{'fraction_non_alphanumeric': 0.05402010050251256, 'fraction_numerical': 0.032663316582914576, 'mean_word_length': 4.988721804511278, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 1, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
802-P: Text Messaging as a Behavioral Intervention Component for Adolescents and Young Adults with T1D

PREP-DC (Planning, Reflecting, and Engaging with Providers for Diabetes Care) is a multicomponent behavioral intervention aimed at promoting optimal health communication between adolescents and young adults (AYAs) with T1D and health care providers (HCPs). In the PREP-DC pilot, we examined engagement with text messaging and utilized AYA feedback to revise text messages for a randomized trial. AYAs with T1D>1 year (n=16; M age=18.8 years; 50% male; 44% Caucasian) participated in the pilot, consisting of 2 intervention sessions and 3 related text messages/week delivered between 2 T1D medical visits (∼16 weeks). The study team and an AYA stakeholder created a library of 72 text messages to reinforce T1D communication skills and self-care. Texts were sent via secure messaging platform. HCPs rated AYA communication at baseline and follow-up medical visits (∼16 weeks post-baseline) using the Independent Behaviors during Consultation Scale (IBDCS). A1c was taken from the medical chart. Participants received a mean of 45 texts. One text/week posed a question and encouraged AYA response (M=15.5 texts); 69% responded ≥1 text (M responses=4±4.2 texts). Intervention outcomes differed by text response. AYAs with no responses had worsening A1c (10.4% to 11.2%; p Disclosure M. Monaghan: Research Support; Self; American Diabetes Association. C. Wong: None. R. Streisand: None. Funding American Diabetes Association/Pathway to Stop Diabetes (1-18-ACE-27 to M.M.); Children9s National