title: Checking In: A Pilot of a Physician-Delivered Intervention to Increase Parent-Adolescent Communication About Blood Glucose Monitoring.
abstract: Low-cost, translatable interventions to promote adherence in adolescents with type 1 diabetes are needed. This study evaluated a brief physician-delivered intervention designed to increase parent-adolescent communication about blood glucose monitoring. Thirty adolescent-parent dyads completed baseline questionnaires and received the physician-delivered intervention. Participants completed follow-up questionnaires at 12 weeks; HbA1c and glucometer data were abstracted from medical charts. Parent-reported conflict surrounding diabetes management decreased from pre- to postintervention. Participants who reported adhering to the intervention plan (n = 15) demonstrated an increase in blood glucose monitoring frequency and trends in improved HbA1c and parental diabetes collaboration from pre- to postintervention. Participants and physicians reported overall satisfaction with the program. Results demonstrate initial feasibility as well as a trend toward improvement in diabetes-specific health indicators for parent-adolescent dyads who adhered to program components. Frequent joint review of glucometer data can be a useful strategy to improve type 1 diabetes-related health outcomes and parent-adolescent communication.
authors.affiliation: Children's National Health System, Washington, DC, USA George Washington University School of Medicine, Washington, DC, USA mmonagha@childrensnational.org.
authors.forename: Maureen
authors.initials: M
authors.lastname: Monaghan
authors.affiliation: Children's National Health System, Washington, DC, USA George Washington University School of Medicine, Washington, DC, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Clary
authors.affiliation: George Washington University School of Medicine, Washington, DC, USA.
authors.forename: Priya
authors.initials: P
authors.lastname: Mehta
authors.affiliation: Children's National Health System, Washington, DC, USA.
authors.forename: Alexa
authors.initials: A
authors.lastname: Stern
authors.affiliation: Children's National Health System, Washington, DC, USA.
authors.forename: Christina
authors.initials: C
authors.lastname: Sharkey
authors.affiliation: Children's National Health System, Washington, DC, USA George Washington University School of Medicine, Washington, DC, USA.
authors.forename: Fran R
authors.initials: FR
authors.lastname: Cogen
authors.affiliation: Children's National Health System, Washington, DC, USA George Washington University School of Medicine, Washington, DC, USA.
authors.forename: Priya
authors.initials: P
authors.lastname: Vaidyanathan
authors.affiliation: Children's National Health System, Washington, DC, USA George Washington University School of Medicine, Washington, DC, USA.
authors.forename: Randi
authors.initials: R
authors.lastname: Streisand
mesh_terms: D000293:Adolescent; D015190:Blood Glucose Self-Monitoring; D002648:Child; D003142:Communication; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010353:Patient Education as Topic; D010865:Pilot Projects; D012648:Self Care; D011795:Surveys and Questionnaires
keywords: Adolescence; blood glucose self-monitoring; communication; patient adherence