title: A comparison of two internet programs for adolescents with type 1 diabetes: design and methods.
abstract: Implementing psycho-educational programs for youth with type 1 diabetes in clinical care and reaching diverse youth with type 1 diabetes is challenging due to youth, provider, and organizational barriers. This study was designed to compare the effectiveness of an internet coping skills training program with a control condition of internet diabetes education. Each program consists of 5 weekly interactive lessons; the coping skills training program also provides the ability for youth to interact with each other as well as a health coach. Approximately 300 youths with type 1 diabetes will be recruited to participate in this multi-site clinical trial. The primary outcomes are metabolic control, quality of life, and family conflict. Secondary outcomes include stress, coping, self-efficacy, and social competence. Usage, satisfaction, and cost will also be evaluated. In addition, mediators and moderators to intervention effects will be explored. An internet based psycho-educational program for youth with type 1 diabetes may be a promising approach that can be easily be integrated into clinical care.
authors.affiliation: Yale School of Nursing, New Haven, CT 06536-0740, USA. margaret.grey@yale.edu
authors.forename: Margaret
authors.initials: M
authors.lastname: Grey
authors.forename: Robin
authors.initials: R
authors.lastname: Whittemore
authors.forename: Lauren
authors.initials: L
authors.lastname: Liberti
authors.forename: Alan
authors.initials: A
authors.lastname: Delamater
authors.forename: Kathryn
authors.initials: K
authors.lastname: Murphy
authors.forename: Melissa S
authors.initials: MS
authors.lastname: Faulkner
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D015415:Biomarkers / Q000097:blood; D002648:Child; D002985:Clinical Protocols; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology / Q000628:therapy*; D054541:Family Conflict; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D020407:Internet; D010353:Patient Education as Topic / Q000191:economics / Q000379:methods*; D017060:Patient Satisfaction; D011615:Psychotherapy, Group / Q000191:economics / Q000379:methods*; D011788:Quality of Life; D012044:Regression Analysis; D012107:Research Design; D012944:Social Support; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human