Trial Outcomes & Findings for Overcoming Barriers and Obstacles to Adopting Diabetes Devices (NCT NCT04161131)

NCT ID: NCT04161131

Last Updated: 2022-09-13

Results Overview

Glycated haemoglobin (HbA1c)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

28 participants

Primary outcome timeframe

baseline, month 3

Results posted on

2022-09-13

Participant Flow

Participants were recruited through the Stanford Research Database, at the Stanford Endocrinology Clinic, and through online type 1 diabetes social media platforms. 81 participants were screened for eligibility. Participation was online. Once the participants provided their consent they were prompted to complete baseline surveys and then scheduled to receive the four intervention sessions.

Participant milestones

Participant milestones
Measure
ONBOARD Intervention
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to Continuous Glucose Monitor (CGM) use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Overall Study
STARTED
28
Overall Study
Completed Baseline Surveys
27
Overall Study
Received Intervention
22
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
ONBOARD Intervention
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to Continuous Glucose Monitor (CGM) use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Overall Study
Ineligible
2
Overall Study
Lost to Follow-up
4

Baseline Characteristics

Only 20 participants in the study are insulin pump users

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ONBOARD Intervention
n=26 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Age, Categorical
<=18 years
0 Participants
n=26 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=26 Participants
Age, Categorical
>=65 years
0 Participants
n=26 Participants
Age, Continuous
31.48 years
STANDARD_DEVIATION 8.34 • n=26 Participants
Sex: Female, Male
Female
16 Participants
n=26 Participants
Sex: Female, Male
Male
10 Participants
n=26 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=26 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=26 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=26 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=26 Participants
Race (NIH/OMB)
Asian
0 Participants
n=26 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=26 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=26 Participants
Race (NIH/OMB)
White
22 Participants
n=26 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=26 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=26 Participants
Region of Enrollment
United States
26 Participants
n=26 Participants
Marital Status
Single
11 Participants
n=26 Participants
Marital Status
Married
9 Participants
n=26 Participants
Marital Status
Separated
1 Participants
n=26 Participants
Marital Status
Living with someone
5 Participants
n=26 Participants
Education
Some College
6 Participants
n=26 Participants
Education
College graduate
11 Participants
n=26 Participants
Education
Graduate degree
9 Participants
n=26 Participants
Annual Family Income
<$25,000
3 Participants
n=26 Participants
Annual Family Income
$25,000-50,000
2 Participants
n=26 Participants
Annual Family Income
$51,000 - 75,000
5 Participants
n=26 Participants
Annual Family Income
$76,000 - 100,000
4 Participants
n=26 Participants
Annual Family Income
$101,000 - 125,000
5 Participants
n=26 Participants
Annual Family Income
$126,000 -150,000
1 Participants
n=26 Participants
Annual Family Income
$151,000 -175,000
3 Participants
n=26 Participants
Annual Family Income
>$175,000
2 Participants
n=26 Participants
Annual Family Income
Unknown/Declined to state
1 Participants
n=26 Participants
Currently Using Insulin (%)
Yes
20 Participants
n=26 Participants
Currently Using Insulin (%)
No
6 Participants
n=26 Participants
Length of insulin pump use
<0.5 year
3 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Length of insulin pump use
0.5-<1 year
1 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Length of insulin pump use
1-<2 years
0 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Length of insulin pump use
2-<5 years
1 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Length of insulin pump use
>5 years
15 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Pump Brand
Medtronic
9 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Pump Brand
Tandem
7 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Pump Brand
Insulet
4 Participants
n=20 Participants • Only 20 participants in the study are insulin pump users
Currently using CGM
Yes
23 Participants
n=26 Participants
Currently using CGM
No
3 Participants
n=26 Participants
Length of CGM use
<0.5 years
10 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Length of CGM use
0.5-1 year
10 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Length of CGM use
1-2 years
1 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Length of CGM use
>5 years
2 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
CGM brand
Dexcom
19 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
CGM brand
Medtronic
1 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
CGM brand
Abbott (Freestyle)
3 Participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Chronic conditions other than diabetes
Yes
9 Participants
n=26 Participants
Chronic conditions other than diabetes
No
17 Participants
n=26 Participants
Frequency of CGM use in the past month (per participant)
1 day
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
5 days
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
14 days
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
15 days
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
19 days
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
21 days
2 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
25 days
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
29 days
1 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline
Frequency of CGM use in the past month (per participant)
30 days
14 participants
n=23 Participants • Only 23 participants in the study were using a CGM at baseline

PRIMARY outcome

Timeframe: baseline, month 3

Population: Participants with measurement at baseline and month 3 are included in the analysis

Glycated haemoglobin (HbA1c)

