A Randomized Controlled Clinical Trial to Improve Health Outcomes in Youth with Type 1 Diabetes: Study Design and Baseline Characteristics

Overview

Journal Contemp Clin Trials

Publisher Elsevier

Date 2023 Jun 22

PMID 37348599

Authors

Holly K ODonnell

Paige J Trojanowski

G Todd Alonso

Shideh Majidi

Janet Snell-Bergeon

R Paul Wadwa

Tim Vigers

Laura Pyle

Matthew J Gurka

Emily Shaffer

Kimberly A Driscoll

Affiliations

Soon will be listed here.

Abstract

Most adolescents with T1D do not meet glycemic recommendations or consistently perform the required self-management behaviors to prevent acute- and long-term deleterious health outcomes. In addition, most youth with T1D do not have access to behavioral health services to address T1D management barriers. Thus, delivering behavioral interventions during routine medical appointments may hold promise for improving T1D outcomes in adolescents. The overall objective of this study was to examine the effect of behavioral interventions, either a Personalized T1D Self-Management Behaviors Feedback Report or Problem-Solving Skills, delivered by a T1D behavioral health provider and a T1D medical provider during a joint, fully integrated appointment to improve health outcomes in youth with T1D. This paper describes the study rationale, design, and baseline characteristics for the 109 adolescent-caregiver dyads who participated. Primary and secondary outcomes include hemoglobin A1c (A1C), T1D self-management behaviors, and biological indicators of complications.

Citing Articles

Body mass index moderates the association between diabetes distress and objective self-management behaviours in adolescents with type 1 diabetes and elevated A1Cs.

Trojanowski P, Pardon A, Reynolds C, ODonnell H, Alonso G, Majidi S Diabet Med. 2024; 41(7):e15325.

PMID: 38551326 PMC: 11164643. DOI: 10.1111/dme.15325.

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