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White Coat Adherence Occurs in Adolescents With Type 1 Diabetes Receiving Intervention to Improve Insulin Pump Adherence Behaviors.

Title: White Coat Adherence Occurs in Adolescents With Type 1 Diabetes Receiving Intervention to Improve Insulin Pump Adherence Behaviors.
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Name(s): Driscoll, Kimberly A, author
Wang, Yuxia, author
Johnson, Suzanne Bennett, author
Gill, Elizabeth, author
Wright, Nancy, author
Deeb, Larry C, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2017-05-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: To assess the occurrence of white coat adherence, defined as an increase in adherence to treatment regimens prior to a study appointment, in adolescents with type 1 diabetes (T1D) using insulin pumps and participating in a randomized adherence intervention trial. Blood glucose monitoring (BGM) readings, carbohydrate inputs, and insulin boluses delivered were downloaded from the insulin pumps of adolescents, aged 10-18 years, at 3 consecutive T1D study visits. Linear mixed models were used to analyze patterns of BGM, carbohydrate inputs, and insulin boluses delivered in patients who had 40 consecutive days of data stored in their insulin pumps prior to the study visit. Stratified linear mixed models revealed that adolescents randomized to the Tailored Feedback Intervention group increased their blood glucose monitoring ( P < .01), carbohydrate inputs ( P < .0001), and insulin bolusing ( P < .0001) prior to study appointments. In contrast, white coat adherence did not occur in adolescents randomized to the Treatment as Usual group ( Ps > .42). White coat adherence may occur in adolescents participating in clinical trials. Meter and insulin pump data downloads representing the 1- to 2-week period prior to a study visit are likely to overestimate actual adherence during the time frame between study visits.
Identifier: FSU_pmch_28745096 (IID), 10.1177/1932296816672691 (DOI), PMC5505417 (PMCID), 28745096 (RID), 28745096 (EID)
Keywords: Adherence, Blood glucose monitoring, Carbohydrate inputs, Children, Insulin blousing, Objective data, Youth
Grant Number: K23 DK091558
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505417.
Subject(s): Adolescent
Blood Glucose/analysis
Blood Glucose Self-Monitoring/psychology
Diabetes Mellitus, Type 1/drug therapy
Female
Formative Feedback
Humans
Hypoglycemic Agents/administration & dosage
Insulin/administration & dosage
Insulin Infusion Systems
Male
Patient Compliance/psychology
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_28745096
Owner Institution: FSU
Is Part Of: Journal of diabetes science and technology.
1932-2968
Issue: iss. 3, vol. 11

Choose the citation style.
Driscoll, K. A., Wang, Y., Johnson, S. B., Gill, E., Wright, N., & Deeb, L. C. (2017). White Coat Adherence Occurs in Adolescents With Type 1 Diabetes Receiving Intervention to Improve Insulin Pump Adherence Behaviors. Journal Of Diabetes Science And Technology. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_28745096