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Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns.

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  • Additional Information
    • Source:
      Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 100889084 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-8593 (Electronic) Linking ISSN: 15209156 NLM ISO Abbreviation: Diabetes Technol. Ther. Subsets: MEDLINE
    • Publication Information:
      Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1999-
    • Subject Terms:
    • Abstract:
      Background: Integration of momentary contextual and psychosocial factors within self-management feedback may provide more specific, engaging, and personalized targets for problem solving.
      Methods: Forty-four youth ages 13-19 with type 1 diabetes (T1D) were provided a Bluetooth meter and completed the 30-day protocol. Participants were randomized to "app + meter" or "meter-only" groups. App + meter participants completed mealtime and bedtime assessment each day. Assessments focused on psychosocial and contextual information relevant for self-management. Graphical feedback integrated self-monitored blood glucose (SMBG), insulin, and Bluetooth-transmitted blood glucose data with the psychosocial and contextual data. App + meter participants completed an interview to identify data patterns.
      Results: The median number of momentary assessments per participant was 80.0 (range 32-120) with 2.60 per day. By 2 weeks participants had an average of 40.77 (SD 12.23) assessments. Dose-response analyses indicated that the number of app assessments submitted were significantly related to higher mean daily SMBG (r = -0.44, P < 0.05) and to lower% missed mealtime SMBG (r = -0.47, P < 0.01). Number of feedback viewing sessions was also significantly related to a lower% missed mealtime SMBG (r = -0.44, P < 0.05). Controlling for baseline variables, mixed-effects analyses did not indicate group × time differences in mean daily SMBG. Engagement analyses resulted in three trajectory groups distinguished by assessment frequencies and rates of decline. Engagement group membership was significantly related to gender, mean daily SMBG, and HbA1c values.
      Conclusions: Momentary assessment combined with device data provided a feasible means to provide novel personalized biobehavioral feedback for adolescents with T1D. A 2-week protocol provided sufficient data for self-management problem identification. In addition to feedback, more intensive intervention may need to be integrated for those patients with the lowest self-management at baseline.
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    • Grant Information:
      P30 DK036836 United States DK NIDDK NIH HHS; P30 DK092986 United States DK NIDDK NIH HHS; UL1 TR000445 United States TR NCATS NIH HHS; DP3 DK097706 United States DK NIDDK NIH HHS
    • Contributed Indexing:
      Keywords: Adolescent*; Ecological momentary assessment*; Engagement*; Feedback*; Mobile health.*; Type 1 diabetes*
    • Accession Number:
      0 (Hypoglycemic Agents)
      0 (Insulin)
    • Publication Date:
      Date Created: 20180609 Date Completed: 20181121 Latest Revision: 20200306
    • Publication Date:
      20200827
    • Accession Number:
      PMC6025702
    • Accession Number:
      10.1089/dia.2018.0064
    • Accession Number:
      29882677
  • Citations
    • ABNT:
      MULVANEY, S. A. et al. Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns. Diabetes technology & therapeutics, [s. l.], v. 20, n. 7, p. 465–474, 2018. DOI 10.1089/dia.2018.0064. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=29882677. Acesso em: 24 set. 2020.
    • AMA:
      Mulvaney SA, Vaala S, Hood KK, et al. Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns. Diabetes technology & therapeutics. 2018;20(7):465-474. doi:10.1089/dia.2018.0064
    • APA:
      Mulvaney, S. A., Vaala, S., Hood, K. K., Lybarger, C., Carroll, R., Williams, L., Schmidt, D. C., Johnson, K., Dietrich, M. S., & Laffel, L. (2018). Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns. Diabetes Technology & Therapeutics, 20(7), 465–474. https://doi.org/10.1089/dia.2018.0064
    • Chicago/Turabian: Author-Date:
      Mulvaney, Shelagh A, Sarah Vaala, Korey K Hood, Cindy Lybarger, Rachel Carroll, Laura Williams, Douglas C Schmidt, Kevin Johnson, Mary S Dietrich, and Lori Laffel. 2018. “Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns.” Diabetes Technology & Therapeutics 20 (7): 465–74. doi:10.1089/dia.2018.0064.
    • Harvard:
      Mulvaney, S. A. et al. (2018) ‘Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns’, Diabetes technology & therapeutics, 20(7), pp. 465–474. doi: 10.1089/dia.2018.0064.
    • Harvard: Australian:
      Mulvaney, SA, Vaala, S, Hood, KK, Lybarger, C, Carroll, R, Williams, L, Schmidt, DC, Johnson, K, Dietrich, MS & Laffel, L 2018, ‘Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns’, Diabetes technology & therapeutics, vol. 20, no. 7, pp. 465–474, viewed 24 September 2020, .
    • MLA:
      Mulvaney, Shelagh A., et al. “Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns.” Diabetes Technology & Therapeutics, vol. 20, no. 7, July 2018, pp. 465–474. EBSCOhost, doi:10.1089/dia.2018.0064.
    • Chicago/Turabian: Humanities:
      Mulvaney, Shelagh A, Sarah Vaala, Korey K Hood, Cindy Lybarger, Rachel Carroll, Laura Williams, Douglas C Schmidt, Kevin Johnson, Mary S Dietrich, and Lori Laffel. “Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns.” Diabetes Technology & Therapeutics 20, no. 7 (July 2018): 465–74. doi:10.1089/dia.2018.0064.
    • Vancouver/ICMJE:
      Mulvaney SA, Vaala S, Hood KK, Lybarger C, Carroll R, Williams L, et al. Mobile Momentary Assessment and Biobehavioral Feedback for Adolescents with Type 1 Diabetes: Feasibility and Engagement Patterns. Diabetes technology & therapeutics [Internet]. 2018 Jul [cited 2020 Sep 24];20(7):465–74. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=29882677