycemic control.

Cited by 129 publications

References 11 publications

Clinical research in adolescents: challenges and opportunities using obesity as a model

Clinical research in adolescents: challenges and opportunities using obesity as a model

Computerized Automated Reminder Diabetes System (CARDS): E-Mail and SMS Cell Phone Text Messaging Reminders to Support Diabetes Management

Usability of a CKD Educational Website Targeted to Patients and Their Family Members

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