Type 1 Diabetes
Conditions
Keywords
adolescents, cognitive behavioral internet intervention
Brief summary
Adolescents are often reluctant to receive psychological help. The investigators developed a web-based cognitive behavioral self-help intervention for adolescents with type 1 diabetes. The investigators aimed to examine the participation rate and outcomes on glycemic control and quality of life.
Detailed description
Adolescents are often reluctant to receive psychological help. The investigators developed a web-based cognitive behavioral self-help intervention for adolescents with type 1 diabetes. The investigators aimed to examine the participation rate and outcomes on glycemic control and quality of life. Single center study was conducted to describe participation and efficacy of internet cognitive-behavioral intervention for youth with type 1 diabetes. Adolescents with type 1 diabetes, aged 13-20 years, treated at a Juvenile Diabetes Center, were offered to participate in the intervention. Recruitment period lasted for 2 months, during January-February, 2011. HbA1c measures of adolescents that agreed to participate, were obtained from medical records.The adolescents, that logged in, were asked to complete questionnaires before the intervention assessing their expectations of the program, quality of life and parental support. After completion of questionnaires, the adolescents were encouraged to complete 6 virtual sessions. Satisfaction was assessed after each session. In the end of the program, participants were asked again to complete questionnaires. HbA1c levels were obtained again for participants that logged in, and for participants that passively refused, 3 months or more after the recruitment.
Interventions
BEHAVIORALAn Internet Cognitive-Behavioral Intervention
We developed a cognitive behavioral program for adolescents with type 1 Diabetes and their parents, that consists of six virtual sessions at https://minustress.com/diabetes/gate.asp.
Sponsors
Academic College of Tel Aviv-Jaffa
Maccabi Healthcare Services, Israel
Dr. Orit Hamiel
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 20 Years
Healthy volunteers
No
Inclusion criteria
* diagnosis with diabetes for at least 1 year * treated at Juvenile Diabetes Center * fluent Hebrew speakers
Exclusion criteria
* no previous diagnosis of a psychiatric condition (such as an eating disorder) * no opposition to the internet due to religious issues.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in quality of life. (Diabetes Quality of Life (DQOL) questionnaire) | Change from baseline to the end of intervention (3 to 6 months from baseline) | Filled in the intervention website. |
| Perceived parent support. (Short version of the Social Provision Scale) | Change from baseline to the end of intervention (3 to 6 monts) | Short version of the Social Provision Scale -filled in the intervention website. |
| Youth satisfaction of the program. (Questionnaire regarding the degree that the session was helpful.) | Measured at the end of every virtual session (2 days to 6 months from baseline). | Questionnaire regarding the degree that the session was helpful. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in glycemic control. (HbaA1c levels, obtained from medical records) | Last HbA1C before recruitment period and first HbA1C after recruitment period were obtained from medical records (3-12 months from baseline). | HbaA1c levels, obtained from medical records twice - the closest measurement available before the trial period, and closest measurement available 3 months or more after the trial period. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Youth expectations of the program. (Questionnaire regarding the expectations of the possible benefits of the program.) | Baseline | Questionnaire regarding the expectations of the possible benefits of the program. |
Outcome results
None listed