Diabetes Mellitus, Type 1 Clinical Trial
Official title:
Diabetes Intervention Program for Adolescents With Persistent High HA1c
The purpose of this project is to assess the feasibility and efficacy of a new group therapy program for adolescents with Type 1 diabetes and compromised metabolic control (high A1c). This intervention is aimed at addressing issues frequently found to be associated with poor control: knowledge deficits, parental supervision, parent-teen communication and psychosocial barriers. In order to test this new group therapy program, adolescents' HA1c and psychosocial functioning will be monitored pre- and post-intervention. It is hypothesized that individuals who participate in the group therapy program will show an improvement in their HA1c levels and quality of life, self-efficacy, supportive behaviors from family members, readiness to make improvements in their diabetes care and decrease symptoms of depression.
Basic Design:
This study will pilot a group therapy intervention for adolescents seen in the diabetes
clinic who have had elevated HA1c's for at least 3 months. This group will be offered in
fall of 2014. Group therapy sessions will include 8 teen sessions that cover the following
topics: acceptance of diabetes, family issues, division of diabetes management,
communication and facilitating motivation and skill development to improve diabetes care.
Motivational interviewing and cognitive behavioral techniques will be the therapeutic
modalities used in sessions. Parents will be involved in 3 therapy sessions that cover
topics regarding family functioning, division of responsibility and parenting strategies.
Participants will complete questionnaires measuring self-efficacy, family support, quality
of life, readiness to change and symptoms of depression. Questionnaires will be administered
at an initial assessment prior to participation in the group, at completion of the 8 week
program, at a follow-up visit 2 months following the completion of the group and 1 year
post-intervention. Questionnaires will take approximately 45 minutes to complete. HA1c
levels will be evaluated for participants every 3 months as per regular clinic care. This
intervention program will be offered to teens upon an elevated HA1c result.
Primary Outcomes:
HA1c levels will be tested every three months as per regular clinic care. Basic demographic
information will be obtained from participants during the initial assessment for the group
(age, family size, and date of diagnosis of diabetes).
Secondary Outcomes:
Psychosocial functioning will be evaluated pre- and post-intervention by having participants
and their parents fill out the following questionnaires: Self-efficacy for Diabetes Scale
(SED); Diabetes Quality of Life for Youths; Diabetes Family Behavior Scale; Beck Depression
Inventory for Youth (BDI-Y); Diabetes Management Questionnaire; Child Behavior Checklist
(Parent form); Low Blood Sugar Survey, and Children's Hope Scale.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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