Developing and Testing an Intervention to Reduce Distress in Mothers of Adolescents with Type 1 Diabetes.
Developing and Testing an Intervention to Reduce Distress in Mothers of Adolescents with Type 1 Diabetes.
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DOI：
10.1037/cpp0000220
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发表时间：
2018-03-01
影响因子：
1.1
通讯作者：
Rumburg, Tamara
中科院分区：
文献类型：
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作者：
Jaser, Sarah S;Lord, Jadienne H;Rumburg, Tamara
目的：为了开发和试点测试一个程序，以满足青少年1型糖尿病（T1 D）的母亲的需求，并改善青少年1型diabetes.METHODS的结果：我们进行了焦点小组与青少年的母亲，以确定需求，并制定了认知行为干预，旨在减少产妇的痛苦，改善养育子女的做法，减少家庭冲突。这种干预措施在随机试验中进行了初步测试;母亲被随机分配到应对和沟通（N=15）干预或家庭护理（N=15）。母亲和青少年完成问卷测量的困扰，养育子女，和家庭冲突前和干预后，和HbA 1c值从青少年的医疗记录前和后intervention.RESULTS：干预材料（沟通和应对）获得高分的健康素养和参与。有一个显着的时间 * 组的相互作用，产妇糖尿病的困扰，家庭冲突（母亲和青少年的报告）和青少年的生活质量。母亲和青少年随机干预组报告显着改善这些因素相比，那些随机到平时care.CONCLUSIONS：沟通和应对计划开发适应现有的干预措施证明，以减少抑郁症状和改善养育子女的做法，以解决T1 D青少年的母亲的具体需求。该计划不仅有望减少母亲的痛苦，而且可能通过减少家庭冲突来改善青少年的结果。
OBJECTIVES: To develop and pilot test a program to meet the needs of mothers of adolescents with type 1 diabetes (T1D) and improve outcomes in adolescents with type 1 diabetes.METHODS: We conducted focus groups with mothers of adolescents to identify needs and develop a cognitive behavioral intervention aimed at reducing maternal distress, improving parenting practices, and reducing family conflict. This intervention was pilot tested in a randomized trial; mothers were randomized to either the Coping & Communication (N=15) intervention or Usual Care (N=15). Mothers and adolescents completed questionnaires measuring distress, parenting, and family conflict pre- and post-intervention, and HbA1c values were obtained from adolescents' medical records pre- and post-intervention.RESULTS: Intervention materials (Communication & Coping) received high scores on health literacy and engagement. There was a significant Time * Group interaction for maternal diabetes distress, family conflict (as reported by both mothers and adolescents) and adolescent quality of life. Mothers and adolescents randomized to the intervention group reported significant improvements on these factors as compared to those randomized to usual care.CONCLUSIONS: The Communication & Coping program was developed by adapting existing interventions proven to reduce depressive symptoms and improve parenting practices to address the specific needs of mothers of adolescents with T1D. The program shows promise for not only reducing distress in mothers, but also for improving adolescent outcomes, possibly through reductions in family conflict.