Multifamily Group Autonomy Support Psychoeducation for Patents and Middle Adolesc

描述（由申请人提供）：1型糖尿病（T1 DM）的自我管理和糖尿病控制在青春期下降。青少年自主性的发展是促进自我管理的重要因素。在青春期中期，认知发展为父母提供了一个独特的机会，通过支持青少年的自主性来加强糖尿病自我管理。本研究的目的是根据自我决定理论和以往的研究成果，进一步发展和试点的父母-青少年多家庭团体心理教育自主支持计划。自主支持计划将根据来自4个不同焦点小组的反馈进行完善，包括（a）糖尿病专业人员，（B）父母，（c）青春期男孩和（d）青春期1型糖尿病女孩。然后将实施自主支持计划的试点随机对照试验，以1）评估招募和保留的可行性，2）评估干预保真度，3）提供干预有效性的初步估计。在该阶段，将入组48名15 - 17岁的T1 DM青少年及其父母; 24个家庭将被随机分配至父母自主支持计划，24个家庭将被随机分配至安慰剂注意力对照组。干预，交付超过2个月，包括两个人的教育和支持讲习班，书面材料，和电话后续教育和支持。将完成基线和两次随访评估。定性内容分析将被用来分析焦点小组访谈的成绩单。将使用SAS中的一般线性模型分析（GLM和MIXED程序）检查以下因素的影响：1）时间、2）治疗和3）时间与治疗相互作用，并计算效应量。预计这项试点研究的结果将提供所需的数据，以计划一个更大的更明确的随机试验的影响，家长青少年多家庭小组心理教育干预青少年自我管理，抑郁症和糖尿病控制。同义词词典术语：1型糖尿病，青少年，父母，多家庭团体干预，心理教育干预，自我决定理论，糖尿病自我管理。公共卫生相关性：拟议项目的目的是完善，试点，并评估联合家长和青少年（15-17岁）心理教育多家庭小组自主支持计划的可行性，以促进青少年自我管理1型糖尿病和糖尿病控制从青春期中期到后期的过渡。

DESCRIPTION (provided by applicant): Self-management of Type 1 diabetes mellitus (T1DM) worsens and diabetes control declines across adolescence. Adolescent autonomy development is an important factor in stimulating self-management. During middle adolescence cognitive development provides a unique opportunity for parents to enhance diabetes self- management by supporting adolescent autonomy. The purpose of this study is to further develop and pilot a parent-adolescent multifamily group psychoeducational Autonomy Support Program based on the Self-Determination Theory and previous research findings. The Autonomy Support Program will be refined based on feedback from 4 separate focus groups including (a) diabetes professionals, (b) parents, (c) adolescent boys and (d) adolescent girls with T1DM. A pilot randomized control trial of the Autonomy Support Program will then be implemented to 1) assess the feasibility of recruitment and retention, 2) assess intervention fidelity, and 3) provide preliminary estimates of efficacy of the intervention. For this phase, 48 adolescents between 15 and 17 years of age, who have T1DM, and their parent(s) will be enrolled; 24 families will be randomly assigned to the Parental Autonomy Support Program, and 24 families will be randomly assigned to a placebo attention control. The intervention, delivered over 2 months consists of two in-person education-and- support workshops, written materials, and telephone follow-up education-and- support. Baseline and two follow-up assessments will be completed. Qualitative content analysis will be used to analyze transcripts of focus group interviews. General linear model analyses in SAS (GLM and MIXED procedures) will be used to examine the effects of: 1) time, 2) treatment, and 3) time by treatment interaction, and effect sizes will be calculated. It is anticipated that results from this pilot study will provide data needed to plan a larger more definitive randomized trial on the effect of a parent-adolescent multifamily group psychoeducational intervention on adolescent self-management, depressive symptomatology and diabetes control. Thesaurus Terms: Type 1 diabetes, adolescents, parents, multifamily group intervention, psychoeducational intervention, Self-Determination Theory, diabetes self-management. PUBLIC HEALTH RELEVANCE: The purpose of the proposed project is to refine, pilot, and assess the feasibility of a joint parent and adolescent (ages 15-17) psychoeducational multifamily group Autonomy Support Program to facilitate adolescent self-management of Type 1 diabetes and diabetes control in the transition from middle to late adolescence.