Virtual Peer Groups Reduce HbA1c and Increase Continuous Glucose Monitor Use in Adolescents and Young Adults with Type 1 Diabetes

Bisno, Daniel I.; Reid, Mark W.; Pyatak, Elizabeth A.; Garcia, Jaquelin Flores; Salcedo-Rodriguez, Elizabeth; Sanchez, Alejandra Torres; Fox, David; Hiyari, Sarah; Fogel, Jennifer L.; Marshall, Ian; Bachmann, Gloria; Raymond, Jennifer

doi:10.1089/dia.2023.0199

Cited by 6 publications

(3 citation statements)

References 72 publications

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“…Group-based online DSMES has only been evaluated to in few studies and in short-term precluding conclusions [65]. However, faceto-face DSMES using group sessions is widely used due to the numerous benefits observed [2,[66][67][68].…”

Section: Discussionmentioning

confidence: 99%

Could Online Education Replace Face-to-Face Education in Diabetes? A Systematic Review

Alonso-Carril,

Rodriguez-Rodríguez,

Quirós

et al. 2024

Diabetes Ther

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Objective Diabetes Self-Management Education and Support (DSMES) is a critical component of diabetes care. This study aims to examine the effect of online-based educational interventions on diabetes management compared to face-to-face interventions. Methods A systematic review was conducted by searching three databases for studies in English or Spanish between December 2023 and March 2024. The inclusion criteria were studies that compared face-to-face DSMES with online interventions. Results The follow-up duration of the trials ranged from 1 to 12 months. Multidisciplinary teams delivered online DSMES through various means, including Short Message Service (SMS), telephone calls, video calls, websites, and applications. Online DSMES was found to be comparable to face-to-face interventions in terms of glycated hemoglobin (HbA1c) levels in people with type 1 diabetes (T1D). In contrast, online interventions that focus on weight management in people with type 2 diabetes (T2D) have shown a significant reduction in HbA1c compared to face-to-face interventions. Online DSMES was found to be superior in terms of quality of life and cost-effectiveness in both T1D and T2D. None of the analyzed studies explored the differences between individual and group methodologies. Conclusions The current evidence indicates that online DSMES services provide at least comparable biomedical benefits to face-to-face interventions, suggesting that online interventions could be incorporated into clinical practice as a complement or reinforcement. However, further research is needed to explore the potential benefits and effectiveness of online group sessions in DSMES. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-024-01595-6.

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Section: Discussionmentioning

confidence: 99%

Could Online Education Replace Face-to-Face Education in Diabetes? A Systematic Review

Alonso-Carril,

Rodriguez-Rodríguez,

Quirós

et al. 2024

Diabetes Ther

View full text Add to dashboard Cite

show abstract

“…Peer-facilitated education and psychoeducation interventions are of growing interest in the diabetes community (Doe, 2018;Helgeson et al, 2023). Research suggests that online peer-facilitated or peer-focused interventions support regular blood glucose monitoring and healthy blood glucose results in young people and young adults living with type 1 diabetes (Bisno et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

The role of social media on psychological wellbeing from the perspectives of young people with Type 1 diabetes and their caregivers: a qualitative study

Berry¹,

Cleal²,

Morrissey³

et al. 2022

Preprint

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Social media is an important source of social connection and information acquisition for young people with Type 1 diabetes. This study explores young people with Type 1 diabetes’ online experiences and the impact it has on mental wellbeing. Young people (N=19) with Type 1 diabetes and professional/family caregivers (N=8) took part in online mini-focus groups or an online interview. Thematic analysis was used to analyse the data. All participants reflected on social media’s capacity to facilitate accessible peer learning and emotional support. However, remaining themes for young people with Type 1 diabetes focused on the emotional resonance of diabetes content, which includes the emotional demand of perceiving new products and diets, witnessing diabetes stigma online, and perceiving ‘filtered’ peer profiles. Meanwhile, professional and family caregiver themes focused on the accuracy and trustworthiness of diabetes content. Authenticity was perceived differently between the two participant cohorts. While caregivers perceive that young people often find it difficult to be open about their condition online, young people with Type 1 diabetes value the autonomy that social media provides to choose how and what they engage with online. This study is reflective of the paradoxical nature of social media as a tool which can nourish or challenge psychological wellbeing in young people with Type 1 diabetes. Young people are aware of the nature of the content they perceive, but the task of navigating through less helpful content is emotionally demanding. Co-designing tools to address this emotional burden is discussed in reflection of the findings.

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“…During this PLOS GLOBAL PUBLIC HEALTH evaluation, the social worker could apply the ACEs scale as a surrogate for family dysfunction, and could ask adolescents to what extent they feel supported by caregivers, other family members, and friends. Adolescents who have family challenges and/or lack sufficient support from family and friends may benefit from peer accompaniment-a strategy that is effective for improving adolescent adherence to treatment for other diseases, including HIV and diabetes [29,30]. A pilot study conducted in Lima demonstrated the acceptability and feasibility of inperson peer support groups and group video-DOT (i.e., multiple adolescents taking their treatment together over a group video call) for adolescents living with HIV [31,32].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

Identifying adolescents at risk for suboptimal adherence to tuberculosis treatment: A prospective cohort study

Chiang,

Tanzer,

Starke

et al. 2024

PLOS Glob Public Health

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Adolescents account for an estimated 800,000 incident tuberculosis (TB) cases annually and are at risk for suboptimal adherence to TB treatment. Most studies of adolescent TB treatment adherence have used surveillance data with limited psychosocial information. This prospective cohort study aimed to identify risk factors for suboptimal adherence to rifampicin-susceptible TB treatment among adolescents (10–19 years old) in Lima, Peru. We collected psychosocial data using self-administered surveys and clinical data via medical record abstraction. Applying k-means cluster analysis, we grouped participants by psychosocial characteristics hypothesized to impact adherence. Then, we conducted mixed effects regression to compare suboptimal adherence–defined as <90% (missing >10% of doses)–between clusters. Treatment setting (facility vs. home) and drug formulation (single drug vs. fixed dose combination) were interaction terms. Of 249 participants, 90 (36.1%) were female. Median age was 17 (IQR: 15, 16.6) years. We identified three clusters–A, B, and C–of participants based on psychosocial characteristics. Cluster C had the lowest support from caregivers, other family members, and friends; had the weakest motivation to complete TB treatment; were least likely to live with their mothers; and had experienced the most childhood adversity. Among the 118 (47.4%) participants who received facility-based treatment with single drug formulations, adherence did not differ between Clusters A and B, but Cluster C had six-fold odds of suboptimal adherence compared to Cluster A. In Clusters B and C, adherence worsened over time, but only in Cluster C did mean adherence fall below 90% within six months. Our findings have implications for the care of adolescents with TB. When caring for adolescents with low social support and other risk factors, clinicians should take extra measures to reinforce adherence, such as identifying a community health worker or peer to provide treatment support. Implementing newly recommended shorter regimens also may facilitate adherence.

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Virtual Peer Groups Reduce HbA1c and Increase Continuous Glucose Monitor Use in Adolescents and Young Adults with Type 1 Diabetes

Cited by 6 publications

References 72 publications

Could Online Education Replace Face-to-Face Education in Diabetes? A Systematic Review

Could Online Education Replace Face-to-Face Education in Diabetes? A Systematic Review

The role of social media on psychological wellbeing from the perspectives of young people with Type 1 diabetes and their caregivers: a qualitative study

Identifying adolescents at risk for suboptimal adherence to tuberculosis treatment: A prospective cohort study

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