scholarly journals Young adults with type 1 diabetes and their experiences with diabetes follow‐up and participation in the DiaPROM pilot trial: A qualitative study

Author(s):  
Ingvild Hernar ◽  
Marit Graue ◽  
Ragnhild B. Strandberg ◽  
Silje S. Lie ◽  
Arun K. Sigurdardottir ◽  
...  



2018 ◽  
Vol 35 (11) ◽  
pp. 1531-1537 ◽  
Author(s):  
T. Sanders ◽  
J. Elliott ◽  
P. Norman ◽  
B. Johnson ◽  
S. Heller


Diabetes Care ◽  
2011 ◽  
Vol 34 (10) ◽  
pp. 2192-2197 ◽  
Author(s):  
T. T. Ly ◽  
M. Anderson ◽  
K. A. McNamara ◽  
E. A. Davis ◽  
T. W. Jones


1997 ◽  
Vol 73 (859) ◽  
pp. 293-294 ◽  
Author(s):  
R. N. Sinha ◽  
A. W. Patrick ◽  
L. Richardson ◽  
M. Wallymahmed ◽  
I. A. MacFarlane


2018 ◽  
Vol 20 (2) ◽  
pp. 117-126 ◽  
Author(s):  
Maria Ida Maiorino ◽  
Giuseppe Bellastella ◽  
Ofelia Casciano ◽  
Paolo Cirillo ◽  
Vittorio Simeon ◽  
...  


10.2196/26418 ◽  
2021 ◽  
Vol 23 (9) ◽  
pp. e26418
Author(s):  
Lauren E Wisk ◽  
Kara M Magane ◽  
Eliza B Nelson ◽  
Rebecca K Tsevat ◽  
Sharon Levy ◽  
...  

Background College environments promote high-volume or binge alcohol consumption among youth, which may be especially harmful to those with type 1 diabetes (T1D). Little is known about the acceptability and effectiveness of interventions targeting reduced alcohol use by college students with T1D, and it is unclear whether intervention framing (specifically, the narrator of intervention messages) matters with respect to affecting behavior change. Interventions promoted by peer educators may be highly relatable and socially persuasive, whereas those delivered by clinical providers may be highly credible and motivating. Objective The aim of this study is to determine the acceptability and impacts of an alcohol use psychoeducational intervention delivered asynchronously through web-based channels to college students with T1D. The secondary aim is to compare the impacts of two competing versions of the intervention that differed by narrator (peer vs clinician). Methods We recruited 138 college students (aged 17-25 years) with T1D through web-based channels and delivered a brief intervention to participants randomly assigned to 1 of 2 versions that differed only with respect to the audiovisually recorded narrator. We assessed the impacts of the exposure to the intervention overall and by group, comparing the levels of alcohol- and diabetes-related knowledge, perceptions, and use among baseline, immediately after the intervention, and 2 weeks after intervention delivery. Results Of the 138 enrolled participants, 122 (88.4%) completed all follow-up assessments; the participants were predominantly women (98/122, 80.3%), were White non-Hispanic (102/122, 83.6%), and had consumed alcohol in the past year (101/122, 82.8%). Both arms saw significant postintervention gains in the knowledge of alcohol’s impacts on diabetes-related factors, health-protecting attitudes toward drinking, and concerns about drinking. All participants reported significant decreases in binge drinking 2 weeks after the intervention (21.3%; odds ratio 0.48, 95% CI 0.31-0.75) compared with the 2 weeks before the intervention (43/122, 35.2%). Changes in binge drinking after the intervention were affected by changes in concerns about alcohol use and T1D. Those who viewed the provider narrator were significantly more likely to rate their narrator as knowledgeable and trustworthy; there were no other significant differences in intervention effects by the narrator. Conclusions The intervention model was highly acceptable and effective at reducing self-reported binge drinking at follow-up, offering the potential for broad dissemination and reach given the web-based format and contactless, on-demand content. Both intervention narrators increased knowledge, improved health-protecting attitudes, and increased concerns regarding alcohol use. The participants’ perceptions of expertise and credibility differed by narrator. Trial Registration ClinicalTrials.gov NCT02883829; https://clinicaltrials.gov/ct2/show/NCT02883829 International Registered Report Identifier (IRRID) RR2-10.1177/1932296819839503



2019 ◽  
Vol 33 (3) ◽  
pp. 723-730
Author(s):  
Elisabeth Iversen ◽  
Beate‐Christin H. Kolltveit ◽  
Ingvild Hernar ◽  
Jan Mårtensson ◽  
Anne Haugstvedt


2020 ◽  
Author(s):  
Lauren E Wisk ◽  
Kara M Magane ◽  
Eliza B Nelson ◽  
Rebecca K Tsevat ◽  
Sharon Levy ◽  
...  

