Parenting & Control Among Young Children with T1 Diabetes

描述(申请人提供)：1型(T1)糖尿病在幼儿和6岁儿童中的发病率呈上升趋势，由于这些青少年的生理和发育特点，他们的管理需求是独特的。父母常常独自对孩子的糖尿病管理负责，父母的压力和负担可能会破坏对糖尿病的遵守、控制和生活质量。通过将心理社会咨询与标准的糖尿病管理教育相结合，我们正在寻求改善这些结果。这项拟议的研究是一项随机对照试验，评估一种新开发的育儿干预对育儿行为和糖尿病控制的相对效果。患有T1糖尿病的1-6岁儿童的父母将被随机分配到干预或对照条件下。在干预条件下，父母将参加每两周5次的会议，讨论父母养育和糖尿病管理的社会、教育、认知和行为方面的问题。在对照条件下，家长还将参加每两周5次的糖尿病教育。在这两种情况下，会话内容都将通过电话传送。参与者将在基线时进行评估，并在干预后3、6和12个月再次进行评估。主要的观察指标包括血糖变异性、低血糖体验、儿童进餐行为以及父母和儿童的生活质量；代谢控制也将被评估。预计向患有T1糖尿病的幼儿的父母提供教育和咨询将为父母和儿童带来更多的改善结果。 公共卫生相关性：1型(T1)糖尿病在幼儿和6岁儿童中的发病率呈上升趋势，由于这些青少年的生理和发育特点，他们的管理需求是独特的。父母常常独自对孩子的糖尿病管理负责，父母的压力和负担可能会破坏对糖尿病的遵守、控制和生活质量。通过将心理社会咨询与标准的糖尿病管理教育相结合，我们正在寻求改善这些结果。

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.