Evidence map›Paper›PMID 25826706›Full record

ArticleDiabetes technology & therapeutics2015

Technology Use for Diabetes Problem Solving in Adolescents with Type 1 Diabetes: Relationship to Glycemic Control.

Yaa A Kumah-Crystal, Korey K Hood, Yu-Xian Ho, Cindy K Lybarger, Brendan H O'Connor, Russell L Rothman, Shelagh A Mulvaney

Open access · greenAbstract read
In one paragraph

Article in Diabetes technology & therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Yaa A Kumah-Crystal1 Department of Pediatrics, Vanderbilt University Medical Center , Nashville, Tennessee.
Korey K Hood2 Department of Pediatrics, Stanford University , Palo Alto, California.
Yu-Xian Ho3 Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee.
Cindy K Lybarger1 Department of Pediatrics, Vanderbilt University Medical Center , Nashville, Tennessee.
Brendan H O'Connor4 School of Nursing, Vanderbilt University Medical Center , Nashville, Tennessee.
Russell L Rothman5 Department of Medicine, Vanderbilt University Medical Center , Nashville, Tennessee.
Shelagh A Mulvaney1 Department of Pediatrics, Vanderbilt University Medical Center , Nashville, Tennessee.
Vanderbilt University Medical Center · USStanford University · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Conducting Child Health Care Research in Vulnerable PopulationsT32HD060554 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BARKIN, SHARI, WILLIAMS, DEREK J. · 2009 to 2019
$3.8M
Using Social Learning to Improve Adolescent Diabetes Adherence Problem SolvingDP3DK097706 · NIDDK · VANDERBILT UNIVERSITY · PI MULVANEY, SHELAGH A · 2012 to 2012
$1.8M
NCATS NIH HHS CTSA UL1TR000445NICHD NIH HHS 5T32HD060554-04NIDDK NIH HHS DP3 DK097706NIDDK NIH HHS DP3DK097706
6 · The paper itself

Abstract

backgroundThis study examines technology use for problem solving in diabetes and its relationship to hemoglobin A1C (A1C). SUBJECTS AND

methodsA sample of 112 adolescents with type 1 diabetes completed measures assessing use of technologies for diabetes problem solving, including mobile applications, social technologies, and glucose software. Hierarchical regression was performed to identify the contribution of a new nine-item Technology Use for Problem Solving in Type 1 Diabetes (TUPS) scale to A1C, considering known clinical contributors to A1C.

resultsMean age for the sample was 14.5 (SD 1.7) years, mean A1C was 8.9% (SD 1.8%), 50% were female, and diabetes duration was 5.5 (SD 3.5) years. Cronbach's α reliability for TUPS was 0.78. In regression analyses, variables significantly associated with A1C were the socioeconomic status (β = -0.26, P < 0.01), Diabetes Adolescent Problem Solving Questionnaire (β = -0.26, P = 0.01), and TUPS (β = 0.26, P = 0.01). Aside from the Diabetes Self-Care Inventory--Revised, each block added significantly to the model R(2). The final model R(2) was 0.22 for modeling A1C (P < 0.001).

conclusionsResults indicate a counterintuitive relationship between higher use of technologies for problem solving and higher A1C. Adolescents with poorer glycemic control may use technology in a reactive, as opposed to preventive, manner. Better understanding of the nature of technology use for self-management over time is needed to guide the development of technology-mediated problem solving tools for youth with type 1 diabetes.

Indexed as

Problem SolvingSoftwareAdolescentBlood GlucoseDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansMaleRegression AnalysisReproducibility of ResultsSelf CareSocial ClassSurveys and QuestionnairesBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID25826706
PMCPMC4504438
OpenAlexW1706680883

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.