Evidence map›Paper›PMID 31529065›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

A mobile app identifies momentary psychosocial and contextual factors related to mealtime self-management in adolescents with type 1 diabetes.

Shelagh A Mulvaney, Sarah E Vaala, Rachel B Carroll, Laura K Williams, Cindy K Lybarger, Douglas C Schmidt, Mary S Dietrich, Lori M Laffel, Korey K Hood

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05734313 (Telemedicine-Delivered Unified Protocol for Cognitive Behavioral Therapy for Anxiety and Depression in Young Adults With Type 1 Diabetes), which is 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
1.4field-weighted citation impact, top 17% 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.

NCT05734313 narecruitingnot on this mapstarted 2023, after this paper: background citation

Telemedicine-Delivered Unified Protocol for Cognitive Behavioral Therapy for Anxiety and Depression in Young Adults With Type 1 Diabetes

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2023 to 2027Enrolled94ConditionsDiabetes, Type 1 DiabetesArmsUnified protocol for cognitive behavioral therapy (UP-CBT), Continuous Glucose Monitoring (CGM)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Ecological momentary assessment in adolescents with type 1 diabetes: A mixed-methods feasibility study.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  6. Review
  7. Article
  8. Article
  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

9 authors at 4 institutions in 1 country.

Shelagh A MulvaneySchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Sarah E VaalaSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Rachel B CarrollSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Laura K WilliamsSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Cindy K LybargerDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Douglas C SchmidtElectrical Engineering and Computer Science Department, School of Engineering, Vanderbilt University, Nashville, Tennessee, USA.
Mary S DietrichSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Lori M LaffelJoslin Diabetes Center, Harvard University, Boston, Massachusetts, USA.
Korey K HoodDepartment of Pediatrics, Stanford University Medical Center, Palo Alto, California, USA.
Vanderbilt University · USJoslin Diabetes Center · USStanford University · USVanderbilt University Medical Center · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Using Social Learning to Improve Adolescent Diabetes Adherence Problem SolvingDP3DK097706 · NIDDK · VANDERBILT UNIVERSITY · PI MULVANEY, SHELAGH A · 2012 to 2012
$1.8M
NCATS NIH HHS UL1 TR000445NIDDK NIH HHS DP3 DK097706NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

Effective diabetes problem solving requires identification of risk factors for inadequate mealtime self-management. Ecological momentary assessment was used to enhance identification of factors hypothesized to impact self-management. Adolescents with type 1 diabetes participated in a feasibility trial for a mobile app called MyDay. Meals, mealtime insulin, self-monitored blood glucose, and psychosocial and contextual data were obtained for 30 days. Using 1472 assessments, mixed-effects between-subjects analyses showed that social context, location, and mealtime were associated with missed self-monitored blood glucose. Stress, energy, mood, and fatigue were associated with missed insulin. Within-subjects analyses indicated that all factors were associated with both self-management tasks. Intraclass correlations showed within-subjects accounted for the majority of variance. The ecological momentary assessment method provided specific targets for improving self-management problem solving, phenotyping, or integration within just-in-time adaptive interventions.

Indexed as

Blood Glucose Self-MonitoringEcological Momentary AssessmentMealsMobile ApplicationsSelf-ManagementAdolescentBlood GlucoseDiabetes Mellitus, Type 1FemaleHumansHypoglycemic AgentsInsulinMaleBlood GlucoseHypoglycemic AgentsInsulincontextdiabetesecological momentary assessmentpediatricprecision medicineself-management

Identifiers

PMID31529065
PMCPMC6857499
OpenAlexW2974420848

What Socratic holds

Textmetadata
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 Socratic graph.