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Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes

OBJECTIVE: The purpose of this study was to determine the efficacy of two Internet-based psycho-educational programs designed to improve outcomes for youth with type 1 diabetes transitioning to adolescence. RESEARCH DESIGN AND METHODS: The study was a multisite clinical trial of 320 youth (aged 11–1...

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Autores principales: Grey, Margaret, Whittemore, Robin, Jeon, Sangchoon, Murphy, Kathryn, Faulkner, Melissa S., Delamater, Alan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747907/
https://www.ncbi.nlm.nih.gov/pubmed/23579179
http://dx.doi.org/10.2337/dc12-2199
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author Grey, Margaret
Whittemore, Robin
Jeon, Sangchoon
Murphy, Kathryn
Faulkner, Melissa S.
Delamater, Alan
author_facet Grey, Margaret
Whittemore, Robin
Jeon, Sangchoon
Murphy, Kathryn
Faulkner, Melissa S.
Delamater, Alan
author_sort Grey, Margaret
collection PubMed
description OBJECTIVE: The purpose of this study was to determine the efficacy of two Internet-based psycho-educational programs designed to improve outcomes for youth with type 1 diabetes transitioning to adolescence. RESEARCH DESIGN AND METHODS: The study was a multisite clinical trial of 320 youth (aged 11–14 years; 37% minority; 55% female) randomized to one of two Internet-based interventions: TeenCope or Managing Diabetes. Primary outcomes were HbA(1c) and quality of life (QOL). Secondary outcomes included coping, self-efficacy, social competence, self-management, and family conflict. Data were collected at baseline and after 3, 6, and 12 months online. Youth were invited to cross over to the other program after 12 months, and follow-up data were collected at 18 months. Analyses were based on mixed models using intent-to-treat and per-protocol procedures. RESULTS: Youth in both groups had stable QOL and minimal increases in HbA(1c) levels over 12 months, but there were no significant differences between the groups in primary outcomes. After 18 months, youth who completed both programs had lower HbA(1c) (P = 0.04); higher QOL (P = 0.02), social acceptance (P = 0.01), and self-efficacy (P = 0.03) and lower perceived stress (P = 0.02) and diabetes family conflict (P = 0.02) compared with those who completed only one program. CONCLUSIONS: Internet interventions for youth with type 1 diabetes transitioning to adolescence result in improved outcomes, but completion of both programs was better than only one, suggesting that these youth need both diabetes management education and behavioral interventions. Delivering these programs via the Internet represents an efficient way to reach youth and improve outcomes.
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spelling pubmed-37479072014-09-01 Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes Grey, Margaret Whittemore, Robin Jeon, Sangchoon Murphy, Kathryn Faulkner, Melissa S. Delamater, Alan Diabetes Care Original Research OBJECTIVE: The purpose of this study was to determine the efficacy of two Internet-based psycho-educational programs designed to improve outcomes for youth with type 1 diabetes transitioning to adolescence. RESEARCH DESIGN AND METHODS: The study was a multisite clinical trial of 320 youth (aged 11–14 years; 37% minority; 55% female) randomized to one of two Internet-based interventions: TeenCope or Managing Diabetes. Primary outcomes were HbA(1c) and quality of life (QOL). Secondary outcomes included coping, self-efficacy, social competence, self-management, and family conflict. Data were collected at baseline and after 3, 6, and 12 months online. Youth were invited to cross over to the other program after 12 months, and follow-up data were collected at 18 months. Analyses were based on mixed models using intent-to-treat and per-protocol procedures. RESULTS: Youth in both groups had stable QOL and minimal increases in HbA(1c) levels over 12 months, but there were no significant differences between the groups in primary outcomes. After 18 months, youth who completed both programs had lower HbA(1c) (P = 0.04); higher QOL (P = 0.02), social acceptance (P = 0.01), and self-efficacy (P = 0.03) and lower perceived stress (P = 0.02) and diabetes family conflict (P = 0.02) compared with those who completed only one program. CONCLUSIONS: Internet interventions for youth with type 1 diabetes transitioning to adolescence result in improved outcomes, but completion of both programs was better than only one, suggesting that these youth need both diabetes management education and behavioral interventions. Delivering these programs via the Internet represents an efficient way to reach youth and improve outcomes. American Diabetes Association 2013-09 2013-08-13 /pmc/articles/PMC3747907/ /pubmed/23579179 http://dx.doi.org/10.2337/dc12-2199 Text en © 2013 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Original Research
Grey, Margaret
Whittemore, Robin
Jeon, Sangchoon
Murphy, Kathryn
Faulkner, Melissa S.
Delamater, Alan
Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
title Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
title_full Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
title_fullStr Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
title_full_unstemmed Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
title_short Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes
title_sort internet psycho-education programs improve outcomes in youth with type 1 diabetes
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747907/
https://www.ncbi.nlm.nih.gov/pubmed/23579179
http://dx.doi.org/10.2337/dc12-2199
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