Parenting & Control Among Young Children with T1 Diabetes

育儿

• 批准号: 8054224
• 负责人: RANDI STREISAND
• 金额: $ 58.88万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 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/8054224
• 关键词: 6 year old; Address; Adherence; Adoption; Adrenergic Agents; Advocacy; Affect; Aftercare; Age; American; Behavior; Behavior Control; 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

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（申请人提供）：6岁以下幼儿中1型（T1）糖尿病的发病率呈上升趋势，且由于这些青少年的生理和发育特点，其管理需求也很独特。父母通常对幼儿的糖尿病管理负全部责任，父母的压力和负担可能会损害依从性、控制力和生活质量。通过将心理社会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，评估新开发的育儿干预措施对育儿行为和糖尿病控制的相对功效。 1-6 岁 T1 糖尿病儿童的父母将被随机分配到干预组或比较组。在干预条件下，家长将参加 5 次每两周一次的会议，讨论育儿和糖尿病管理的社会、教育、认知和行为方面的问题。在比较条件下，家长还将参加 5 次每两周一次的糖尿病教育课程。在这两种情况下，会话内容都将通过电话传递。参与者将在基线时接受评估，并在干预后 3、6 和 12 个月再次接受评估。主要结果指标包括血糖变异性、低血糖经历、儿童进餐行为以及父母和儿童的生活质量；还将评估代谢控制。预计为 T1 糖尿病幼儿的父母提供教育和咨询将为父母和孩子带来更好的结果。 公共健康相关性：6 岁以下幼儿的 1 型 (T1) 糖尿病发病率呈上升趋势，这些青少年因其生理和发育特征而具有独特的管理需求。父母通常对幼儿的糖尿病管理负全部责任，父母的压力和负担可能会损害依从性、控制力和生活质量。通过将心理社会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。