Parenting & Control Among Young Children with T1 Diabetes

描述（申请人提供）：6岁以下儿童1型（T1）糖尿病的发病率呈上升趋势，由于这些儿童的生理和发育特点，他们的管理需求是独特的。父母通常独自负责他们年幼孩子的糖尿病管理，父母的压力和负担可能会破坏依从性，控制和生活质量。通过将社会心理咨询与标准的糖尿病管理教育相结合，我们正在寻求改善这些结果。本研究是一项随机对照试验，评估新开发的父母干预对父母行为和糖尿病控制的相对效果。1-6岁T1型糖尿病患儿的父母将被随机分配到干预组或比较组。在干预条件下，父母将参加5个两周一次的会议，讨论养育子女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，家长也将参加5个双周的关于糖尿病教育的会议。在这两种情况下，会议内容都将通过电话传递。参与者将在基线和干预后3个月、6个月和12个月进行评估。主要结局指标包括血糖变异性、低血糖经历、儿童用餐时间行为以及父母和儿童的生活质量；代谢控制也将被评估。预计为T1型糖尿病患儿的父母提供教育和咨询将为父母和儿童带来更多改善的结果。

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.