Peer-support intervention for African American and Latino parents to improve the glycemic control trajectory among school-aged children with type 1 diabetes: A pilot and feasibility protocol.
Peer-support intervention for African American and Latino parents to improve the glycemic control trajectory among school-aged children with type 1 diabetes: A pilot and feasibility protocol.
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DOI：
10.1016/j.cct.2022.106739
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发表时间：
2022-05
影响因子：
2.2
通讯作者：
Anderson, Barbara J.
中科院分区：
文献类型：
--
作者：
Butler, Ashley M.;Hilliard, Marisa E.;Fegan-Bohm, Kelly;Minard, Charles;Anderson, Barbara J.
1型糖尿病（T1D）是一种常见的儿童慢性疾病，治疗要求复杂。非裔美国人和拉丁裔糖尿病儿童在血糖结局和急性并发症方面存在令人不安的差异。虽然有经验支持的行为干预措施来支持青年T1D患者的疾病管理，但很少有专门针对减少这一人群的健康差距的措施。虽然父母合作参与T1D儿童管理任务对于促进儿童时期最佳血糖结局很重要，但我们的形成性研究发现，多种个人、家庭和更广泛的系统因素阻碍或促进了非裔美国人和拉丁裔T1D儿童父母的合作参与。本文描述了1型糖尿病授权和管理（TEAM）试点试验的开发、设计和研究方案。TEAM干预是一种新颖的、基于群体的行为干预，旨在加强5-10岁儿童的非裔美国人和拉丁裔父母在T1D管理中的协作参与。这项随机试验的主要目的是评估TEAM干预的可行性和可接受性。次要目的是检查与常规T1D护理相比的初步干预结果（即儿童的HbA1c、治疗依从性、父母在T1D管理中的合作参与、父母/孩子的生活质量、父母与糖尿病相关的痛苦、抑郁症状和自我效能）。该试验将提供初步信息，以确定在学龄阶段优化适当的家长参与是否可以增加T1D治疗的依从性，并稳定或改善非裔美国人和拉丁裔学龄儿童的血糖控制。
Type 1 diabetes (T1D) is a common, chronic pediatric health condition with complicated management demands. African American and Latino children with T1D have troubling disparities in glycemic outcomes and acute complications. While there are empirically supported behavioral interventions to support disease management in youth with T1D, there are few that specifically aim to reduce health disparities in this population. While collaborative parent involvement with the child with T1D management tasks is important to promote optimal glycemic outcomes during childhood, our formative research identified multiple individual, family, and broader system factors that impede or facilitate collaborative parental involvement among African American and Latino parents of children with T1D. This paper describes the development, design, and study protocol for the Type 1 Diabetes Empowerment And Management (TEAM) pilot trial. The TEAM intervention is a novel, group-based behavioral intervention designed to enhance collaborative involvement in T1D management for African American and Latino parents of children aged 5–10. This randomized pilot trial’s primary aim is to evaluate the TEAM intervention’s feasibility and acceptability. The secondary aim is to examine preliminary intervention outcomes (i.e., children’s HbA1c, treatment adherence, collaborative parent involvement in T1D management, parent/child quality of life, and parent’s diabetes-related distress, depressive symptoms, and self-efficacy) compared to usual T1D care. The trial will provide preliminary information about whether optimizing appropriate parent involvement during the school-age years may increase T1D treatment adherence and stabilize or improve glycemic control in African American and Latino school-aged children.
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影响因子：
33.9
作者：
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通讯作者：
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