Clinical trial NCT06085339: Social Media Use in Adolescent Diabetes Care
Official title: Social Media Use in Adolescent Diabetes Care
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Type 1 Diabetes
Lead sponsor: Seattle Children's Hospital
Sponsor class: OTHER
First posted: 2023-10-16
Enrollment: 60
Sex: ALL
Minimum age (years): 13
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this clinical trial is to evaluate the feasibility of a social media intervention to support diabetes management in adolescents with type 1 diabetes.

Adolescent participants will be randomized to receive diabetes education and peer support over Instagram or to usual outpatient diabetes care. Researchers will assess whether the social media intervention is feasible. In addition, the study team will also explore and compare changes in glucose levels and person-reported outcomes between the two groups.

Detailed description: The majority of adolescents with type 1 diabetes do not meet recommended glycemic targets, placing them at risk for acute and chronic diabetes-related complications. Strategies that improve adolescent diabetes self-management are needed. Social media offers new opportunities to provide diabetes education and peer support through communication in a digital environment.

As part of a randomized controlled trial, adolescent participants will be randomized to receive diabetes education and peer support over Instagram in addition to usual care or to standard outpatient diabetes care.

Eligibility criteria: Inclusion Criteria:

* Diagnosed with type 1 diabetes ≥12 months
* Most recent hemoglobin A1c (HbA1c) level is \> 7.0%
* Currently use Dexcom continuous glucose monitoring (CGM) system
* Speak English fluently
* Cognitively able to participate in program on Instagram and complete surveys
* Have access to a personal Instagram account
* Found to be eligible on the Social Media Preference Screener

Exclusion Criteria:

* Patient is a ward of the state
* Patient is pregnant as diabetes standard of care is different during pregnancy (i.e., different glycemic targets and frequency of clinic visits)
* Severe comorbidities including other major chronic health conditions that significantly impact daily management demands or health outcomes

Primary outcomes:
measure: Feasibility: Enrollment
timeFrame: 0 months
measure: Feasibility: Retention Rate
timeFrame: 6 months
Secondary outcomes:
measure: Hemoglobin A1c (HbA1c)
timeFrame: Change over 6 months
measure: Time In Range
timeFrame: Change over 6 months
measure: Time Above Range
timeFrame: Change over 6 months
measure: Time Below Range
timeFrame: Change over 6 months
measure: Diabetes Self-Management
timeFrame: Change over 6 months
measure: Diabetes Distress
timeFrame: Change over 6 months
measure: Diabetes Family Conflict
timeFrame: Change over 6 months
measure: Health Care Transition Readiness
timeFrame: Change over 6 months
measure: Depressive Symptoms
timeFrame: Change over 6 months
measure: Mental Wellbeing
timeFrame: Change over 6 months
measure: Problematic Internet Use
timeFrame: Change over 6 months
measure: Diabetes Strengths
timeFrame: Change over 6 months
measure: Diabetes Quality of Life
timeFrame: Change over 6 months
measure: Screen Time
timeFrame: Change over 6 months
Other outcomes:
Locations:
city: Seattle
country: United States
facility: Seattle Children's Hospital
state: Washington
Study officials:
affiliation: Seattle Children's Hospital
name: Faisal S Malik, MD, MSHS
role: PRINCIPAL_INVESTIGATOR
References: