scholarly journals Strengths-Based Behavioral Intervention for Parents of Adolescents With Type 1 Diabetes Using an mHealth App (Type 1 Doing Well): Protocol for a Pilot Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Marisa E Hilliard ◽  
Sahar S Eshtehardi ◽  
Charles G Minard ◽  
Rana Saber ◽  
Debbe Thompson ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Behavioral Intervention ◽  
Family Relationships ◽  
Family Conflict ◽  
Diabetes Care ◽  
Controlled Trial ◽  
Text Messages ◽  
Care Providers ◽  
Diabetes Outcomes

BACKGROUND Supportive parent involvement for adolescents’ type 1 diabetes (T1D) self-management promotes optimal diabetes outcomes. However, family conflict is common and can interfere with collaborative family teamwork. Few interventions have used explicitly strengths-based approaches to help reinforce desired management behaviors and promote positive family interactions around diabetes care. OBJECTIVE The aim of this protocol was to describe the development of a new, strengths-based behavioral intervention for parents of adolescents with T1D delivered via a mobile-friendly Web app called Type 1 Doing Well. METHODS Ten adolescent-parent dyads and 5 diabetes care providers participated in a series of qualitative interviews to inform the design of the app. The 3- to 4-month pilot intervention will involve 82 parents receiving daily prompts to use the app, in which they will mark the diabetes-related strength behaviors (ie, positive attitudes or behaviors related to living with or managing T1D) their teen engaged in that day. Parents will also receive training on how to observe diabetes strengths and how to offer teen-friendly praise via the app. Each week, the app will generate a summary of the teen’s most frequent strengths from the previous week based on parent reports, and parents will be encouraged to praise their teen either in person or from a library of reinforcing text messages (short message service, SMS). RESULTS The major outcomes of this pilot study will include intervention feasibility and satisfaction data. Clinical and behavioral outcomes will include glycemic control, regimen adherence, family relationships and conflict, diabetes burden, and health-related quality of life. CONCLUSIONS This strengths-based, mobile health (mHealth) intervention aims to help parents increase their awareness of and efforts to support their adolescents’ engagement in positive diabetes-related behaviors. If efficacious, this intervention has the potential to reduce the risk of family conflict, enhance collaborative family teamwork, and ultimately improve diabetes outcomes. CLINICALTRIAL ClinicalTrials.gov NCT02877680; https://clinicaltrials.gov/ct2/show/NCT02877680 (Archived by WebCite at http://www.webcitation.org/6xTAMN5k2)

scholarly journals Development of an eHealth Program for Parents of Adolescents With Type 1 Diabetes

2017 ◽  
Vol 44 (1) ◽  
pp. 72-82 ◽  
Author(s):  
Robin Whittemore ◽  
Rebekah M. Zincavage ◽  
Sarah S. Jaser ◽  
Margaret Grey ◽  
Julia L. Coleman ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Providers ◽  
Diabetes Care ◽  
Multiple Time ◽  
Hormonal Changes ◽  
Care Providers ◽  
Personal Time ◽  
Multiple Time Points

Purpose The purpose of this study was to understand the experience of parenting an adolescent with type 1 diabetes (T1DM), to develop a prototype of an eHealth program for parents of adolescents with T1DM, and to evaluate the prototype content and acceptability from the perspective of parents and health care providers. Methods A multiphase method was used generating both qualitative and quantitative data at multiple time points. There were 27 parents of adolescents aged 12 to 18 years with T1DM and 16 health care providers who participated in semistructured interviews to identify parental challenges; 53 parents and 27 providers evaluated the prototype. Thematic content analysis was used to analyze interview transcripts, and descriptive statistics were used to summarize survey data. Results Challenges experienced by parents of adolescents with T1DM included understanding the developmental and hormonal changes of adolescence that affect diabetes care, feeling tension between adolescent independence and parent control, communicating without nagging or conflict, transferring diabetes care responsibility safely, dealing with feelings of stress and distress, and perceiving a lack of resources for T1DM care and insufficient personal time for self-care. In the prototype evaluation, both parents and providers found content to be relevant and provided feedback to guide the development of the full program. Conclusions Parents of adolescents with T1DM and providers expressed a need for parents to have more support in transitioning diabetes care from parent to adolescent. eHealth programs offer an ideal way to address these needs and ultimately can be linked to electronic medical records improving quality and efficiency of health care in this population.

Review of Family-centered Interventions to Enhance the Health Outcomes of Children With Type 1 Diabetes

2009 ◽  
Vol 35 (3) ◽  
pp. 428-438 ◽  
Author(s):  
Leesa A. McBroom ◽  
Maithe Enriquez
Keyword(s):  
Type 1 Diabetes ◽  
Health Outcomes ◽  
Cultural Differences ◽  
Family Relationships ◽  
Family Conflict ◽  
Family Structures ◽  
Start Date ◽  
Randomized Controlled ◽  
Family Centered

Purpose The purpose of this systematic literature review was to examine family-centered interventions that enhance the health outcomes of children with type 1 diabetes. The review summarizes the interventions and outcome measures that consisted of A1Cs, family relationships, and family conflict. Methods Multiple electronic databases were searched from their start date to September 2008 for reports of studies that examined family-centered interventions among children with type 1 diabetes. Results Nine publications, all randomized controlled trials, were located that investigated the effectiveness of family-centered interventions. Findings indicated that family-centered interventions significantly improved A1Cs, enhanced family dynamics, and decreased family conflict. Conclusions Family-centered interventions targeting children diagnosed with type 1 diabetes appear to be effective in enhancing health outcomes. These interventions focused on traditional 2-parent families, and many did not report race or ethnicity. Given the increasing number of single-parent households and divorced parents, a need exists to explore and develop family-centered interventions that target nontraditional family structures as well as addressing cultural differences.

scholarly journals Type 1 Diabetes in Athletes

2017 ◽  
Vol 13 (02) ◽  
pp. 51
Author(s):  
Jane Yardley ◽  
Keyword(s):  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Diabetes Care ◽  
Carbohydrate Intake ◽  
Insulin Dosage ◽  
Care Providers ◽  
Careful Planning ◽  
Record Keeping ◽  
Fitness Levels

Managing training and competition with type 1 diabetes is complicated, but not impossible. Athletes, and their diabetes care providers, should be aware of everything that might impact blood glucose responses to exercise. These factors include the type, timing, intensity and duration of exercise, as well as the timing and size of insulin dosage adjustments and carbohydrate intake. Due to differences in physiology (age, sex, fitness levels, etc.) there is no “one size fits all” solution, however, with careful planning and record-keeping, athletes with type 1 diabetes have the same opportunities for success in their sport as everyone else.

scholarly journals Primary Care Providers in California and Florida Report Low Confidence in Providing Type 1 Diabetes Care

2020 ◽  
Vol 38 (2) ◽  
pp. 159-165 ◽  
Author(s):  
Rayhan A. Lal ◽  
Nicolas Cuttriss ◽  
Michael J. Haller ◽  
Katarina Yabut ◽  
Claudia Anez-Zabala ◽  
...  
Keyword(s):  
Primary Care ◽  
Type 1 Diabetes ◽  
Diabetes Care ◽  
Primary Care Providers ◽  
Care Providers

scholarly journals Inpatient motivational interviewing for adolescent type 1 diabetics with poor glycemic control is ineffective

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Andrew L Roberts
Keyword(s):  
Randomized Controlled Trial ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Motivational Interviewing ◽  
Diabetes Care ◽  
Controlled Trial ◽  
Diabetes Education ◽  
Clinical Decision ◽  
Randomized Controlled

A clinical decision report appraising Wang Y-C, Mackenzie M, Nakonezny PA, et al. A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes. Diabetes Care. 2010;33(8):1741-1743. https://doi.org/10.2337/dc10-0019

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