YOUTH TYPE 1 DIABETES NONADHERENCE PREVENTION PROGRAM

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 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为期2个月的糖尿病依从性干预来改善儿童糖尿病的健康结果。这项干预将针对所有青春期前儿童，而不考虑先前的坚持水平。目的在基线和治疗后1、3、6个月对依从性、行为功能的自我和父母报告进行评估。作为这项研究的一部分，被诊断患有1型糖尿病至少6个月的10-11岁青春期前儿童及其父母将被随机分为两组，一组接受常规医学访问期间提供的标准糖尿病教育(SDE)，另一组接受SDE加心理社会强化依从性促进计划(SDE+AP)。该计划将在两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。促进依从性预计将导致不依从性的减少，并在研究的后续阶段稳定代谢功能。

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.