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Meeting the Needs of Emerging Adults With Type 1 Diabetes Living in a Rural Area With Mobile Health Interventions: Focus Group Study

Meeting the Needs of Emerging Adults With Type 1 Diabetes Living in a Rural Area With Mobile Health Interventions: Focus Group Study

Another challenge of clinical care in a rural setting was provider location and accessibility. EAs explained that they must travel long distances, which requires extended periods of time to receive their diabetes medical care: “For the past 14 years, I’ve had to drive 3 and a half hours for an endocrinologist, 4 times a year.” EAs reported limited access to diabetes support services in their local community: “It's a 2-hour drive there and at our clinic here there's not much diabetes education at all.

April Idalski Carcone, Bree E Holtz, Madeleine Reardon, Dariane Vesey, Deborah A Ellis, Michael Parks

JMIR Form Res 2024;8:e55650

An mHealth-Based Intervention for Adolescents With Type 1 Diabetes and Their Parents: Pilot Feasibility and Efficacy Single-Arm Study

An mHealth-Based Intervention for Adolescents With Type 1 Diabetes and Their Parents: Pilot Feasibility and Efficacy Single-Arm Study

The transition from parent management to a parent-adolescent team management—with the adolescent taking on increased responsibilities of self-care and parents learning to relinquish control—can be stressful and is associated with a deterioration in diabetes self-management adherence behaviors [5].

Bree Holtz, Katharine M Mitchell, Amanda J Holmstrom, Shelia R Cotten, Julie K Dunneback, Jose Jimenez-Vega, Deborah A Ellis, Michael A Wood

JMIR Mhealth Uhealth 2021;9(9):e23916

Improving Diabetes Management in Emerging Adulthood: An Intervention Development Study Using the Multiphase Optimization Strategy

Improving Diabetes Management in Emerging Adulthood: An Intervention Development Study Using the Multiphase Optimization Strategy

Thus, mobile web apps exclude only a minority of youth and are consistent with trends toward ubiquitous device ownership and ready access to the internet. A QPL is a simple, inexpensive communication tool composed of questions related to the physical and psychosocial aspects of illness and treatment that patients may want to ask their physicians during a clinic visit [26,27].

April Idalski Carcone, Deborah A Ellis, Susan Eggly, Karen E MacDonell, Samiran Ghosh, Colleen Buggs-Saxton, Steven J Ondersma

JMIR Res Protoc 2020;9(10):e20191

Enhancing Parental Motivation to Monitor African American Adolescents’ Diabetes Care: Development and Beta Test of a Brief Computer-Delivered Intervention

Enhancing Parental Motivation to Monitor African American Adolescents’ Diabetes Care: Development and Beta Test of a Brief Computer-Delivered Intervention

For example, attrition may be minimized by reducing the participation burden on the participant (ie, they do not have to make a separate trip or find time to log on to a Web-based application during a regular day) and capitalizing on a time when patients are present but unengaged (ie, they are waiting to receive their medical care). There is growing literature supporting the use of computer-based formats to deliver brief interventions such as MI.

April Idalski Idalski Carcone, Deborah A Ellis, Sylvie Naar, Steven J Ondersma, Kathleen Moltz, Baseem Dekelbab, Christine LM Joseph

JMIR Res Protoc 2014;3(3):e43