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Warnick JL, Westen SC, Albanese-O'Neill A, et al. Use of Ecological Momentary Assessment to Measure Self-Monitoring of Blood Glucose Adherence in Youth With Type 1 Diabetes. Diabetes Spectr. 2020;33(3):280-289doi: 10.2337/ds19-0041.
Warnick, J. L., Westen, S. C., Albanese-O'Neill, A., Filipp, S. L., Schatz, D., Haller, M. J., & Janicke, D. M. (2020). Use of Ecological Momentary Assessment to Measure Self-Monitoring of Blood Glucose Adherence in Youth With Type 1 Diabetes. Diabetes spectrum : a publication of the American Diabetes Association, 33(3), 280-289. https://doi.org/10.2337/ds19-0041
Warnick, Jennifer L, et al. "Use of Ecological Momentary Assessment to Measure Self-Monitoring of Blood Glucose Adherence in Youth With Type 1 Diabetes." Diabetes spectrum : a publication of the American Diabetes Association vol. 33,3 (2020): 280-289. doi: https://doi.org/10.2337/ds19-0041
Warnick JL, Westen SC, Albanese-O'Neill A, Filipp SL, Schatz D, Haller MJ, Janicke DM. Use of Ecological Momentary Assessment to Measure Self-Monitoring of Blood Glucose Adherence in Youth With Type 1 Diabetes. Diabetes Spectr. 2020 Aug;33(3):280-289. doi: 10.2337/ds19-0041. PMID: 32848350; PMCID: PMC7428657.
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Diabetes Spectr. 2020 Aug;33(3):280-289. doi: 10.2337/ds19-0041.

Use of Ecological Momentary Assessment to Measure Self-Monitoring of Blood Glucose Adherence in Youth With Type 1 Diabetes.

Diabetes spectrum : a publication of the American Diabetes Association

Jennifer L Warnick, Sarah C Westen, Anastasia Albanese-O'Neill, Stephanie L Filipp, Desmond Schatz, Michael J Haller, David M Janicke

Affiliations

  1. University of Florida, Gainesville, FL.

PMID: 32848350 PMCID: PMC7428657 DOI: 10.2337/ds19-0041

Abstract

OBJECTIVE: Daily self-monitoring of blood glucose (SMBG) is essential for type 1 diabetes management yet is challenging during adolescence. Ecological momentary assessment (EMA) is the repeated sampling of behaviors and experiences in real time in the natural environment. The purpose of this study was to evaluate

METHODS: Youth (

RESULTS: On average, participants reported performing SMBG 4 times/day. Of the self-reported SMBG values, 39.6% were accurate. Inaccurate values included additions (i.e., self-reported value with no objective value), omissions (i.e., objective value with no self-reported value), and alterations (difference between self-report and objective SMBG values ≥10 mg/dL). Of the matched pairs of self-reported and objective SMBG values, 41.3% were altered. Bland-Altman plots determined that the mean difference between self-reported and objective glucose data were -5.43 mg/dL. Participants reported being motivated to check their blood glucose because it was important for their health, and reported barriers included wanting to ignore the task, forgetting, and not having devices.

CONCLUSION: Youth's self-reported SMBG values may not align with objective readings. The results of this study can facilitate future research to determine individual factors related to SMBG and accuracy of self-reporting.

© 2020 by the American Diabetes Association.

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