Type 1 Diabetes
Conditions
Brief summary
Establish the efficacy of a brief, clinic-based prevention program of teamwork coping skills for youth and their parents during in a high risk period of early adolescence (11-14 yrs) when parental involvement and self-care deterioration occurs.
Detailed description
Promotion of optimal disease care and metabolic control in youth with Type 1 diabetes is an important goal of disease management during early adolescence. Typically youth assume increasing responsibility for these goals along with parental involvement and guidance. However, as youth progress through adolescence, parents often become less involved in diabetes management and poorer self-care and metabolic control often results. The goal of the prevention program is to encourage parents to remain involved in their child's diabetes care throughout adolescence and to provide tools to help make that involvement a positive experience. To minimize parent/child conflict that may accompany sustained parental involvement, sessions of the active treatment review the following coping skills: communication, problem solving, conflict resolution, attitude and behavior change. Meetings occur in-clinic in conjunction with four consecutive medical appointments. The educational comparison group also meets with study researchers for in-clinic sessions that occur in conjunction with four consecutive medical appointments. Families discuss a variety of helpful educational diabetes topics and resources. The overarching project goal is to demonstrate the efficacy of a brief, prevention focused coping skills program for youth with type 1 diabetes and their parents with the ultimate goal of translation into routine pediatric care.
Interventions
BEHAVIORALTeamWork CS Sessions
The intervention focuses on an authoritative parenting approach that emphasizes continued parental involvement in daily disease care. Dyadic coping skills of communication, problem solving, conflict resolution, along with attitude and behavior change are highlighted. Families meet with a study interventionist in conjunction with four consecutive medical appointments.
BEHAVIORALDiabetes Education
Diabetes Education The education comparison group meets with an educational interventionist in conjunction with four consecutive medical appointments. This group focuses on diabetes educational and resource support for parents and their youth with type 1 diabetes.
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Children's National Research Institute
Virginia Commonwealth University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
11 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Seen for Diabetes care at Virginia Commonwealth University or Children's National Medical Center * Child ages 11-14 * Type 1 Diabetes * Fluent in English * Ability to comprehend and complete questionnaires independently
Exclusion criteria
* The presence of any other major disease * The presence of any severe diabetic complications which could impair test performance * Use of any medication that affects the CNS other than insulin * Inability to speak/comprehend and read English * Placement in special classes for the mentally disabled
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Parental involvement and Disease care behaviors | Baseline, (optional 3, 6, and 9 months) 12, 15, 18 and 24 months |
Secondary
| Measure | Time frame |
|---|---|
| Glycohemoglobin levels, Adverse effects and Blood glucose variability | Baseline, 3, 6, 9, 12, 15, 18, and 24 months |
Countries
United States
Outcome results
None listed