Type 1 Diabetes
Conditions
Keywords
Transition, Young Adult
Brief summary
The purpose of this research study is to find out more about how to support young adults (ages 18-22) with type 1 diabetes as they prepare to transition from pediatric and adult endocrinology medical care.
Detailed description
The overarching goal of the proposed trial is to improve diabetes self-management and glycemic control in young adults and prepare them for the transition to adult endocrinology. The current application will investigate the impact of a multisystem transition preparation intervention for young adults (ages 18-22) with T1D. Twenty-five young adults and a parent will be enrolled in a 6-month transition preparation program which will use a hybrid in-person and technology delivery structure. Providers will receive training highlighting their role preparing young adults for transition and provides practical tips to use in their communication with young adults. If effective, this multisystem intervention, designed to enhance T1D self-management and increase young adults' readiness for transition to adult healthcare during this critical developmental period, has the potential to inform clinical practice guidelines.
Interventions
BEHAVIORALTransition preparation intervention
Young adult participants and parents will complete transition preparation sessions that include meeting with a health behavior coach for in-person sessions and review of materials sent electronically between study visits.
Sponsors
American Diabetes Association
Virginia Commonwealth University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Both members of the youth/parent dyad must meet all eligibility criteria Young adults * English-speaking * patients in Pediatric Endocrinology at Children's Hospital of Richmond (CHoR) at Virginia Commonwealth University (VCU) * between ages 18-22 yrs with a * diagnosis of T1D for \>1 year Parents * greater than 18 years of age * provide care to the young adult with T1D * are willing to participate in the intervention Medical providers • provide care to patients with T1D ages 18-22 yrs in Pediatric Endocrinology at CHoR
Exclusion criteria
Young adults * significant psychiatric, cognitive, medical or developmental conditions that would impair their ability to complete assessments and/or engage in diabetes self-care behaviors (e.g., malignancies, psychosis, intellectual disability), as documented in the medical record or revealed during eligibility screening, or * medically-induced diabetes or diagnosis of diabetes other than type 1 diabetes Parents * non-English speaking * psychiatric, cognitive, or developmental conditions that would impair their ability to complete assessments and/or engage in the intervention as determined at study screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of sessions attended | 6 months | Number of study visits (attendance) |
| Program acceptability - provider | 9 months | Provider report on satisfaction with the program via an exit survey |
| Program acceptability - parent | 9 months | Parent report on satisfaction with the program via an exit survey |
| Program acceptability - young adult | 9 months | Young adult report on satisfaction with the program via an exit survey |
| Number of session views | 6 months | Number of opened electronic materials (e.g., opened messages in the patient health portal)) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Glycemic control | Baseline to 9 months | Measurement of hemoglobin A1c (A1c; reported as a percentage) |
| Diabetes-related hospitalizations | 9 months | Participant report and medical record review of count of reported diabetes-related hospitalizations and complications |
| Change in adherence to diabetes care regimen | Baseline to 9 months | Average of young adult and parent participant reports on the Diabetes Management Questionnaire (DMQ) |
| Change in transition readiness | Baseline to 9 months | Average of young adult and parent participant reports on the Transition Readiness Assessment Questionnaire (TRAQ) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in diabetes self-efficacy | Baseline to 9 months | Participant (young adult) report on the Self-Efficacy for Diabetes Self-Management (SEDSM) |
| Change in diabetes family conflict | Baseline to 9 months | Average of young adult and parent participant reports on the Diabetes Family Conflict Scale (DFCS) |
| Change in diabetes family responsibility | Baseline to 9 months | Average of young adult and parent participant reports on the Diabetes Family Responsibility Questionnaire (DFRQ) |
| Change in diabetes quality of life | Baseline to 9 months | Participant (young adult) report on the Pediatric Quality of Life Diabetes Module |
| Change in young adult diabetes distress | Baseline to 9 months | Participant (young adult) report on the Diabetes Distress Scale |
| Change in depression | Baseline to 9 months | Participant (young adult) report on the Center for Epidemiologic Studies Depression Scale (CESD) |
| Change in parent diabetes distress | Baseline to 9 months | Participant (parent) report on the Diabetes Distress Scale for Parents of Teens with T1D |
| Change in autonomy support | Baseline to 9 months | Participant (young adult) report on the autonomy support sub-scale of the Barriers to Diabetes Adherence Questionnaire |
| Change in problem solving | Baseline to 9 months | Participant (young adult) report on the Diabetes Adherence Problem Solving Questionnaire |
Countries
United States
Outcome results
None listed