TY  - JOUR
AU  - LeStourgeon, Lauren
AU  - Bergner, Erin
AU  - Datye, Karishma
AU  - Streisand, Randi
AU  - Jaser, Sarah
PY  - 2023
DA  - 2023/10/5
TI  - Evaluation of Study Engagement With an mHealth Intervention (THR1VE) to Treat Diabetes Distress in Teens With Type 1 Diabetes: Randomized Clinical Trial
JO  - JMIR Pediatr Parent
SP  - e47089
VL  - 6
KW  - type 1 diabetes mellitus
KW  - positive psychology
KW  - adolescents
KW  - parental positive messaging
KW  - mHealth
KW  - engagement
KW  - diabetes
KW  - distress
KW  - teens
KW  - chronic health conditions
KW  - sex
KW  - age
KW  - device
KW  - race
KW  - ethnicity
KW  - text
KW  - mobile health
AB  - Background: Positive psychology interventions demonstrate improvements in diabetes self-management and quality of life among adults with chronic health conditions, but few interventions for adolescents use this approach. Objective: This study describes engagement with a positive psychology intervention delivered via automated SMS text messages aimed at treating diabetes distress and improving diabetes outcomes. In addition, demographic and clinical predictors of intervention engagement were examined. Methods: Adolescents with type 1 diabetes (ages 13-17 years) who reported at least moderate diabetes distress were randomized to receive either the education or positive affect + education intervention, comprising 8 weeks of automated SMS text messages. Engagement was assessed as the response to the SMS text messages. Adolescents completed satisfaction surveys 3 months post intervention, and a subset of participants from both intervention groups completed exit interviews. Results: Adolescents in both groups reported high levels of satisfaction with the study, with 95% (163/172) reporting that they would participate again. Engagement with the SMS text messages was high; on average, adolescents in the positive affect + education group responded to 92.5% of intervention messages, and their caregivers responded to 88.5% of messages. There were no significant differences in rates of engagement related to adolescents’ sex, age, device use, or race/ethnicity. Conclusions: A positive psychology intervention for adolescents delivered via automated SMS text messages was feasible and acceptable across genders, ages, and racial/ethnic groups, suggesting potential for wider dissemination. Trial Registration: ClinicalTrials.gov NCT03845465; https://clinicaltrials.gov/study/NCT03845465 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2023/1/e47089
UR  - https://doi.org/10.2196/47089
UR  - http://www.ncbi.nlm.nih.gov/pubmed/37800881
DO  - 10.2196/47089
ID  - info:doi/10.2196/47089
ER  -