Social Media Use in Adolescent Diabetes Care
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Feasibility: Retention Rate
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Social Media Intervention
In addition to receiving usual care, participants enrolled in the social media arm will receive diabetes education and support over the course of 6 months by following the study team's Instagram page and engaging with the study team and other adolescent participants on Instagram.
干预措施: Social Media (Behavioral)
Usual Care
Usual care reflects the standard treatment currently provided to adolescents living with type 1 diabetes. Every adolescent with diabetes is cared for by a team of diabetes specialists which includes a provider (MD, Physician Assistant and/or Nurse Practitioner), registered nurse, nutritionist and social worker. Adolescents with type 1 diabetes are seen by their multidisciplinary team approximately every 3 months. In addition, they have access to their multidisciplinary care team via telephone and/or MyChart communication as often as is necessary between clinic visits.
结局指标
主要结局
Feasibility: Retention Rate
时间窗: 6 months
Percentage of enrolled participants who complete the final 6-month surveys.
Feasibility: Enrollment
时间窗: 0 months
Percentage of participants who enroll in study after in-person or remote discussion about study participation.
次要结局
- Time In Range(Change over 6 months)
- Diabetes Self-Management(Change over 6 months)
- Diabetes Family Conflict(Change over 6 months)
- Screen Time(Change over 6 months)
- Time Above Range(Change over 6 months)
- Time Below Range(Change over 6 months)
- Diabetes Distress(Change over 6 months)
- Hemoglobin A1c (HbA1c)(Change over 6 months)
- Mental Wellbeing(Change over 6 months)
- Diabetes Strengths(Change over 6 months)
- Diabetes Quality of Life(Change over 6 months)
- Depressive Symptoms(Change over 6 months)
- Health Care Transition Readiness(Change over 6 months)
- Problematic Internet Use(Change over 6 months)