Mediators of 12-Month Outcomes of Two Internet Interventions for Youth With Type 1 Diabetes
Mediators of 12-Month Outcomes of Two Internet Interventions for Youth With Type 1 Diabetes
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DOI：
10.1093/jpepsy/jst081
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发表时间：
2014-04-01
影响因子：
3.6
通讯作者：
Grey, Margaret
中科院分区：
文献类型：
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作者：
Jaser, Sarah S.;Whittemore, Robin;Grey, Margaret
目的确定互联网干预对过渡到青春期的青少年1型糖尿病患者12个月结果的影响因素。方法在这项多点临床试验中，320名青年被随机分为两组：应对技能(TEENCOPE(TM))或糖尿病教育(管理糖尿病)。检测干预对糖化血红蛋白和生活质量影响的中介因子。在基线、3、6和12个月时收集数据。结果自我效能感在两种干预方式下均对生活质量产生中介作用。对于TEENCOPE(TM)，压力反应性、主要控制应对和次要控制应对调节治疗效果，而对于管理糖尿病，社会接受调节治疗效果。任何一种干预措施对糖化血红蛋白都没有显著影响。结论2互联网干预通过不同的机制改善青少年1型糖尿病患者的生活质量，提示糖尿病教育和应对技能的内容可能有助于改善青少年1型糖尿病患者的预后。
Objective To determine mediators of 12-month outcomes of Internet interventions for youth with type 1 diabetes transitioning to adolescence. Methods In this multisite clinical trial, 320 youth were randomized to one of two Internet-based interventions: Coping skills (TEENCOPE (TM)) or diabetes education (Managing Diabetes). Mediators of the interventions' effects on glycosylated hemoglobin and quality of life were examined. Data were collected at baseline and at 3, 6, and 12 months. Results Self-efficacy mediated treatment effects on quality of life in both interventions. For TEENCOPE (TM), stress reactivity, primary control coping, and secondary control coping mediated treatment effects, whereas for Managing Diabetes, social acceptance mediated treatment effects. There were no significant effects of either intervention on glycosylated hemoglobin. Conclusions 2 Internet interventions for youth with type 1 diabetes resulted in improved quality of life by different mechanisms, suggesting components of both diabetes education and coping skills may help to achieve better outcomes in youth with type 1 diabetes.