Parenting & Control Among Young Children with T1 Diabetes

育儿

基本信息

批准号：
7788792
负责人：
RANDI STREISAND
金额：
$ 60.11万
依托单位：
CHILDREN'S RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-04-01 至 2013-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7788792
关键词：
6 year old Address Adherence Adoption Adrenergic Agents Advocacy Affect Aftercare Age American Behavior Behavioral Biological Blood Glucose Brain Caring Characteristics Child Childhood Cognitive Counseling Development Diabetes Mellitus Diet Disease Distress Eating Eating Behavior Education Food Frequencies Gray unit of radiation dose Guidelines Hyperglycemia Hypoglycemia Incidence Instruction Insulin Insulin-Dependent Diabetes Mellitus Intervention Lead Learning Measures Mediator of activation protein Metabolic Control Modeling Outcome Outcome Measure Parenting behavior Parents Participant Patient Education Pattern Physical activity Physiological Printing Problem Solving Psychosocial Factor Quality of life Randomized Controlled Trials Recommendation Relative (related person)Research Sampling Stress Sum Supportive care Symptoms Telephone Time Work adrenergic age group diabetes control diabetes education diabetes management experience glucose monitor glycemic control health organization improved interest post intervention prevent primary outcome psychosocial public health relevance response role model skills social social cognitive theory

项目摘要

DESCRIPTION (provided by applicant): The incidence of type 1 (T1) diabetes in young children < age 6 is on the rise and the management demands of these youngsters are unique due to their physiological and developmental characteristics. Parents are often solely responsible for their young child's diabetes management, and the stress and burden on parents may undermine adherence, control, and quality of life. By combining psychosocial counseling with standard diabetes management education, we are seeking to improve these outcomes. The proposed study is a randomized controlled trial evaluating the relative efficacy of a newly-developed parenting intervention on parenting behavior and diabetes control. Parents of children ages 1-6 years-old with T1 diabetes will be randomly allocated to either the intervention or comparison condition. In the intervention condition, parents will participate in 5 bi-weekly sessions addressing social, educational, cognitive, and behavioral aspects of parenting and diabetes management. In the comparison condition, parents will also participate in 5 bi-weekly sessions addressing diabetes education. In both conditions, session content will be delivered via the telephone. Participants will be assessed at baseline and again 3-, 6-, and 12- months post-intervention. Primary outcome measures include glycemic variability, experience of hypoglycemia, child mealtime behaviors, and parent and child quality of life; metabolic control will also be assessed. It is anticipated that providing both education and counseling to parents of young children with T1 diabetes will lead to more improved outcomes for parents and children alike. Public Health Relevance: The incidence of type 1 (T1) diabetes in young children < age 6 is on the rise and the management demands of these youngsters are unique due to their physiological and developmental characteristics. Parents are often solely responsible for their young child's diabetes management, and the stress and burden on parents may undermine adherence, control, and quality of life. By combining psychosocial counseling with standard diabetes management education, we are seeking to improve these outcomes.

描述（由申请人提供）：幼儿中1（T1）糖尿病的发病率在上升，由于其生理和发育特征，这些年轻人的管理需求是独一无二的。父母通常对幼儿的糖尿病管理负责，父母的压力和负担可能会破坏依从性，控制和生活质量。通过将社会心理咨询与标准糖尿病管理教育相结合，我们正在寻求改善这些结果。拟议的研究是一项随机对照试验，评估了新发达的育儿干预对育儿行为和糖尿病控制的相对疗效。 1-6岁的T1糖尿病儿童的父母将随机分配给干预或比较状况。在干预条件下，父母将参加5个每两周的课程，以解决育儿和糖尿病管理的社会，教育，认知和行为方面。在比较条件下，父母还将参加为期5周的糖尿病教育课程。在这两种情况下，会话内容将通过电话交付。参与者将在干预后的基线和3个，6个月和12个月再次评估。主要的结局指标包括血糖变异性，低血糖经验，儿童进餐时间以及父母和儿童生活质量；还将评估代谢控制。可以预料，向患有T1糖尿病的幼儿的父母提供教育和咨询，将为父母和孩子提供更多改善的结果。公共卫生相关性：少年儿童中1型（T1）糖尿病的发病率正在上升，由于其生理和发育特征，这些年轻人的管理要求是独一无二的。父母通常对幼儿的糖尿病管理负责，父母的压力和负担可能会破坏依从性，控制和生活质量。通过将社会心理咨询与标准糖尿病管理教育相结合，我们正在寻求改善这些结果。