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Mindfulness, Interoception, and Stress in Type 1 Diabetes Mellitus Self-Management Among College Students

大学生 1 型糖尿病自我管理中的正念、内感受和压力

基本信息

批准号：
9394355
负责人：
Michael Brandon Schultz
金额：
$ 3.43万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-01 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9394355
关键词：
Adolescence Adolescent Adolescent and Young Adult Adult Age-Years Alcohols Awareness Behavior Behavior Control Blood Glucose Self-Monitoring Characteristics Dangerousness Data Analyses Data Collection Emotions Endocrinology Enrollment Esthesia Exercise Face Future Glycosylated Hemoglobin Glycosylated hemoglobin A Goals Health Heart Diseases Hydrocortisone Hyperglycemia Hypoglycemia Individual Insulin Insulin-Dependent Diabetes Mellitus Intervention Interview Investigation Kidney Diseases Knowledge Lead Measures Mediating Mentorship Methods Microvascular Dysfunction Modality Outcome Participant Physiological Population Positioning Attribute Psychological Stress Recruitment Activity Research Retinal Diseases Risk Role Schedule Self Management Shapes Stress Stroke Symptoms Testing Thinking Training Training Activity Trier Social Stress Test Variant base behavioral response biological adaptation to stress college data management emerging adult experience experimental study glycemic control high risk high risk population improved improved outcome macrovascular disease mindfulness novel nutrition programs psychologic study population trait trend university student

项目摘要

PROJECT SUMMARY/ABSTRACT Type 1 diabetes mellitus (T1DM) self-management is poorest during late adolescence and early adulthood (~18-25 years of age), increasing the risk of micro- and macrovascular complications. Many individuals are college students during these years. Although there are several known barriers to T1DM self-management in college students, the relationship between embodiment and T1DM self-management remains unclear. Embodiment means that psychological states and behavior are shaped by the body. Mindfulness and interoception—two facets of embodiment—are closely related to a common characteristic of the college experience: stress. Based on what is known, mindfulness practice may be a promising modality to improve T1DM self-management behaviors and glycemic control by modulating interoception and reducing stress; however, these relationships need to be investigated in college students with T1DM. Thus, the objective of this study is to determine the feasibility and acceptability of a mixed-methods approach to the relationships between mindfulness, interoception, stress, T1DM self-management behaviors, and glycemic control among college students with T1DM. Exploratory analyses will be used to investigate trends in these relationships. Sixty participants (30 individuals with T1DM and 30 without T1DM) will be exposed to the Trier Social Stress Test (TSST) and changes in glycemia, interoception, and stress response will be measured. To further understand trends in the findings among the participants with T1DM, a subsample will be interviewed to explore the subjective experience of hypo-, eu-, and hyperglycemic states and the relationship of those experiences to T1DM self-management behaviors. The findings of this study will be used to inform a larger study of the relationships of mindfulness and interoception to other barriers and facilitators of T1DM self-management. The ultimate goal is to develop and implement a mindfulness-based T1DM self-management intervention to improve health outcomes in late adolescents and early adults.

项目总结/文摘