Evidence map›Paper›PMID 28745094›Full record

ArticleJournal of diabetes science and technology2017

NICH at Its Best for Diabetes at Its Worst: Texting Teens and Their Caregivers for Better Outcomes.

David V Wagner, Samantha A Barry, Maggie Stoeckel, Lena Teplitsky, Michael A Harris

Abstract read
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In one paragraph

Article in Journal of diabetes science and technology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Text-message responsiveness to blood glucose monitoring reminders is associated with HbADiabetic medicine : a journal of the British Diabetic Association · 2019
    Trial
  5. Trial
  6. Review
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  15. Equity in Medical Care for People Living With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  16. Article
  17. Article
  18. Observational
  19. COVID-19 and Type 1 Diabetes: Concerns and Challenges.Acta bio-medica : Atenei Parmensis · 2020
    Review
  20. Diabetic Ketoacidosis in COVID-19: Unique Concerns and Considerations.The Journal of clinical endocrinology and metabolism · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

David V Wagner1 Oregon Health & Science University, Portland, OR, USA.
Samantha A Barry2 University of Massachusetts Medical Center, Diabetes Center of Excellence, Worcester, MA, USA.
Maggie Stoeckel3 Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Lena Teplitsky1 Oregon Health & Science University, Portland, OR, USA.
Michael A Harris1 Oregon Health & Science University, Portland, OR, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing evidence for the feasibility of text-based interventions for pediatric patients with type 1 diabetes (T1D). However, less is known regarding whether the use of personalized text messages with high-risk youth and their caregivers is associated with improvements in youth health. This study examines the use of diabetes-specific texts and associated health outcomes for participants of the Novel Interventions in Children's Healthcare (NICH) program.

methodsText messages sent to youth with T1D and their caregivers during NICH intervention were coded regarding diabetes relevance and adherence-related content. Health outcome data (eg, HbA1c values, hospital admissions) prior to and following NICH program enrollment were collected.

resultsFewer than half (43%) of texts sent to patients and their caregivers were identified as being related to diabetes, and over 95% of diabetes-related texts were identified as adherence-related. Participants in the NICH program demonstrated a significant decrease in HbA1c values, t(23) = 2.78, p ≤ .05, and DKA-related hospital visits, t(24) = 2.78, p ≤ .01, during program involvement. Although no relationships were identified between patient-recipient text characteristics and health outcomes, the frequency and type of text messaging with caregivers was significantly associated with changes in health outcomes.

conclusionsThis study represents the most extensive evaluation of diabetes-related SMS use and health outcomes for NICH participants to date. Findings demonstrate improvements in patient health during NICH program involvement. Implications include that sending frequent, personalized, and adherence-reinforcing texts to patients' caregivers may result in improved patient health, decreased utilization, and, potentially, associated reductions in health care costs.

Indexed as

Diabetes Mellitus, Type 1Reminder SystemsText MessagingAdolescentCaregiversChildFemaleGlycated HemoglobinHumansMalePatient Education as TopicRetrospective StudiesGlycated Hemoglobinhemoglobin A1c protein, humanadolescencemHealthNICHSMStext messagetype 1 diabetes

Identifiers

PMID28745094
PMCPMC5505437

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.