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Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes.
Amy Hughes Lansing1, Catherine Stanger1, Alan Budney1
1Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03766, USA.
Journal of Diabetes Research
|September 10, 2016
Summary
A web-based intervention improved blood glucose control and executive function in rural teens with type 1 diabetes (T1DM). This study shows the feasibility of remote, multicomponent treatment for adolescents with T1DM.
Area of Science:
- Pediatric Endocrinology
- Behavioral Science
- Digital Health
Background:
- Type 1 diabetes (T1DM) management in adolescents, particularly in rural areas, presents unique challenges.
- Poor glycemic control (HbA1c) and difficulties with self-regulation impact long-term health outcomes.
- Existing interventions may not adequately address the needs of geographically isolated populations.
Purpose of the Study:
- To assess the feasibility and effectiveness of a web-delivered, multicomponent intervention for teens with T1DM.
- To target improvements in self-monitoring of blood glucose (SMBG), glycemic control (HbA1c), and executive functions.
- To evaluate the intervention's impact on self-regulation and family-based behavioral strategies.
Main Methods:
- A 25-week web-delivered intervention involving active treatment and maintenance phases.
- Inclusion of weekly treatment sessions and a working memory training program.
- 15 adolescents with poorly controlled T1DM living in rural US participated.
Main Results:
- High adherence to treatment sessions and working memory training.
- Significant increases in SMBG and decreases in HbA1c at study endpoints.
- Improvements in executive functioning, including working memory and inhibitory control, were observed.
Conclusions:
- A novel web-delivered, multicomponent intervention is feasible for rural adolescents with T1DM.
- The intervention demonstrated significant improvements in SMBG and HbA1c.
- Enhanced executive functioning correlated with better diabetes self-management and glycemic control.
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