Adequate frequency of self-monitoring of blood glucose (SMBG) is important to maintain glycemic control. Real-time sharing of adolescent SMBG data with parents and providers is possible, however, adolescents may be reluctant to adopt this technology. The objective of this research was to determine patient-centered outcomes of adolescent-parent research participant pairs who were randomized to utilize: (1) a glucometer that shared blood glucose data among patients, parent, and providers, and allowed for communication; (2) family-centered goal setting; and (3) a combination of (1) and (2). We evaluated data from 97 adolescent-parent pairs in the form of 10 validated surveys; we modeled longitudinal changes in survey responses from baseline to 6 months. Differences between treatment groups were evaluated using ANOVAs and changes within patients over time were evaluated using paired t-tests. Patient and parent satisfaction was high at the onset of the intervention; 4.31 out of 5 and 4.55 out of 5, respectively. Parent Satisfaction Survey (p = 0.04) and Parental Environment Questionnaire (p = 0.006) results decreased over time; there was no significant change for any other surveys. Our data suggest that it is important to individualize therapy to meet patient-centered goals and acknowledge this when designing interventions to improve health outcomes in adolescents with T1D.
J.B. Halper: None. T. Hannon: Consultant; Self; Eli Lilly and Company. L. Yazel-Smith: None.
