Diabetes Mellitus, Type 1
Conditions
Keywords
Mindfulness, Mindful Self-compassion, Self-compassion, Diabetes, Self-care
Brief summary
The transition from pediatric to adult care is particularly difficult for individuals with Type 1 diabetes. It is hypothesized that a mindfulness-based intervention for individuals making this transition will contribute to personal psychological well-being, superior participation in health care, and more tightly controlled blood sugar levels. Young adults with Type I diabetes will complete an eight-week training program in Mindful Self-Compassion. Intervention effectiveness will be assessed with both self-report and physiological measures. Assessments will occur at the start of the training program, end of the program, and three-months post-program.
Detailed description
This research will evaluate the consequences of an eight-week Mindful Self-Compassion (MSC) intervention on the psychological and physical well-being of 18 to 25 year-old individuals with Type 1 diabetes who are at an age of established risk. Participants will be randomly assigned to either an immediate intervention group or wait-list control group. All participants will be tested before and after the intervention on a battery of self-report measures designed to assess various aspects of self-care and psychological functioning. Blood samples will also be taken before and after the intervention to determine HbA1C levels. Participants will also receive a followup assessment three-months post-intervention to assess the durability of the effects. We expect MSC training to induce positive change in participants' diabetes management and personal well-being.
Interventions
BEHAVIORALMindful Self-Compassion (MSC)
The MSC program was developed by Christopher K. Germer, PhD and Kristin Neff, PhD.
Sponsors
The Lawson Foundation
University of Manitoba
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Pretest-Posttest Waitlist Control Design
Eligibility
Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Adults between the ages of 18 and 25 * Obtain care for Type 1 diabetes
Exclusion criteria
* Psychologically or medically unable to complete the MSC program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in average plasma glucose concentration | Baseline, 8 weeks, and 3 months | Assessed by HbA1C test results. The desired outcome is a statistically significant decrease in average glucose concentration, indicating greater diabetes management. |
| Change in diabetes self-management | Baseline, 8 weeks, and 3 months | Assessed by total scores and subscale scores on the Summary of Diabetes Self-Care Activities (Toobert, Hampson, & Glasgow, 2000), which range from 0 to 7 when item scores are averaged. The items assess general diet, specific diet, exercise, blood-glucose testing, foot care, and smoking. The desired outcome is a statistically significant increase in diabetes self-management. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fears of Compassion | Baseline, 8 weeks, and 3 months | Assessed by total scores and subscale scores on the Fears of Compassion Scales (Gilbert et al., 2011), which range from 0 to 4 when item scores are averaged. The desired outcome is a statistically significant decrease in fears of compassion. |
| Change in Positive Affect | Baseline, 8 weeks, and 3 months | Assessed by total scores on the Positive Affective Well-Being scale (Hess et al., 2005; score range: 1 to 7) and scores on the positive affect subscale of the Positive and Negative Affect Schedule (Watson, Clark, & Tellegen, 1988; score range: 1 to 5). The desired outcome is a statistically significant increase in positive affect. |
| Change in Negative Affect | Baseline, 8 weeks, and 3 months | Assessed by scores on the negative affect subscale of the Positive and Negative Affect Schedule (Watson, Clark, & Tellegen, 1988), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant decrease in negative affect. |
| Change in Self-compassion | Baseline, 8 weeks, and 3 months | Assessed by total scores and subscale scores on the Self-Compassion Scale (Neff, 2003), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant increase in self-compassion. |
| Change in Life Engagement | Baseline, 8 weeks, and 3 months | Assessed by total scores on the Life Engagement Test (Scheier et al., 2006), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant increase in life engagement. |
| Change in Health Locus of Control | Baseline, 8 weeks, and 3 months | Assessed by subscale scores (internal, chance, powerful others) on the Multidimensional Health Locus of Control Scale (Wallston et al., 1978), which range from 1 to 6 when item scores are averaged. The desired outcome is a statistically significant increase in internal health locus of control. |
| Change in Eating Disorder Symptomatology | Baseline, 8 weeks, and 3 months | Assessed by total scores and subscale scores on the Eating Disorders Examination Questionnaire (Fairburn & Beglin, 1994), which range from 0 to 6 when item scores are averaged. The desired outcome is a statistically significant decrease in eating disorder symptomatology. |
| Change in Perceived Stress | Baseline, 8 weeks, and 3 months | Assessed by total scores on the Perceived Stress Scale (Cohen et al., 1983), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant decrease in perceived stress. |
| Change in Mindfulness | Baseline, 8 weeks, and 3 months | Assessed by total scores and subscale scores on the Five Facet Mindfulness Questionnaire (Baer et al., 2006), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant increase in mindfulness. |
Countries
Canada
Contacts
Primary ContactMichael McIntyre, Ph.D.
Outcome results
None listed