A randomized clinical trial aimed at preventing poor psychosocial and glycemic outcomes in teens with type 1 diabetes (T1D).
Adolescents with type 1 diabetes have an increased risk for a variety of emotional and behavioral challenges as well as negative diabetes outcomes. This study was designed to compare the effectiveness of a depression-prevention, resilience promotion program with an advanced diabetes education program. Each program consisted of 9 group-based sessions. There were 264 adolescents enrolled in this multi-site randomized clinical trial. The primary outcomes were depressive symptoms and glycemic control; secondary outcomes included resilience skills, diabetes management and adherence, and diabetes-specific distress. The goal of the present paper is to describe the study design, the intervention, and the baseline characteristics of the sample. Preliminary data suggests that enrollment, randomization and retention were successful. Longitudinal follow-up and examination of mechanisms of action as they relate to psychosocial and glycemic outcomes will be explored in the future.
Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States. Electronic address: jwbenchell@luriechildrens.org.
Jill
J
Weissberg-Benchell
Nationwide Children's Hospital, Columbus, OH, United States.
Joseph
J
Rausch
Stanford University School of Medicine, Palo Alto, CA, United States.
Esti
E
Iturralde
Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
Aneta
A
Jedraszko
Stanford University School of Medicine, Palo Alto, CA, United States.
Korey
K
Hood
D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism; D003863:Depression / Q000517:prevention & control* / Q000523:psychology; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D055118:Medication Adherence; D010353:Patient Education as Topic / Q000379:methods*; D055500:Resilience, Psychological; D013315:Stress, Psychological / Q000523:psychology
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin; C517652:hemoglobin A1c protein, human
Adolescents; Depression; Diabetes; Methods; Prevention; Resilience