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=10 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Hemoglobin A1c (HbA1c)
baseline
7.27 percentage of HbA1c
Standard Deviation 2.18
Hemoglobin A1c (HbA1c)
month 3
6.73 percentage of HbA1c
Standard Deviation 2

SECONDARY outcome

Timeframe: Duration of study participation (up to three months)

The number of participants who withdraw or are lost to followup over the course of the study is used as a measure of attrition

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=28 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Number of Participants Who Withdraw or Are Lost to Followup Over the Course of the Study
6 Participants

SECONDARY outcome

Timeframe: During screening visit (up to 50 minutes)

Population: 81 individuals were assessed for eligibility

Number of eligible individuals who agree to participate in the study out of all those approached during recruitment

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=81 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Number of Eligible Individuals Who Agree to Participate in the Study
28 Participants

SECONDARY outcome

Timeframe: Month 3

Participant-rated Satisfaction Survey: Individual question scores are presented, each was measured on a Likert scale (0-4), higher scores mean more satisfaction.

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Satisfaction With Intervention Survey
Q1. Overall, how helpful was the ONBOARD program for you?
2.95 score on a scale
Standard Deviation 0.84
Satisfaction With Intervention Survey
Q2.Overall, how satisfied were you with the ONBOARD program?
3.5 score on a scale
Standard Deviation 0.86
Satisfaction With Intervention Survey
Q3.Overall, how satisfied were you with receiving the ONBOARD program online?
3.55 score on a scale
Standard Deviation 0.86
Satisfaction With Intervention Survey
Q4. I would recommend the ONBOARD program
3.5 score on a scale
Standard Deviation 0.51
Satisfaction With Intervention Survey
Q5. Overall, how satisfied were you with the number of sessions?
3.32 score on a scale
Standard Deviation 0.72
Satisfaction With Intervention Survey
Q6. Overall, how satisfied were you with the length of the sessions?
3.32 score on a scale
Standard Deviation 0.89

SECONDARY outcome

Timeframe: two weeks prior to starting intervention and two weeks after the intervention (average approximately 3 months)

Population: 19 participants had CGM data available for both measurements

Baseline and 3-month followup continuous glucose monitor values for percent time spent between 70-180mg/dl

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=19 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Percentage of Time in Range of Continuous Glucose Monitor Values Between 70 and 180 mg/dL
Pre-intervention
71.4 percentage of time in range
Standard Deviation 19.4
Percentage of Time in Range of Continuous Glucose Monitor Values Between 70 and 180 mg/dL
Post-intervention
75.1 percentage of time in range
Standard Deviation 20

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol are included in the analysis.

Unabbreviated Scale Title: Diabetes Distress Scale for Type 1 Diabetes (T1-DDS) is a 28-item self-report scale that highlights seven critical dimensions of distress: powerlessness, management distress, hypoglycemia distress, negative social perceptions, eating distress, physician distress, and friends/family distress. A total score is calculated using the mean of all item scores. Subscale scores are calculated using the means of specific items for each subscale. Min Value: 1 Max Value: 6 Higher scores mean worse outcome/more distress

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Diabetes Distress Scale for Type 1 Diabetes
baseline
2.27 score on a scale
Standard Deviation .66
Diabetes Distress Scale for Type 1 Diabetes
month 3
2.02 score on a scale
Standard Deviation .60

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol and with data for the respective timepoints are included in the analysis.

Scale title "Glucose Monitoring System Satisfaction Survey - Type 1 Diabetes" Min:1 Max:5 Higher mean scores mean worse outcome

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=21 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Glucose Monitoring System Satisfaction Survey (GMSS-T1D)
baseline
3.88 score on a scale
Standard Deviation .56
Glucose Monitoring System Satisfaction Survey (GMSS-T1D)
month 3
3.93 score on a scale
Standard Deviation .44

SECONDARY outcome

Timeframe: two weeks prior to starting intervention and two weeks after the intervention (average approximately 3 months)

Population: 19 participants provided CGM data for both measurements

Baseline and 3-month follow-up percentage of continuous glucose monitoring values using data available from device for use in analyses.

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=19 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Percentage of CGM Data Downloaded and Available for Analysis
Pre-Intervention
76.4 percentage of CGM wear data available
Standard Deviation 29.6
Percentage of CGM Data Downloaded and Available for Analysis
Post-Intervention
81.3 percentage of CGM wear data available
Standard Deviation 23.4

SECONDARY outcome

Timeframe: baseline, month 3

Population: 20 participants provided mean glucose values at baseline and month 3

Mean glucose level from continuous glucose monitoring data at baseline and month 3

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=20 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Mean Glucose Level
Baseline
149.04 mg/dL
Standard Deviation 33.02
Mean Glucose Level
month 3
147.03 mg/dL
Standard Deviation 35.26

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol are included in the analysis.

