A Reinforcement Approach to Improve Diabetes Management

Launched by YALE UNIVERSITY · Jun 16, 2014

Keywords

ClinConnect Summary

No description provided

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. age 12-21 years old;
• • 2. diagnosis of type 1 diabetes (T1D) \>12 months via ADA guidelines
• • 3. receiving diabetes treatment at Yale Pediatric Diabetes Clinic and not meeting clinical care guidelines
• • 4. SMBG user with clinical recommendations to test \>4 times/day and using a device that allows for remote uploading (e.g., Aviva, Contour, Freestyle, Lifescan, etc.; equipment for uploading will be provided);
• • 5. access to a computer with internet for uploading and sending SMBG data;
• • 6. access to a cell phone with text messaging capabilities and willing to text after SMBG testing and receive messages about reinforcement;
• • 7. English speaking, able to read at \>5th grade level, and pass an informed consent quiz; and adequate knowledge of insulin dosing and dietary recommendations for managing T1D.
• Exclusion Criteria:
• • 1. have a major psychiatric or neurocognitive disorder (e.g., severe learning impairment) that would inhibit participation;
• • 2. have a major visual impairment;
• • 3. have a significant other medical condition that impacts diabetes management (e.g., asthma, rheumatoid arthritis, or other condition that requires steroid treatment);
• • 4. plan to switch insulin delivery mode (injection to pump or vice versa) in the next 12 months, or have recently switched;
• • 5. are participating in another clinical trial.