Diabetes personal trainer outcomes - Sthort-term and 1-year outcomes of a diabetes personal trainer intervention among youth with type 1 diabets
Diabetes personal trainer outcomes - Sthort-term and 1-year outcomes of a diabetes personal trainer intervention among youth with type 1 diabets
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DOI：
10.2337/dc06-2621
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发表时间：
2007-10-01
期刊：
影响因子：
16.2
通讯作者：
Zeitzoff, Linda
中科院分区：
文献类型：
--
作者：
Nansel, Tonja R.;Iannotti, Ronaldj.;Zeitzoff, Linda
目的-为了评估社会认知，行为和生理结果的自我管理干预的青年与I型diabetes.Research设计和方法-共81名青年与I型糖尿病年龄在11-16岁被随机化到常规护理与“糖尿病私人教练”干预，包括六个自我监测，目标设定和解决问题的会议与训练有素的非专业人士，在基线和多个随访间隔时完成评估。AIC数据来自医疗记录。对每个结果进行年龄和基线值调整的ANCOVA，结果-在短期和1年随访中，AIC的总体干预效果有趋势（短期F = 3.71，P = 0.06; 1年F = 3.79，P = 0.06）和显著的干预-年龄相互作用，表明老年人比年轻人的影响更大（短期F = 4.78，P = 0.03; 1年F = 4.53，P = 0.04）。亚组分析表明，年轻青年之间没有治疗组差异，但老年青年之间存在显著差异。没有治疗组的差异，在父母或青少年报告的adherence.CONCLUSIONS -糖尿病私人教练干预表现出显着的影响，在AIC中的中年青少年。
OBJECTIVE - To assess the social-cognitive, behavioral, and physiological outcomes of a self-management intervention for youth with type I diabetes.RESEARCH DESIGN AND METHODS - A total of 81 youth with type I diabetes aged 11-16 years were randomized to usual care versus a "diabetes personal trainer" intervention, consisting of six self-monitoring, goal-setting, and problem-solving sessions with trained nonprofessionals, Assessments were completed at baseline and multiple follow-up intervals. AIC data were obtained from medical records. ANCOVA adjusting for age and baseline values were conducted for each outcome,RESULTS - At both short-term and 1-year follow-up, there was a trend for an overall intervention effect on AIC (short-term F = 3.71, P = 0.06; 1-year F = 3.79, P = 0.06) and a significant intervention-by-age interaction, indicating a great effect among older than younger youth (short-term F = 4.78, P = 0.03; 1-year F = 4.53, P = 0.04). Subgroup analyses demonstrated no treatment group difference among younger youth but a significant difference among the older youth. No treatment group differences in parent or youth report of adherence were observed.CONCLUSIONS - The diabetes personal trainer intervention demonstrated significant effects in AIC among middle adolescents.