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Examining Share plus-A Continuous Glucose Monitoring Plus Data-Sharing Intervention in Older Adults and Their Care
Nancy A Allen1, Cynthia A Berg2, Eli Iacob1
1College of Nursing, University of Utah, Salt Lake City, UT, United States.
JMIR Research Protocols
|December 16, 2024
Summary
This pilot study evaluates the Share plus intervention for older adults with type 1 diabetes (T1D) and their care partners (CPs). It assesses feasibility, usability, and effectiveness of CGM data sharing to improve glucose management and reduce distress.
Area of Science:
- Gerontology
- Diabetes Technology
- Clinical Trials
Background:
- Older adults with type 1 diabetes (T1D) increasingly rely on care partners (CPs) for diabetes management support.
- Continuous glucose monitoring (CGM) technology offers potential for enhanced CP involvement through data sharing.
- The Share plus intervention aims to leverage CGM data sharing to improve glucose control and reduce distress in older adults with T1D.
Purpose of the Study:
- Evaluate the feasibility, usability, and acceptability of the Share plus intervention compared to a control app.
- Assess the intervention's effect on time-in-range (TIR) and diabetes distress.
- Explore dyadic coping, quality of life, self-care, and CP burden, and their association with outcomes.
Main Methods:
- Pilot randomized controlled trial protocol involving 80 dyads of older adults with T1D and their CPs.
- Randomization to either Share plus intervention or a control app with diabetes self-management education.
- 12-week intervention followed by a 12-week observation period, assessing TIR, diabetes distress, and other patient- and CP-level outcomes.
Main Results:
- Recruitment initiated in August 2023, with 24 participants enrolled by November 2023.
- Study completion is anticipated in March 2026, with results dissemination expected in the same month.
- Data collection includes patient-reported outcomes, home HbA1c tests, surveys, and interviews for feasibility and acceptability.
Conclusions:
- This is the first pilot RCT to assess feasibility and effectiveness of the Share plus intervention for older adults with T1D and CPs.
- Findings will inform the utility of web-based CGM data sharing platforms for diabetes management in this population.
- The research has broader implications for CGM data sharing in other age groups and diabetes types.
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