Communication and Coping: Addressing Mothers' Needs to Improve Outcomes in Adolescents with T1D

总结 2019年新型冠状病毒（SARS-CoV-2），COVID-19的影响，以及遏制和缓解 该病毒对健康和心理社会结果的影响尚不清楚。它可能会更严重， 已经处于不良行为健康结果风险中的人群， 1型糖尿病（T1 D）的治疗我们正在进行的随机临床试验（R 01 DK 11545， 沟通和应对：解决母亲的需求，以改善1型青少年的结果 糖尿病）提供了一个独特的机会，研究前所未有的COVID-19大流行和社会的影响， 疏远我们建议在现有项目的基础上，利用我们目前的样本收集更多的 关于COVID-19和社交距离要求对青少年的影响的详细信息 糖尿病管理和母亲的压力和应对。我们会透过增加调查项目， 评估COVID-19的影响，并对以下母亲和青少年进行定性访谈： 经历COVID的低、中、高影响。随着时间的推移，通过跟踪40个二元组，我们将了解如何 新的日常生活和健康行为是持续或中断时，社会距离的要求， 降低此外，我们还将评估母亲的COVID-19经历如何影响她们的应对、社会支持， 和痛苦该研究将由一个多学科团队进行，由Sarah Jaser博士， 儿科心理学家，和两个合作者：林赛梅伯里，博士，家庭和社区心理学家 他使用混合方法研究糖尿病的家庭支持，劳里诺瓦克博士是一位医学健康专家， 人类学家，在评估用于管理慢性健康状况的系统以及如何 它们被灾害维持或破坏。拟议的研究有可能为我们提供信息， 了解COVID-19和社交距离如何影响孕产妇痛苦和家庭糖尿病 管理，这具有重要的临床和研究意义。本研究的结果可用于 在不确定时期促进最具适应性的应对和养育策略。

SUMMARY The impact of the 2019 Novel Coronavirus (SARS-CoV-2), COVID-19, and efforts to contain and mitigate the effects of the virus on health and psychosocial outcomes is unknown. It is likely to be more severe in populations already at risk for adverse behavioral health outcomes, increasing problems among already distressed families managing type 1 diabetes (T1D). Our ongoing randomized clinical trial (R01DK11545, Communication and Coping: Addressing Mothers' Needs to Improve Outcomes in Adolescents with Type 1 Diabetes) offers a unique opportunity to study the effects of the unprecedented COVID-19 pandemic and social distancing. We propose to build on the existing project by leveraging our current sample to collect more detailed information about the impact of COVID-19 and social distancing requirements on adolescents' diabetes management and maternal stress and coping. We will achieve these aims by adding survey items to assess the impact of COVID-19 and conducting qualitative interviews with mother-adolescent dyads who are experiencing low, moderate, and high impact of COVID. By following 40 dyads over time, we will learn how new routines and health behaviors are sustained or discontinued when social distancing requirements are reduced. In addition, we will assess how mothers' experiences of COVID-19 affect their coping, social support, and distress. The study will be conducted by a multidisciplinary team, consisting of Sarah Jaser, PhD, a pediatric psychologist, and two collaborators: Lindsay Mayberry, PhD, a family and community psychologist who uses mixed methods to study family support in diabetes, and Laurie Novak, PhD, a medical health anthropologist with expertise in assessing the systems used in managing chronic health conditions and how they are maintained or disrupted by disasters. The proposed study has the potential to inform our understanding of how COVID-19 and social distancing influences maternal distress and family diabetes management, which has important clinical and research implications. Results from this study may be used to promote the most adaptive coping and parenting strategies during times of uncertainty.