Below, we discuss the methodology for developing the app as well as the theoretical foundations guiding this development. Therefore, this study will develop a mobile app that addresses the difficulties of the adolescent transition to self-management and pilot test the app to determine its feasibility and impact on diabetes self-management. ![]() Įasing transition difficulties in an effort to increase positive health outcomes is imperative to the well-being of adolescents with T1DM and their families, and studies have shown that participants using mobile phone interventions had higher adherence rates and more participation than those that did not use the intervention. Our hypothesis is that a mobile phone-based intervention that focuses on improving family communication will be effective in providing both the adolescents and their parents with real-time, tailored information about their diabetes and tools for communicating effectively. Nearly three-quarters of American teens (13-17 years old) have access to a smartphone. Mobile health (mHealth) technologies can also ease this transition by facilitating trust-building and improving family communication, relationships, and health outcomes. There are data to suggest that improving communication between the adolescents and their parents facilitates a smoother transition to self-care and is one way to improve HbA 1c. One reason for the lack of adherence is that as a child matures into an adolescent, communication between the child and his or her parent becomes increasingly difficult, and conflict often increases. A lack of adherence to the prescribed treatment regimen can lead to negative health outcomes, such as the development of diabetic ketoacidosis, increased infections, and hospitalizations. ![]() Achieving these targets requires consistent and dedicated management. Approximately three-quarters of adolescents are not achieving American Diabetes Association (ADA)–recommended glycated hemoglobin (HbA 1c) targets. During this transition, adolescents often struggle to take on responsibility for all the necessary tasks in order to successfully manage their T1DM. Starting in the early teen years, the child must begin to transition to self-management. Optimal treatment requires the entire family to quickly learn about the disease and to oversee its management. Most people with T1DM are diagnosed at a young age, and parents take on most of the responsibility for T1DM management. Type 1 diabetes mellitus (T1DM) afflicts approximately 154,000 people under the age of 20 in the United States. International Registered Report Identifier (IRRID): RR1-10.2196/10803 Trial Registration: NCT03436628 (Archived by WebCite at ) The focus groups and prototype testing have indicated promising outcomes of app use. Data collection for the final pilot test is underway, and results are forthcoming.Ĭonclusions: Adolescents with T1DM and their parents can have a difficult time managing the transition of diabetes care. Results: The pilot test was launched in September 2017. In Phase 2, the mobile app will undergo pilot testing to determine its feasibility and impact on diabetes self-management. In the app development phase, the app will be conceptualized and a prototype will be tested. Methods: This study has two phases: app development and pilot testing. Objective: The goals of this interdisciplinary proposal are as follows: (1) to develop a unique and theory-driven technology using a mobile phone app to promote self-management behaviors for adolescents aged 10-15 years with T1DM and their parents and (2) to explore the feasibility and impact of the self-management mobile app. This lack of adherence can lead to negative health outcomes. In fact, approximately three-quarters of adolescents are not achieving American Diabetes Association–recommended glycated hemoglobin (HbA 1c) targets. Adolescents often struggle to take on responsibility for all the necessary tasks to successfully self-manage their T1DM. Eventually, the child must begin to transition to self-management. Most people with T1DM are diagnosed at a young age, and parents have to take on the responsibility of T1DM management. JMIR Bioinformatics and Biotechnology 16 articlesĭepartment of Advertising and Public RelationsĮmail: Type 1 diabetes mellitus (T1DM) afflicts approximately 154,000 people under the age of 20 in the United States.JMIR Biomedical Engineering 59 articles. ![]()
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