Adolescent Self-Care and Knowledge Education in Diabetes--Improved by Texting

Study Overview
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Brief Summary
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This study is a randomized controlled trial assessing diabetes knowledge (using a Mercy-What I Know About Diabetes Test (MWIKAD) validated survey) and self-care practices (using a validated Self-management of Type 1 Diabetes-Adolescence (SMOD-A) survey) at baseline, 3 months and 6 months. The intervention group will receive a minimum of 78 text messages related to diabetes over the course of 26 weeks from study enrollment. Subjects are invited to respond to some text messages which will be in the form of a multiple-choice question and if they do, they will receive an additional text message in response to their answer.

Official Title
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Adolescent Self-Care and Knowledge Education in Diabetes--Improved by Texting (ASKED-IT)

Conditions
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Type 1 Diabetes Mellitus

Intervention / Treatment
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* Behavioral: Texting


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of type 1 diabetes mellitus Receiving care in the pediatric clinic at the Barbara Davis Center (BDC) Age 15-20 at study enrollment English literate and English speaking Ability to complete the required surveys Have a personal cell phone with service compatible with EZTexting Platform Able to provide informed assent or consent (if 18 years of age or older) and parental informed consent (if needed). Exclusion Criteria: Not planning to continue care in the pediatric clinic at BDC for at least the next 6 months. Diabetes Diagnosis other than Type 1 Diabetes Inability for the adolescent to respond to text messages (e.g. due to developmental delay)

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>At baseline enrollment: participants will be asked to fill out a demographic survey, the MWIKAD survey and the SMOD-A survey. HbA1c, frequency of Blood Glucose (BG) checks and percent of glucose values above, within and below the target range will be extracted from chart review. Surveys (with the exception of demographics) and chart extraction will be repeated at 3 months and 6 months post enrollment. | |
| Experimental: Texting<br>Participants will be asked to complete the same surveys on the same timeline as above. The texting group will be asked to provide their cell phone number to the texting software. From baseline appointment to 26 weeks post enrollment, participants will receive a text message every Monday, Wednesday and Friday. Some text messages will be informational only, others will ask the participant for a response to a multiple-choice question with immediate feedback on the answer chosen. | Behavioral: Texting<br>* From baseline appointment to 6 month follow up, those participants randomly assigned to the texting intervention will receive a text message every Monday, Wednesday and Friday. Some text messages will be informational only, others will ask the participant for a response to a multiple-choice question with immediate feedback on the answer chosen.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in knowledge about type 1 diabetes | Measured by the Mercy-What I Know About Diabetes Test (MWIKAD) | 6 months from intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in diabetes self-care practices | Assessed by the Self-Management of Type 1 Diabetes in Adolescents (SMOD-A) tool | at 3 months and 6 months | 
| Change in Hemoglobin A1c |  | at 3 months and 6 months | 
| Change in blood glucose testing frequency |  | at 3 months and 6 months | 
| Change in percent of blood glucoses high, in range and low |  | at 3 months and 6 months | 
| Percent of text messages responded to in the study. |  | After 6 months of texting intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adolescent, young adult, knowledge, self-care