Title: Barriers to Diabetes Device Use is a 19-item list of barriers to diabetes device use. Participants can select between 0 and 19 barriers. Examples of barriers are: cost, insurance, lack of family support, lack of support from the diabetes care team, and not liking devices on the body. Min: 0 Max: 19 higher scores mean a worse outcome

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Barriers to Diabetes Device Use Survey
baseline
5.45 score on a scale
Standard Deviation 2.28
Barriers to Diabetes Device Use Survey
month 3
5.5 score on a scale
Standard Deviation 2.58

SECONDARY outcome

Timeframe: Baseline, Month 3

Population: Participants who completed the protocol are included in the analysis.

Title: Diabetes Technology Attitudes Survey, a 6-item survey that asks about general attitudes about the role diabetes technology in one's life and the extent to which someone finds technology helpful for managing diabetes. Min: 1 Max: 5 Mean Score, higher score means better outcome

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Diabetes Technology Attitudes Survey
baseline
3.97 score on a scale
Standard Deviation .3
Diabetes Technology Attitudes Survey
month 3
4.23 score on a scale
Standard Deviation .61

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol are included in the analysis.

Scale Title: Hypoglycemia Fear Survey II - Worry Subscale is an 18-item subscale that presents a list of concerns people with diabetes sometimes have about low blood sugar. Respondents answer based on their level of worry about each item for the past 6 months. A total score is calculated by summing individual item scores. Min: 0 Max: 4 Higher score indicates worse outcome

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Fear of Hypoglycemia - Worry Survey
baseline
.87 score on a scale
Standard Deviation .47
Fear of Hypoglycemia - Worry Survey
month 3
.89 score on a scale
Standard Deviation .49

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol are included in the analysis.

Title: Hypoglycemia Confidence Scale is a 9-item scale that asks about how confident the respondent is in managing problems with hypoglycemia in a range of situations. A total score is calculated using the mean of all item scores. Min: 1 Max: 4 Higher score means better outcome/more confidence

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Hypoglycemia Confidence Scale
baseline
3.43 score on a scale
Standard Deviation .47
Hypoglycemia Confidence Scale
month 3
3.44 score on a scale
Standard Deviation .51

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol are included in the analysis.

Scale: Technology Use For Diabetes Problem Solving Scale is a 9-item scale that asks participants to rate how often they use different types of technology (eg phone, websites, looking at graphs of their glucose data) in managing their diabetes, solving problems and finding answers to questions that arise in managing diabetes. A total score is calculated by summing all items. Min: 0 Max: 5 Higher score means a better outcome

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Technology Use For Diabetes Problem Solving Scale
baseline
2.36 score on a scale
Standard Deviation .71
Technology Use For Diabetes Problem Solving Scale
month 3
2.35 score on a scale
Standard Deviation .8

SECONDARY outcome

Timeframe: baseline, month 3

Population: Participants who completed the protocol are included in the analysis.

Title: INsulin Dosing Systems: Perceptions, Ideas, Reflections, and Expectations (INSPIRE) is a 31-item survey that assesses perceived benefits and burdens of automated insulin delivery systems. A total score is calculated by obtaining a mean score across items, then multiplying the mean score by 25 to scale total INSPIRE measure scores from 0 to 100. Min: 1 Max: 5 High score means more positive outcome

Outcome measures

Outcome measures
Measure
ONBOARD Intervention
n=22 Participants
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
INSPIRE Survey
baseline
1.96 score on a scale
Standard Deviation .66
INSPIRE Survey
month 3
1.92 score on a scale
Standard Deviation .68

SECONDARY outcome

Timeframe: 3 months

Population: Data were not collected for this outcome measure

Frequency will be measured as the number of times a day the participant checks blood glucose level using glucose meter

Outcome measures

Outcome data not reported

Adverse Events

ONBOARD Intervention

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ONBOARD Intervention
n=28 participants at risk
ONBOARD consists of four 60-minute sessions over 3 months. Each session will target a key barrier to CGM use: physical, data, social, and trust. Sessions will be delivered individually to participants by a doctoral level psychologist with diabetes expertise. Each session will include relevant first-person digital stories told adults to with T1D, recounting how they managed relevant CGM barriers. ONBOARD: Session 1: Overview; Overcoming Physical Barriers (experiential wear) Session 2: Managing CGM data (cognitive restructuring) Session 3: Social barriers (problem solving) Session 4: Trust in CGM (motivational interviewing, review of prior sessions)
Endocrine disorders
diabetic ketoacidosis (DKA)
3.6%
1/28 • Up to 5 months
Infections and infestations
Ascites
3.6%
1/28 • Up to 5 months

Other adverse events

Adverse event data not reported

Additional Information

Molly Tanenbaum

Stanford University

Phone: 650-725-3955

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place