Promoting glycemic control in young children with type I diabetes: Results from a pilot intervention for parents.
Promoting glycemic control in young children with type I diabetes: Results from a pilot intervention for parents.
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DOI：
10.1037/fsh0000672
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发表时间：
2022-06
影响因子：
1.3
通讯作者：
Streisand, Randi
中科院分区：
文献类型：
--
作者：
Mackey, Eleanor R.;Tully, Carrie;Rose, Meredith;Hamburger, Samantha;Wang, Jichuan;Herrera, Nicole;Cogen, Fran;Henderson, Celia;Monaghan, Maureen;Hornack, Sarah;Streisand, Randi
营养和体力活动是1型糖尿病（T1 D）幼儿日常糖尿病护理的关键组成部分。与营养和体力活动相关的规范发育行为挑战使T1 D的管理复杂化。目前的试点研究评估的可行性，可接受性，以及行为改变的干预措施，旨在改善营养和体力活动的幼儿T1 D的迹象。来自华盛顿地区两家诊所的36名T1 D幼儿（年龄2-5岁，M=4.2）的父母被随机分配接受第一类培训（TOTs）计划或家庭护理（UC）。评估包括招募和完成率，参与者的可接受性和结果，包括通过连续血糖监测的血糖变异性，通过远程食物摄影的营养摄入，通过加速度计的体力活动，以及父母对行为和心理社会功能的报告。尽管招聘的挑战，TOTs计划是可行的管理，与高计划和评估完成率。可接受性评级非常高，但因招募地点而异。随机分配到TOT组的参与者在基线和随访之间的目标血糖范围内的时间百分比增加，行为喂养问题减少，而随机分配到UC组的参与者则没有。UC参与者在随访时表现出中度至剧烈体力活动的减少。TOTS计划初步证明了可行性和可接受性。未来的研究将检查治疗的组成部分，以获得有效性的证据，并将干预措施瞄准那些最有可能受益的人。
Nutrition and physical activity are key components of daily diabetes care in young children with type 1 diabetes (T1D). Normative developmental behavioral challenges related to nutrition and physical activity complicate management of T1D. The current pilot study evaluated the feasibility, acceptability, and indications of behavior change of an intervention aimed at improving nutrition and physical activity in young children with T1D. Thirty-six parents of young children (ages 2–5 years, M=4.2) with T1D from two clinics in the Washington, DC area were randomized to receive the Type One Training (TOTs) program or Usual Care (UC). Assessments included recruitment and completion rates, participant acceptability, and outcomes including glycemic variability via continuous glucose monitoring, nutritional intake via remote food photography, physical activity via accelerometers, and parental report on behavior and psychosocial functioning. Despite recruitment challenges, the TOTs program was feasible to administer, with high program and assessment completion rates. Acceptability ratings were very high but differed by recruitment site. Participants randomized to TOTs had an increase in percent of time in target glycemic range and reduction in behavioral feeding problems between baseline and follow-up while those randomized to UC did not. Participants in UC demonstrated a decrease in in moderate to vigorous physical activity at follow-up. The TOTs program demonstrated preliminary feasibility and acceptability. Future research will examine components of treatment for evidence of efficacy and target the intervention to those most likely to benefit.
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影响因子：
16.2
作者：
Chiang JL;Kirkman MS;Laffel LM;Peters AL;Type 1 Diabetes Sourcebook Authors
通讯作者：
Type 1 Diabetes Sourcebook Authors
DOI：
10.1097/00004703-200110000-00001
发表时间：
2001-10-01
影响因子：
2.4
作者：
Crist, W;Napier-Phillips, A
通讯作者：
Napier-Phillips, A
影响因子：
3.4
作者：
Evenson, Kelly R.;Catellier, Diane J.;McMurray, Robert G.
通讯作者：
McMurray, Robert G.
影响因子：
3.4
作者：
DiMeglio, Linda A.;Acerini, Carlo L.;Maahs, David M.
通讯作者：
Maahs, David M.
影响因子：
3.5
作者：
Monaghan, Maureen;Hilliard, Marisa E.;Streisand, Randi
通讯作者：
Streisand, Randi