title: PREP-T1 (Preteen Re-Education With Parents-Type 1 Diabetes) Feasibility Intervention Results.
abstract: There has been a 2% to 3% increase in Type 1 diabetes (T1D) in children below 11 years old. Preteens (9-12 years old) with T1D are often overlooked regarding future diabetes self-management (DSM) expectations because parents are still in the "driver's seat." The study purpose was to explore feasibility/ability to recruit and conduct a two-arm trial on reeducation, collaboration, and social support. One component of DSM was reviewed (hypoglycemia) with preteens (n = 22) and parents (n = 22). The experimental preteens discussed hypoglycemia management with a teen mentor and nurse educator using a human patient simulator for practice, and working collaboratively with parents. Concurrently, mothers met with a parent mentor and psychologist to discuss growth and development, and collaborative shared management. Comparison dyads discussed hypoglycemia management with a nurse. Preteens slightly improved in diabetes knowledge; the experimental arm had higher problem-solving scores. Parents in the experimental arm had higher self-efficacy scores. Findings will inform future research.
authors.affiliation: New York University, New York City, USA ssb7@nyu.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Sullivan-Bolyai
authors.affiliation: University of Massachusetts, Worcester, USA.
authors.forename: Sybil
authors.initials: S
authors.lastname: Crawford
authors.affiliation: University of Massachusetts, Worcester, USA.
authors.forename: Kim
authors.initials: K
authors.lastname: Johnson
authors.affiliation: New York University, New York City, USA.
authors.forename: Neesha
authors.initials: N
authors.lastname: Ramchandani
authors.affiliation: University of Massachusetts, Worcester, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Quinn
authors.affiliation: New York University, New York City, USA.
authors.forename: Bianca
authors.initials: B
authors.lastname: D'Alesandro
authors.affiliation: New York University, New York City, USA.
authors.forename: Kailyn
authors.initials: K
authors.lastname: Stern
authors.affiliation: University of Pennsylvania, Philadelphia, USA.
authors.forename: Terry
authors.initials: T
authors.lastname: Lipman
authors.affiliation: New York University, New York City, USA.
authors.forename: Gail
authors.initials: G
authors.lastname: Melkus
authors.affiliation: Children's National Medical Center, Washington, DC, USA.
authors.forename: Randi
authors.initials: R
authors.lastname: Streisand
mesh_terms: D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007003:Hypoglycemia; D008297:Male; D008611:Mentors; D010290:Parents; D010353:Patient Education as Topic; D012648:Self Care; D012944:Social Support
keywords: T1D; peer support; preteen self-management education