Motivating parental support of youth skill-building during health care transition

项目总结/摘要 1型糖尿病（T1 D）青少年和年轻成人（AYA）的血糖水平低下风险达到峰值 在从儿科到成人护理的过渡过程中，这反过来又增加了他们短期内的风险。 和长期糖尿病并发症。这些风险达到顶峰的部分原因是护理的分散和医疗服务的转变。 疾病管理的责任从父母指导到自我指导。AYA需要他们的支持 家长/照顾者和医疗保健团队建立有关自身健康的知识， 独立做出健康决定和使用卫生保健的必要技能，但许多家庭缺乏 了解如何促进父母向子女逐步传授技能和/或学习的动机 以及时有效的方式。劳伦·威斯克博士的这个奖项，儿科健康服务研究员，将 通过建立以前的研究和技能，并通过指导职业发展，瞄准这一重要领域 奖励（K 01）。在目标1中，Wisk博士将总结人口数据，并使用定性方法， 让患有T1 D的AYA父母参与评估这些总结的显著性和可接受性， 以家庭为中心的行为干预Wisk博士将把她在行为科学方面的新技能， 健康沟通作为这种以家庭为中心的干预设计的基础，以提高父母的 帮助孩子发展过渡准备技能的动机。在目标2中，她将把她的训练应用于 实施和改进科学，以实施干预措施，评估其有效性， 鼓励采用基于证据的战略来教授过渡准备技能。结果从这个 这项研究将完美地补充Wisk博士的K 01研究，以开发和实施行为干预 改善患有T1 D的AYA过渡准备的试验，以形成纵向家庭的基础- 在R 01申请中提出的中心试验。该奖项将进一步支持Wisk博士，因为她寻求 成为一个独立的调查员，在设计，实施和 在T1 D患者及其家人的医疗保健和生命过程中，为他们传播干预措施 过渡。这个奖项建立在她的职业发展奖和伴随的培训活动的逻辑， 并将展示她在这个相关项目中成功应用新技能的能力。Wisk博士是独一无二的 定位使用这个奖项和她的K 01提供的资源，推出一个独立资助的 研究生涯。

PROJECT SUMMARY/ABSTRACT Adolescents and young adults (AYA) with Type 1 Diabetes (T1D) experience a peak in risk for poor glycemic control during the transition from pediatric- to adult-focused care, which in turn increases their risk for short- and long-term diabetes complications. These risks peak in part due to fragmentation of care and a shift in disease management responsibilities from being parent-directed to self-directed. AYA need support from their parents/caregivers and health care team in building knowledge regarding their own health and developing necessary skills for independently making health decisions and using health care, but many families lack an understanding of how to facilitate the gradual transfer of skills from parent to child and/or the motivation to do so in a timely and effective way. This award for Lauren Wisk, Ph.D., a pediatric health services researcher, will target this important area by building on prior research and skills supported by a mentored career development award (K01). In Aim 1, Dr. Wisk will develop summaries of population data and use qualitative methods to engage parents of AYA with T1D in evaluating those summaries for salience and acceptability for use in a family-centered, behavioral intervention. Dr. Wisk will incorporate her new skills in behavioral science and health communication as the foundation of this family-centered intervention design to improve parents' motivation to assist their child in developing transition preparation skills. In Aim 2, she will apply her training in implementation and improvement science in order to implement the intervention, assess its effectiveness for motivating adoption of evidence-based strategies for teaching transition preparation skills. Results from this study will perfectly supplement Dr. Wisk's K01 research to develop and implement a behavioral intervention trial to improve transition preparation for AYA with T1D in order to form the basis of a longitudinal, family- centered trial to be proposed in an R01 application. This award will further support Dr. Wisk as she seeks to become an independent investigator with comprehensive expertise in designing, implementing and disseminating interventions for AYA with T1D and their families during their health care and life-course transitions. This award builds logically on her career development award and accompanying training activities, and will demonstrate her ability to successfully apply her new skills on this related project. Dr. Wisk is uniquely positioned to use this award and the resources provided by her K01 to launch an independently-funded research career.