A Nonrandomized Pilot of a Group, Video-Based Telehealth Intervention to Reduce Diabetes Distress in Parents of Youth With Type 1 Diabetes Mellitus.
A Nonrandomized Pilot of a Group, Video-Based Telehealth Intervention to Reduce Diabetes Distress in Parents of Youth With Type 1 Diabetes Mellitus.
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DOI：
10.1016/j.jcjd.2021.10.007
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发表时间：
2022-04
影响因子：
2.5
通讯作者：
Clements, Mark A.
中科院分区：
文献类型：
--
作者：
Patton, Susana R.;Monzon, Alexandra D.;Marker, Arwen M.;Clements, Mark A.
改进和试行基于视频的远程健康干预，以减少学龄儿童1型糖尿病患者父母的糖尿病痛苦、抑郁症状和低血糖恐惧，并探索儿童糖化血红蛋白(HbA1c)的变化。我们招募了41名儿童(5-12岁)的父母参加了一项基于视频的手动远程健康干预(CARE)。其中，29名家长根据他们招募的时间完成了12周(n=13)或8周(n=16)版本的CARE。我们评估了可行性(即自然减员、出勤率)和父母对关怀的满意度。我们使用重复测量ANOVA和父母组(8次和12次)作为受试者之间的变量，并使用时间作为受试者内变量来衡量因变量的变化。母亲参与最多(97.3%)。治疗前父母平均年龄为39.65±6.84岁，儿童平均年龄为9.86±1.57岁。CARE的流失率低(20%-25%)，出勤率高(96%-98%)。父母也报告了很高的治疗满意度(>；85%)。在治疗后和三个月的随访中，父母报告的糖尿病、痛苦和抑郁症状的时间有显着的主效应。治疗后父母抑郁症状有时间×群体交互作用的统计趋势。在三个月的随访中，对低血糖恐惧的时间有显着的主效应，但在治疗后没有变化。治疗后儿童糖化血红蛋白无明显变化。CARE在减轻1型糖尿病学龄儿童父母的糖尿病痛苦方面显示出较高的家长满意度、良好的可行性和良好的效果。
To refine and pilot a video-based telehealth intervention to reduce diabetes distress, depressive symptoms, and hypoglycemia fear in parents of school-age children with type 1 diabetes and to explore for changes in child glycated hemoglobin (HbA1c). We recruited 41 parents of children (5–12 years) to participate in a manualized, video-based telehealth intervention (CARES). Of these, 29 parents completed either a 12- (n=13) or 8-week (n=16) version of CARES based on the timing of their recruitment. We assessed feasibility (i.e., attrition, attendance) and parent satisfaction with CARES. We used repeated measures ANOVA with parent group (8- versus 12-sessions) as a between-subject variable and time as a within-subject variable to measure change in our dependent variables. Mostly mothers participated (97.3%). Parents’ mean age was 39.65±6.84 years and child mean age was 9.86±1.57 years at pre-treatment. CARES had low attrition (20–25%) and good attendance (96–98%). Parents also reported high levels of treatment satisfaction (>85%). There were significant main effects for time for parent-reported diabetes distress and depressive symptoms at post-treatment and three-months follow-up. There was a statistical trend suggesting a time × group interaction for parent depressive symptoms at post-treatment. There was a significant main effect for time for hypoglycemia fear at the three-months follow-up but no change at post-treatment. There was no change in child HbA1c at post-treatment. CARES showed high parent satisfaction, good feasibility, and promising results for reducing diabetes distress in parents of school-age children with type 1 diabetes.
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影响因子：
3
作者：
Fisher L;Hessler D;Polonsky W;Strycker L;Masharani U;Peters A
通讯作者：
Peters A
DOI：
10.1111/jcpp.12280
发表时间：
2014-11
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Panter-Brick C;Burgess A;Eggerman M;McAllister F;Pruett K;Leckman JF
通讯作者：
Leckman JF
影响因子：
2.8
作者：
Hofmann SG;Asnaani A;Vonk IJ;Sawyer AT;Fang A
通讯作者：
Fang A
影响因子：
5.4
作者：
Marker, Arwen M.;Monzon, Alexandra D.;Patton, Susana R.
通讯作者：
Patton, Susana R.
影响因子：
4.2
作者：
Czajkowski, Susan M.;Powell, Lynda H.;Charlson, Mary E.
通讯作者：
Charlson, Mary E.