Evidence map›Paper›PMID 32864990›Full record

Trial reportJournal of diabetes science and technology2022

A Text Messaging Intervention With Financial Incentive for Adolescents With Type 1 Diabetes.

Tara Kaushal, Lorraine E Levitt Katz, Janet Joseph, Michelle Marowitz, Knashawn H Morales, Daniel Atkins, Dean Ritter, Reid Simon, Lori Laffel, Terri H Lipman

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes science and technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
0.8field-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, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Engagement with a Text Message Booster to Extend a School-Based Teen Dating Violence Prevention Program.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  7. Article
  8. Article
  9. Article
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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

10 authors at 5 institutions in 1 country.

Tara KaushalSection on Clinical, Behavioral, and Outcomes Research, Pediatric, Adolescent, and Young Adult Section, Joslin Diabetes Center, Boston, MA, USA.ORCID 0000-0001-8751-8598
Lorraine E Levitt KatzChildren's Hospital of Philadelphia Division of Endocrinology and Diabetes, PA, USA.
Janet JosephChildren's Hospital of Philadelphia Division of Endocrinology and Diabetes, PA, USA.
Michelle MarowitzChildren's Hospital of Philadelphia Division of Endocrinology and Diabetes, PA, USA.
Knashawn H MoralesUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Daniel AtkinsChildren's Hospital of Philadelphia Department of Research Information Services, PA, USA.
Dean RitterFreedomPay, Inc., Philadelphia, PA, USA.
Reid SimonNational Center for Advancing Translational Sciences, Washington, DC, USA.
Lori LaffelSection on Clinical, Behavioral, and Outcomes Research, Pediatric, Adolescent, and Young Adult Section, Joslin Diabetes Center, Boston, MA, USA.
Terri H LipmanChildren's Hospital of Philadelphia Division of Endocrinology and Diabetes, PA, USA.
Children's Hospital of Philadelphia · USJoslin Diabetes Center · USFreedom House · USNational Center for Advancing Translational Sciences · USUniversity of Pennsylvania · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
CAREER DEVELOPMENT IN DIABETES RESEARCH FOR PEDIATRIC ENDOCRINOLOGISTSK12DK094721 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LAFFEL, LORI M, WHITE, MORRIS F. · 2011 to 2021
$6.3M
Translational Research Training in Pediatric Diabetes & EndocrinologyT32DK063688 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI LORRAINE E LEVITT KATZ, ANDREA Bridget KELLY · 2002 to 2026
$5.4M
NCATS NIH HHS UL1 TR001878NIDDK NIH HHS K12 DK094721NIDDK NIH HHS P30 DK036836NIDDK NIH HHS T32 DK063688
6 · The paper itself

Abstract

backgroundAdolescents with type 1 diabetes (T1D) have higher hemoglobin A1C (HbA1c) levels than others. In general, adolescents engage with text messaging (TM) and financial incentives, both associated with improved diabetes outcomes. This study aimed to assess the impact of a TM intervention with financial incentives on self-care behaviors and HbA1c.

methodsA six-month randomized controlled trial compared MyDiaText™, a TM education and support application, with standard care. The sample included 166 teens with T1D, 12-18 years old, attending a diabetes clinic. The intervention group received one daily TM and were instructed to respond. Participants who responded to TMs for the most consecutive days were eligible for a financial reward biweekly via lottery. All participants received prompts to complete the self-care inventory (SCI) at baseline, 90, and 180 days. HbA1c was collected at clinic visits. Changes in SCI and HbA1c were analyzed using a multilevel mixed-effects linear regression model. Intention-to-treat and per-protocol analyses were performed.

resultsThe median TM response rate was 59% (interquartile range 40.1%-85.2%) and decreased over time. After adjustment for baseline characteristics, in per-protocol analysis, there was a statistically significant difference in SCI score increase in those receiving one TM per day vs control (

conclusionsA TM intervention with financial incentives for adolescents with T1D in suboptimal control was associated with increasing self-care report; however, glycemic control did not differ from controls. Further research is needed to develop digital health interventions that will impact glycemic control.

Indexed as

Diabetes Mellitus, Type 1Text MessagingAdolescentChildGlycated HemoglobinHumansMotivationSelf CareGlycated Hemoglobinadolescentsfinancial incentivesself-caretext messagingtype 1 diabetes

Identifiers

PMID32864990
PMCPMC8875063
OpenAlexW3081794721

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.