The DAILY (Daily Automated Intensive Log for Youth) Trial: A Wireless, Portable System to Improve Adherence and Glycemic Control in Youth with Diabetes

Kumar, Vikram; Wentzell, Katherine; Mikkelsen, Tarjei S.; Pentland, Alex; Laffel, Lori

doi:10.1089/1520915041705893

Cited by 79 publications

(68 citation statements)

References 23 publications

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“…Finally, the system might have given patients a sense of reassurance or responsibility to remain healthy, thereby resulting in increased motivation to adhere to treatments and a healthy lifestyle. Our study and a number of others [24][25][26] found no significant benefits of CHITs over a control group for control of glycemia in patients with diabetes. However, previous reviews have reported that the use of CHITs was generally associated with a decline in the HbA1c level [5,8,9].…”

Section: Discussioncontrasting

confidence: 69%

“…However, previous reviews have reported that the use of CHITs was generally associated with a decline in the HbA1c level [5,8,9]. One possible explanation for the inconsistency may be that those empirical studies [24][25][26] (and this study) had a short study period to allow for possible changes in the HbA1c level. A recent metaanalysis showed that CHITs implemented over a longer period showed a more pronounced decrease in the HbA1c level than those with a short period (−0.33; 95 % CI, −0.50 to −0.17 for 12 months or more; −0.38; 95 % CI, −0.58 to −0.19 for 4 to 11 months; −0.23; 95 % CI, −0.38 to −0.08 for 3 months or less) [9].…”

Section: Discussionmentioning

confidence: 72%

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A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension

Tao

2016

J Med Syst

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This study was performed to evaluate the effects of a patient-centered, tablet computer-based self-monitoring system for chronic disease care. A 3-month randomized controlled pilot trial was conducted to compare the use of a computer-based self-monitoring system in disease self-care (intervention group; n = 33) with a conventional self-monitoring method (control group; n = 30) in patients with type 2 diabetes mellitus and/or hypertension. The system was equipped with a 2-in-1 blood glucose and blood pressure monitor, a reminder feature, and video-based educational materials for the care of the two chronic diseases. The control patients were given only the 2-in-1 monitor for self-monitoring. The outcomes reported here included the glycated hemoglobin (HbA1c) level, fasting blood glucose level, systolic blood pressure, diastolic blood pressure, chronic disease knowledge, and frequency of self-monitoring. The data were collected at baseline and at 1-, 2-, and 3-month follow-up visits. The patients in the intervention group had a significant decrease in mean systolic blood pressure from baseline to 1 month (p < 0.001) and from baseline to 3 months (p = 0.043) compared with the control group. Significant improvements in the mean diastolic blood pressure were seen in the intervention group compared with the control group after 1 month (p < 0.001) and after 2 months (p = 0.028), but the change was not significant after 3 months. No significant differences were observed between the groups in the fasting blood glucose level, the HbA1c level, or chronic disease knowledge. The frequency of self-monitoring of blood glucose level and blood pressure was similar in both groups. The performances of the tablet computer-assisted and conventional disease self-monitoring appear to be useful to support/maintain blood pressure and diabetes control. The beneficial effects of the use of electronic self-care resources and support provided via mobile technologies require further confirmation in longer-term, larger trials.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 72%

A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension

Tao

2016

J Med Syst

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“…43 In an earlier study, we demonstrated a short-term increase in BG monitoring frequency in association with the implementation of an interactive BG monitoring guessing game. 44 There was similar drop-off in the BG monitoring frequency as the trial progressed.…”

Section: Figmentioning

confidence: 78%

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

Self Cite

244

262

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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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“…The results may point in the right direction, but the reduction in average blood glucose levels is not yet found to be statistically significant [4]. On the other hand, taking a wider perspective comprising motivation factors, have been found to improve the self-management, e.g., in one case of embedding it in a game context [14].…”

Section: Introductionmentioning

confidence: 95%

A Learning-by-Doing Approach to Medication Management for Adolescent Diabetics

Kristoffersen

2008

Int. J. Interact. Mob. Technol.

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Abstract⎯Many people suffer from potentially dangerous diseases. This paper is concerned with diabetes, in particular for young patients. Of course, most patients would agree that they need to worry about the risk of being taken ill in both the long and the short term. In principle, therefore, they are willing to change their behaviour according to medical stipulations. In the case of diabetes, this comprises measuring the level of glucose in the blood, observing a strict diet and exercising regularly. In practice, however, this turns out to be difficult for many patients. Making this a classical case of learning, the link from theory (knowing the mechanics of the disease) onto practice (changing the behaviour) needs to be strengthened. We propose a tool that may contribute to this, by explicating the dialogue between the learner and the "textbook model," which is an aggregate of medical expertise, parental supervision, personal experiences and the adaptation to the social and situated context. The tool is based on an explicit learning model, but the purpose is not one of promoting this particular model before the alternatives. The aim of this paper is to show how the tool can accommodate such models in general, and be used to further investigate their effectiveness in an empirical fashion. The selected model does, on the other hand, explicate a mobile and collaborative form of learning that may be useful in the context of treating adolescents with diabete

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The DAILY (Daily Automated Intensive Log for Youth) Trial: A Wireless, Portable System to Improve Adherence and Glycemic Control in Youth with Diabetes

Cited by 79 publications

References 23 publications

A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension

A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension

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

A Learning-by-Doing Approach to Medication Management for Adolescent Diabetics

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