Multifamily Group Autonomy Support Psychoeducation for Patents and Middle Adolesc

描述（由申请人提供）：青春期1型糖尿病（T1DM）自我管理恶化，糖尿病控制下降。青少年自主发展是促进自我管理的重要因素。青少年中期的认知发展为家长提供了一个独特的机会，通过支持青少年的自主性来加强糖尿病的自我管理。本研究的目的是在自我决定理论和前人研究成果的基础上，进一步开发和试点亲子多家庭群体心理教育自主支持计划。自主性支持计划将根据4个独立焦点小组的反馈进行完善，这些小组包括(a)糖尿病专业人员，(b)家长，(c)患有T1DM的青春期男孩和(d)青春期女孩。随后将实施一项自主支持计划的随机对照试验，以1)评估招募和保留的可行性，2)评估干预的保真度，以及3)提供干预效果的初步估计。在这一阶段，将招募48名15至17岁的T1DM患者及其父母；24个家庭将被随机分配到父母自主支持计划，24个家庭将被随机分配到安慰剂注意力控制。为期两个多月的干预包括两次面对面的教育和支持研讨会、书面材料和电话随访教育和支持。将完成基线评估和两次后续评估。定性内容分析将用于分析焦点小组访谈的笔录。将使用SAS （GLM和MIXED程序）中的一般线性模型分析来检查以下因素的影响：1)时间，2)治疗，3)治疗相互作用的时间，并计算效应大小。预计这项试点研究的结果将提供所需的数据，以计划一项更大、更明确的随机试验，研究父母-青少年多家庭群体心理教育干预对青少年自我管理、抑郁症状和糖尿病控制的影响。关键词：1型糖尿病，青少年，父母，多家庭团体干预，心理教育干预，自我决定理论，糖尿病自我管理。公共卫生相关性：拟议项目的目的是完善、试点和评估父母和青少年（15-17岁）联合心理教育多家庭团体自主支持计划的可行性，以促进青少年从青春期中期过渡到青春期晚期对1型糖尿病的自我管理和糖尿病控制。

DESCRIPTION (provided by applicant): Self-management of Type 1 diabetes mellitus (T1DM) worsens and diabetes control declines across adolescence. Adolescent autonomy development is an important factor in stimulating self-management. During middle adolescence cognitive development provides a unique opportunity for parents to enhance diabetes self- management by supporting adolescent autonomy. The purpose of this study is to further develop and pilot a parent-adolescent multifamily group psychoeducational Autonomy Support Program based on the Self-Determination Theory and previous research findings. The Autonomy Support Program will be refined based on feedback from 4 separate focus groups including (a) diabetes professionals, (b) parents, (c) adolescent boys and (d) adolescent girls with T1DM. A pilot randomized control trial of the Autonomy Support Program will then be implemented to 1) assess the feasibility of recruitment and retention, 2) assess intervention fidelity, and 3) provide preliminary estimates of efficacy of the intervention. For this phase, 48 adolescents between 15 and 17 years of age, who have T1DM, and their parent(s) will be enrolled; 24 families will be randomly assigned to the Parental Autonomy Support Program, and 24 families will be randomly assigned to a placebo attention control. The intervention, delivered over 2 months consists of two in-person education-and- support workshops, written materials, and telephone follow-up education-and- support. Baseline and two follow-up assessments will be completed. Qualitative content analysis will be used to analyze transcripts of focus group interviews. General linear model analyses in SAS (GLM and MIXED procedures) will be used to examine the effects of: 1) time, 2) treatment, and 3) time by treatment interaction, and effect sizes will be calculated. It is anticipated that results from this pilot study will provide data needed to plan a larger more definitive randomized trial on the effect of a parent-adolescent multifamily group psychoeducational intervention on adolescent self-management, depressive symptomatology and diabetes control. Thesaurus Terms: Type 1 diabetes, adolescents, parents, multifamily group intervention, psychoeducational intervention, Self-Determination Theory, diabetes self-management. PUBLIC HEALTH RELEVANCE: The purpose of the proposed project is to refine, pilot, and assess the feasibility of a joint parent and adolescent (ages 15-17) psychoeducational multifamily group Autonomy Support Program to facilitate adolescent self-management of Type 1 diabetes and diabetes control in the transition from middle to late adolescence.