A multisite trial of a clinic-integrated intervention for promoting family management of pediatric type 1 diabetes: feasibility and design.
A multisite trial of a clinic-integrated intervention for promoting family management of pediatric type 1 diabetes: feasibility and design.
复制标题
促进儿科 1 型糖尿病家庭管理的临床综合干预的多中心试验：可行性和设计。
DOI：
10.1111/j.1399-5448.2008.00448.x
复制
发表时间：
2009-04
影响因子：
3.4
通讯作者：
Lochrie AS
中科院分区：
文献类型：
--
作者：
Nansel TR;Anderson BJ;Laffel LM;Simons-Morton BG;Weissberg-Benchell J;Wysocki T;Iannotti RJ;Holmbeck GN;Hood KK;Lochrie AS
以家庭为基础的临床综合行为干预，以改善1型糖尿病的家庭管理的可行性进行了评估。在四个临床站点中的每一个中，30至32个家庭（总共122个）被随机分配到干预组或常规护理对照组。在3次例行诊所访问期间，由经过培训的“健康顾问”提供基于家庭问题解决方法的WE*CAN干预措施。在四个地点符合条件的家庭中，83%同意参与，其中96%完成了基线，中期和干预后评估。在8个月期间，家庭平均参加了2.85次干预会议。干预措施被整合到诊所环境中，而不影响诊所流程，并由经过培训的非专业人员在各研究中心以保真度和一致性实施。研究结果提供了证据的可行性进行多地点试验，以评估临床综合解决问题的干预措施，以改善家庭管理的影响。许多经验教训，为更大规模的临床试验的招募，测量和干预提供了指导。
The feasibility of a family-based clinic-integrated behavioral intervention to improve family management of type 1 diabetes was evaluated. In each of four clinical sites, 30 to 32 families (122 total) were randomized to intervention or usual care comparison group. The WE*CAN intervention, based on family problem-solving methods, was delivered during 3 routine clinic visits by trained “Health Advisors”. Of eligible families across the four sites, 83% agreed to participate, of whom 96% completed the baseline, mid-term, and post-intervention assessments. Families participated in an average of 2.85 intervention sessions over an 8-month period. The intervention was integrated into the clinic setting without impairing clinic flow, and was implemented with fidelity and consistency across sites by trained non-professionals. The findings provide evidence of the feasibility of conducting a multi-site trial to evaluate the effects of a clinic-integrated problem-solving intervention to improve family management. Many lessons were learned that provide guidance for recruitment, measurement, and intervention for the larger clinical trial.
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影响因子：
3.6
作者：
Palmer, DL;Berg, CA;Donaldson, DL
通讯作者：
Donaldson, DL
影响因子：
16.2
作者：
Bryden, KS;Peveler, RC;Dunger, DB
通讯作者：
Dunger, DB
影响因子：
5.1
作者：
Grey, M;Boland, EA;Tamborlane, WV
通讯作者：
Tamborlane, WV
影响因子：
16.2
作者：
ANDERSON, BJ;WOLF, FM;BACON, GE
通讯作者：
BACON, GE
影响因子：
3.6
作者：
Davis, CL;Delamater, AM;Nemery, R
通讯作者：
Nemery, R