Parenting & Control Among Young Children with T1 Diabetes

描述（由申请人提供）：6岁以下幼儿1型（T1）糖尿病的发病率呈上升趋势，由于其生理和发育特征，这些青少年的管理需求是独特的。父母通常单独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。通过将心理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。本研究是一项随机对照试验，旨在评估一种新开发的亲职干预对亲职行为和糖尿病控制的相对有效性。1-6岁T1糖尿病儿童的父母将被随机分配到干预组或对照组。在干预条件下，父母将参加5个双周会议，解决育儿和糖尿病管理的社会，教育，认知和行为方面。在比较条件下，父母还将参加5个双周一次的糖尿病教育会议。在这两种情况下，会议内容将通过电话传递。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、儿童进餐时间行为、父母和儿童生活质量;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儿童带来更好的结果。 公共卫生相关性：<6岁的儿童中1型（T1）糖尿病的发病率呈上升趋势，由于其生理和发育特征，这些青少年的管理需求是独特的。父母通常单独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。通过将心理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。

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.