BACKGROUND College environments promote high-volume or binge alcohol consumption among youth, which may be especially harmful to those with type 1 diabetes (T1D). Little is known about the acceptability and effectiveness of interventions targeting reduced alcohol use by college students with T1D, and it is unclear whether intervention framing (specifically, the narrator of intervention messages) matters with respect to affecting behavior change. Interventions promoted by peer educators may be highly relatable and socially persuasive, whereas those delivered by clinical providers may be highly credible and motivating. OBJECTIVE The aim of this study is to determine the acceptability and impacts of an alcohol use psychoeducational intervention delivered asynchronously through web-based channels to college students with T1D. The secondary aim is to compare the impacts of two competing versions of the intervention that differed by narrator (peer vs clinician). METHODS We recruited 138 college students (aged 17-25 years) with T1D through web-based channels and delivered a brief intervention to participants randomly assigned to 1 of 2 versions that differed only with respect to the audiovisually recorded narrator. We assessed the impacts of the exposure to the intervention overall and by group, comparing the levels of alcohol- and diabetes-related knowledge, perceptions, and use among baseline, immediately after the intervention, and 2 weeks after intervention delivery. RESULTS Of the 138 enrolled participants, 122 (88.4%) completed all follow-up assessments; the participants were predominantly women (98/122, 80.3%), were White non-Hispanic (102/122, 83.6%), and had consumed alcohol in the past year (101/122, 82.8%). Both arms saw significant postintervention gains in the knowledge of alcohol’s impacts on diabetes-related factors, health-protecting attitudes toward drinking, and concerns about drinking. All participants reported significant decreases in binge drinking 2 weeks after the intervention (21.3%; odds ratio 0.48, 95% CI 0.31-0.75) compared with the 2 weeks before the intervention (43/122, 35.2%). Changes in binge drinking after the intervention were affected by changes in concerns about alcohol use and T1D. Those who viewed the provider narrator were significantly more likely to rate their narrator as knowledgeable and trustworthy; there were no other significant differences in intervention effects by the narrator. CONCLUSIONS The intervention model was highly acceptable and effective at reducing self-reported binge drinking at follow-up, offering the potential for broad dissemination and reach given the web-based format and contactless, on-demand content. Both intervention narrators increased knowledge, improved health-protecting attitudes, and increased concerns regarding alcohol use. The participants’ perceptions of expertise and credibility differed by narrator. CLINICALTRIAL ClinicalTrials.gov NCT02883829; https://clinicaltrials.gov/ct2/show/NCT02883829 INTERNATIONAL REGISTERED REPORT RR2-10.1177/1932296819839503



2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Myles Balfe ◽  
Frank Doyle ◽  
Diarmuid Smith ◽  
Seamus Sreenan ◽  
Ruairi Brugha ◽  
...  


2019 ◽  
Vol 45 (3) ◽  
pp. 253-259 ◽  
Author(s):  
Tara Kaushal ◽  
Kathleen A. Montgomery ◽  
Reid Simon ◽  
Kelly Lord ◽  
Jennifer Dougherty ◽  
...  

Purpose The purpose of this study was to determine the feasibility and functionality of MyDiaText™, a website and text messaging platform created to support behavior change in adolescents with type 1 diabetes (T1DM) and to evaluate user satisfaction of the application. Methods This study was a nonrandomized, prospective, pilot trial to test the feasibility and user interface with MyDiaText, a text message system for 10- to 17-year-old youths with newly diagnosed T1DM. Feasibility was evaluated by assessing for the user’s ability to create a profile on the website. Functionality was defined by assessing whether a subject responded to at least 2 text messages per week and by their accumulating points on the website. User satisfaction of the text messaging system was assessed using an electronic survey. The 4 phases of this study were community engagement—advisory sessions, screening and enrollment, intervention, and follow-up. Results Twenty subjects (14 male, 6 female) were enrolled. All subjects were able to create a profile, and of these, 86% responded to at least 2 text messages per week. A survey administered during follow-up showed that users enjoyed reading text messages, found them useful, and thought the frequency of messages was appropriate. Conclusion MyDiaText is a feasible, functional behavioral support tool for youth with T1DM. Users of the application reported high satisfaction with text messages and the reward system.



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