{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:25:54Z","timestamp":1791530754841,"version":"4.3.4"},"reference-count":23,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Pediatr Parent"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Positive psychology interventions demonstrate improvements in diabetes self-management and quality of life among adults with chronic health conditions, but few interventions for adolescents use this approach.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study describes engagement with a positive psychology intervention delivered via automated SMS text messages aimed at treating diabetes distress and improving diabetes outcomes. In addition, demographic and clinical predictors of intervention engagement were examined.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Adolescents with type 1 diabetes (ages 13-17 years) who reported at least moderate diabetes distress were randomized to receive either the education or positive affect + education intervention, comprising 8 weeks of automated SMS text messages. Engagement was assessed as the response to the SMS text messages. Adolescents completed satisfaction surveys 3 months post intervention, and a subset of participants from both intervention groups completed exit interviews.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Adolescents in both groups reported high levels of satisfaction with the study, with 95% (163\/172) reporting that they would participate again. Engagement with the SMS text messages was high; on average, adolescents in the positive affect + education group responded to 92.5% of intervention messages, and their caregivers responded to 88.5% of messages. There were no significant differences in rates of engagement related to adolescents\u2019 sex, age, device use, or race\/ethnicity.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A positive psychology intervention for adolescents delivered via automated SMS text messages was feasible and acceptable across genders, ages, and racial\/ethnic groups, suggesting potential for wider dissemination.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/47089","type":"journal-article","created":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T08:48:39Z","timestamp":1696582119000},"page":"e47089-e47089","source":"Crossref","is-referenced-by-count":11,"title":["Evaluation of Study Engagement With an mHealth Intervention (THR1VE) to Treat Diabetes Distress in Teens With Type 1 Diabetes: Randomized Clinical Trial"],"prefix":"10.2196","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8265-6892","authenticated-orcid":false,"given":"Lauren","family":"LeStourgeon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7995-5154","authenticated-orcid":false,"given":"Erin","family":"Bergner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8005-8277","authenticated-orcid":false,"given":"Karishma","family":"Datye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8535-8444","authenticated-orcid":false,"given":"Randi","family":"Streisand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7958-7662","authenticated-orcid":false,"given":"Sarah","family":"Jaser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s11892-015-0694-2","article-title":"Diabetes 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