Communication and coping intervention for mothers of adolescents with type 1 diabetes: Rationale and trial design.
Communication and coping intervention for mothers of adolescents with type 1 diabetes: Rationale and trial design.
复制标题
1 型糖尿病青少年母亲的沟通和应对干预：基本原理和试验设计。
DOI：
10.1016/j.cct.2019.105844
复制
发表时间：
2019
影响因子：
2.2
通讯作者：
Simmons,JillH
中科院分区：
文献类型：
--
作者：
Jaser,SarahS;Hamburger,EmilyR;Pagoto,Sherry;Williams,Rodayne;Meyn,Alison;Jones,AbigailC;Simmons,JillH
患有1型糖尿病（T1D）的青少年的母亲经历抑郁症状和糖尿病困扰的高比率，这是青少年血糖控制恶化、依从性问题、抑郁症状增加和生活质量差的既定风险因素。鉴于青少年是血糖控制不佳的高危人群，需要采取新的干预措施来改善T1D青少年的结局。基于有效的干预措施来治疗成年人抑郁症，以及我们自己在这一人群中的试点工作，我们开发了一种认知行为干预，沟通与应对，以针对母亲抑郁症状和养育行为。这项随机对照试验比较了电话和Facebook提供的沟通和应对干预，促进了适应性应对策略和积极育儿实践的使用，以及糖尿病教育控制条件对T1D青少年糖尿病结局和心理社会结局的影响。本文描述了研究原理、试验设计和方法。
Mothers of adolescents with type 1 diabetes (T1D) experience high rates of depressive symptoms and diabetes distress, which are established risk factors for deteriorating glycemic control, problems with adherence, increased depressive symptoms, and poor quality of life in adolescents. Given that adolescents are a high-risk population for suboptimal glycemic control, novel interventions to improve outcomes in adolescents with T1D are needed. Building on effective interventions to treat depression in adults, and our own pilot work in this population, we developed a cognitive behavioral intervention, Communication & Coping, to target maternal depressive symptoms and parenting behaviors. The randomized controlled trial compares the telephone and Facebook-delivered Communication & Coping intervention, which promotes the use of adaptive coping strategies and positive parenting practices, to a diabetes education control condition on diabetes outcomes and psychosocial outcomes in adolescents with T1D. This paper describes the study rationale, trial design, and methodology.