Evaluation of Study Engagement With an mHealth Intervention (THR1VE) to Treat Diabetes Distress in Teens With Type 1 Diabetes: Randomized Clinical Trial.
Evaluation of Study Engagement With an mHealth Intervention (THR1VE) to Treat Diabetes Distress in Teens With Type 1 Diabetes: Randomized Clinical Trial.
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DOI：
10.2196/47089
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发表时间：
2023-10-05
影响因子：
3.7
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中科院分区：
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积极心理学干预表明，糖尿病自我管理和慢性健康状况的成年人的生活质量有所改善，但很少有青少年干预措施使用这种方法。这项研究描述了通过自动短信提供的积极心理干预，旨在治疗糖尿病困扰和改善糖尿病结局。此外，人口统计学和临床干预参与的预测因素进行了检查。报告至少中度糖尿病困扰的1型糖尿病青少年（年龄13-17岁）被随机分配接受教育或积极情感+教育干预，包括8周的自动短信。参与度被评估为对短信的回应。青少年完成满意度调查3个月后干预，和一个子集的参与者从两个干预组完成离职面谈。两组青少年对研究的满意度都很高，95%（163/172）的青少年表示他们会再次参加。参与的短信是高的，平均而言，青少年在积极的影响+教育组回应92.5%的干预消息，和他们的照顾者回应88.5%的消息。青少年的性别、年龄、器械使用或人种/种族相关的参与率无显著差异。通过自动短信传递的青少年的积极心理干预是可行的，可以接受的性别，年龄和种族/民族群体，更广泛的传播的潜力。ClinicalTrials.gov NCT 03845465; https://clinicaltrials.gov/study/NCT03845465
Positive psychology interventions demonstrate improvements in diabetes self-management and quality of life among adults with chronic health conditions, but few interventions for adolescents use this approach. This study describes engagement with a positive psychology intervention delivered via automated SMS text messages aimed at treating diabetes distress and improving diabetes outcomes. In addition, demographic and clinical predictors of intervention engagement were examined. Adolescents with type 1 diabetes (ages 13-17 years) who reported at least moderate diabetes distress were randomized to receive either the education or positive affect + education intervention, comprising 8 weeks of automated SMS text messages. Engagement was assessed as the response to the SMS text messages. Adolescents completed satisfaction surveys 3 months post intervention, and a subset of participants from both intervention groups completed exit interviews. Adolescents in both groups reported high levels of satisfaction with the study, with 95% (163/172) reporting that they would participate again. Engagement with the SMS text messages was high; on average, adolescents in the positive affect + education group responded to 92.5% of intervention messages, and their caregivers responded to 88.5% of messages. There were no significant differences in rates of engagement related to adolescents’ sex, age, device use, or race/ethnicity. A positive psychology intervention for adolescents delivered via automated SMS text messages was feasible and acceptable across genders, ages, and racial/ethnic groups, suggesting potential for wider dissemination. ClinicalTrials.gov NCT03845465; https://clinicaltrials.gov/study/NCT03845465