YOUTH TYPE 1 DIABETES NONADHERENCE PREVENTION PROGRAM

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 该方案旨在进行一项随机对照试验，以评估是否可以通过向青春期前儿童提供2个月以上的糖尿病依从性干预来改善儿童糖尿病的健康结局。 干预措施将针对所有青春期前儿童，无论先前的依从性水平如何。 将在基线和治疗后1、3和6个月再次评估依从性的客观指标以及自我和父母对行为功能的报告。 作为本研究的一部分，年龄在10-11岁的青春期前儿童，已被诊断患有1型糖尿病至少6个月，他们的父母将被随机分配接受常规医疗访视期间提供的标准糖尿病教育（DDM）或DDM+心理社会增强的依从性促进计划（DDM +AP）。 该方案将在2个月的时间内以小组形式实施，并将由一名训练有素的行为健康顾问和一名心理学家领导。在研究随访期间，依从性促进预计会导致不依从性减少和代谢功能稳定。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. This protocol seeks to conduct a randomized controlled trial to evaluate whether the health outcomes of childhood diabetes can be improved by providing a diabetes adherence intervention over 2 months duration to preadolescents. The intervention will target all preadolescents, regardless of prior adherence level. Objective mwasures of adherence, and self- and parent-reports of behavioral functioning, will be assessed at baseline and again 1, 3, and 6 months post-treatment. As part of this study, preadolescent children ages 10-11 years old who have been diagnosed with Type 1 diabetes for at least 6 months, and their parents, will be randomized to recieve either standard diaberes education (SDE) provided during routine medial visits or SDE plus a psychosocially enhanced adherence promotion program (SDE+AP). The program will be implemented in a group format over the course of a 2 month period, and will be led by a trained behavioal health counselor and a psychologist. Adherence promotion is expected to result in decreased non-adherence and stabilized metabolic functioning during the study's follow-up period.