Long-term maintenance of treatment outcomes: diabetes personal trainer intervention for youth with type 1 diabetes.

Long-term maintenance of treatment outcomes: diabetes personal trainer intervention for youth with type 1 diabetes.
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DOI:
10.2337/dc08-1968
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发表时间:
2009-05
期刊:
影响因子:
16.2
通讯作者:
Zeitzoff L
Zeitzoff L
中科院分区:
医学1区
文献类型:
--
作者:
Nansel TR;Iannotti RJ;Simons-Morton BG;Plotnick LP;Clark LM;Zeitzoff L

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描述1型糖尿病青年患者自我调节干预的A1 C结果的2年随访。共有81名11-16岁的1型糖尿病青少年被随机分为常规护理组和糖尿病私人教练干预组,干预组包括6个自我监测,目标设定和与受过训练的非专业人员解决问题的课程。A1 C数据来自干预后2年的病历,并进行年龄和基线A1 C校正的ANCOVA。观察到对A1 C的总体干预效果(8.93%对照组与8.43%干预组; F = 8.24,P = 0.05)和显著的干预与年龄的相互作用(F = 9.88; P = 0.002),表明老年人比年轻人的效果更大。亚组分析表明,治疗组在青春期前/早期青少年中无差异,但在青春期中期青少年中A1 C存在显著差异(对照组9.61% vs.干预组8.46%; F = 7.20,P = 0.011)。结果表明,在1年随访时观察到的A1 C干预效果维持不变。
To describe a 2-year follow-up of A1C outcomes of a self-regulation intervention for youth with type 1 diabetes. A total of 81 youths with type 1 diabetes ages 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. A1C data were obtained from medical records 2 years postintervention, and ANCOVA adjusting for age and baseline A1C was conducted. An overall intervention effect on A1C (8.93% control vs. 8.43% intervention; F = 8.24, P = 0.05) and a significant intervention-by-age interaction (F = 9.88; P = 0.002) were observed, indicating a greater effect among older than younger youths. Subgroup analyses demonstrated no treatment group differences among pre-/early adolescents but a significant difference in A1C among middle adolescents (9.61% control vs. 8.46% intervention; F = 7.20, P = 0.011). Findings indicate maintenance of intervention effects on A1C observed at 1-year follow-up.
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发表时间: 2004-01-01
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