A mobile app identifies momentary psychosocial and contextual factors related to mealtime self-management in adolescents with type 1 diabetes

Effective diabetes problem solving requires identification of risk factors for inadequate mealtime self-management. Ecological momentary assessment was used to enhance identification of factors hypothesized to impact self-management. Adolescents with type 1 diabetes participated in a feasibility tri...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Medical Informatics Association : JAMIA 2019-12, Vol.26 (12), p.1627-1631
Main Authors: Mulvaney, Shelagh A, Vaala, Sarah E, Carroll, Rachel B, Williams, Laura K, Lybarger, Cindy K, Schmidt, Douglas C, Dietrich, Mary S, Laffel, Lori M, Hood, Korey K
Format: Article
Language:English
Subjects:
Adolescent
Blood Glucose
Blood Glucose Self-Monitoring
Brief Communications
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
Ecological Momentary Assessment
Female
Humans
Hypoglycemic Agents - administration & dosage
Insulin - administration & dosage
Male
Meals
Mobile Applications
Self-Management
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Effective diabetes problem solving requires identification of risk factors for inadequate mealtime self-management. Ecological momentary assessment was used to enhance identification of factors hypothesized to impact self-management. Adolescents with type 1 diabetes participated in a feasibility trial for a mobile app called MyDay. Meals, mealtime insulin, self-monitored blood glucose, and psychosocial and contextual data were obtained for 30 days. Using 1472 assessments, mixed-effects between-subjects analyses showed that social context, location, and mealtime were associated with missed self-monitored blood glucose. Stress, energy, mood, and fatigue were associated with missed insulin. Within-subjects analyses indicated that all factors were associated with both self-management tasks. Intraclass correlations showed within-subjects accounted for the majority of variance. The ecological momentary assessment method provided specific targets for improving self-management problem solving, phenotyping, or integration within just-in-time adaptive interventions.
ISSN:1527-974X
1067-5027
1527-974X
DOI:10.1093/jamia/ocz147