Evidence map›Paper›PMID 37156577›Full record

ArticleBMJ open2023

Text message-based intervention, Keeping in Touch (KiT), to support youth as they transition to adult type 1 diabetes care: a protocol for a multisite randomised controlled superiority trial.

Geetha Sanmugalingham, Elise Mok, Joseph A Cafazzo, Laura Desveaux, Anne-Sophie Brazeau, Gillian L Booth, Marley Greenberg, Jessica Kichler, Valeria E Rac, Peter Austin and 7 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% 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.

NCT05434754 nacompletednot on this map

Keeping in Touch (KiT) With Youth as They Transition to Adult Type 1 Diabetes Care: a Randomized Control Trial Testing the Effectiveness of an eHealth Text Message-based Intervention to Improve Diabetes Self-efficacy

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2022 to 2025Enrolled234ConditionsDiabetes Mellitus, Type 1ArmseHealth Tool
NCT05910840 narecruitingnot on this mapstarted 2024, after this paper: background citation

Support-t, an Online Training and Peer Support Platform to Accompany Youth Living With Type 1 Diabetes Transitioning to Adult Healthcare

TypeinterventionalSponsorAnne-Sophie BrazeauRan2024 to 2027Enrolled200ConditionsDiabetes Mellitus, Diabetes Mellitus, Type 1, Glucose Metabolism Disorders (Including Diabetes Mellitus), Metabolic DiseaseArmsSupport-t
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Health Care Transitions Among Adolescents and Young Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
  9. 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

17 authors at 8 institutions in 1 country.

Geetha SanmugalinghamSickKids Research Institute, Toronto, Ontario, Canada.ORCID 0000-0002-4279-1723
Elise MokResearch Institute of the McGill University Health Centre, Montreal, QC, Canada.
Joseph A CafazzoInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Laura DesveauxInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3429-1865
Anne-Sophie BrazeauSchool of Human Nutrition, McGill University, Montreal, QC, Canada.
Gillian L BoothInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Marley GreenbergDiabetes Action Canada, Canadian Institutes for Health Research (CIHR) Strategy for Patient-Oriented Research Network in Chronic Disease, Toronto General Hospital, Toronto, ON, Canada.
Jessica KichlerDepartment of Psychology, University of Windsor, Windsor, ON, Canada.
Valeria E RacInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Peter AustinInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Ellen GoldbloomDivision of Endocrinology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Mélanie HendersonDepartment of Pediatrics, Université de Montréal, Montreal, QC, Canada.ORCID 0000-0002-0102-2389
Alanna LandryOak Valley Health, Markham, ON, Canada.
Ian ZenleaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Madison TaylorCentre for Digital Therapeutics, Techna Institute, University Health Network, Toronto, ON, Canada.
Meranda NakhlaResearch Institute of the McGill University Health Centre, Montreal, QC, Canada.
Rayzel ShulmanSickKids Research Institute, Toronto, Ontario, Canada rayzel.shulman@sickkids.ca.
University of Toronto · CAMcGill University Health Centre · CAUniversity Health Network · CACentre Hospitalier Universitaire Sainte-Justine · CAMcGill University · CASickKids Foundation · CAUniversity of Ottawa · CAUniversity of Windsor · CA

Funding

CIHR 423967
6 · The paper itself

Abstract

introductionTransition from paediatric to adult care can be challenging for youth living with type 1 diabetes (T1D), as many youth feel unprepared to transfer to adult care and are at high risk for deterioration of glycaemic management and acute complications. Existing strategies to improve transition experience and outcomes are limited by cost, scalability, generalisability and youth engagement. Text messaging is an acceptable, accessible and cost-effective way of engaging youth. Together with adolescents and emerging adults and paediatric and adult T1D providers, we co-designed a text message-based intervention, Keeping in Touch (KiT), to deliver tailored transition support. Our primary objective is to test the effectiveness of KiT on diabetes self-efficacy in a randomised controlled trial. METHODS AND ANALYSIS: We will randomise 183 adolescents with T1D aged 17-18 years within 4 months of their final paediatric diabetes visit to the intervention or usual care. KiT will deliver tailored T1D transition support via text messages over 12 months based on a transition readiness assessment. The primary outcome, self-efficacy for diabetes self-management, will be measured 12 months after enrolment. Secondary outcomes, measured at 6 and 12 months, include transition readiness, perceived T1D-related stigma, time between final paediatric and first adult diabetes visits, haemoglobin A1c, and other glycaemia measures (for continuous glucose monitor users), diabetes-related hospitalisations and emergency department visits and the cost of implementing the intervention. The analysis will be intention-to-treat comparing diabetes self-efficacy at 12 months between groups. A process evaluation will be conducted to identify elements of the intervention and individual-level factors influencing implementation and outcomes. ETHICS AND DISSEMINATION: The study protocol version 7 July 2022 and accompanying documents were approved by Clinical Trials Ontario (Project ID: 3986) and the McGill University Health Centre (MP-37-2023-8823). Study findings will be presented at scientific conferences and in peer-reviewed publications. TRIAL REGISTRATION NUMBER: NCT05434754.

Indexed as

Diabetes Mellitus, Type 1Text MessagingTransition to Adult CareAdolescentAdultBlood GlucoseChildEquivalence Trials as TopicHumansRandomized Controlled Trials as TopicSelf CareBlood Glucoseadolescentclinical trialsdiabetes & endocrinologypaediatric endocrinologypatient participationtelemedicine

Identifiers

PMID37156577
PMCPMC10174028
OpenAlexW4375954756

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.