Type 1 Diabetes Mellitus
Conditions
Brief summary
A pre-/post-test design. Youth with type 1 diabetes and their parent(s) were referred to the intervention by their diabetes physician. Decision coaching guided youth and their parents in completing a patient decision aid that was pre-populated with evidence on insulin delivery options. Primary outcomes were youth and parent scores on the low literary version of the Decisional Conflict Scale (DCS).
Detailed description
A pre-/post-test design was used. Youth with type 1 diabetes and their parent(s) were referred to the intervention by their diabetes physician. Eligible participants were youth under 18 years old with T1D and their parents, who were considering a change in insulin delivery method, capable of participating in the decision making process, and able to read and speak English or French. No lower age limit was set for youth participants, provided the youth and parent(s) could participate in the consent or assent process. Family dyads (youth and one parent) and family triads (youth and two parents) were included. The intervention was decision coaching guided by the Ottawa Decision Support Framework for youth with type 1 diabetes and their parents using a patient decision aid that was pre-populated with evidence on insulin delivery options.
Interventions
BEHAVIORALDecision coaching with a patient decision aid
Decision coaching guided by the Ottawa Decision Support Framework
Sponsors
Margaret Lawson
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Pre post study
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* Youth with type 1 diabetes and their parents * considering a change in their insulin delivery method * capable of participating in the decision making process * able to read and speak English or French
Exclusion criteria
* Using an insulin pump
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decisional Conflict | Change from baseline decision conflict scale 14 days after intervention | Decision Conflict Scale - minimum score 0; maximum score 100 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Choice predisposition | Change from baseline predisposition scale to 14 days after intervention | Choice Predisposition Scale - minimum score 0; maximum score 4 |
| Preferred choice | Immediately after intervention | Questionnaire asking participants for their preferred choice for insulin delivery method |
| Genetic Counselling Satisfaction Scale (modified version) | 14 days after the intervention | Questionnaire that combined a shared decision making satisfaction rating tool and a modified version of the Genetic Counselling Satisfaction Scale |
Countries
Canada
Outcome results
None listed