一项针对1型糖尿病青少年的新型行为干预措施可改善血糖控制：一项试点随机对照试验的初步结果。
A novel behavioral intervention in adolescents with type 1 diabetes mellitus improves glycemic control: preliminary results from a pilot randomized control trial.
作者信息
Maranda Louise, Lau May, Stewart Sunita M, Gupta Olga T
机构信息
Department of Quantitative Health Science, University of Massachusetts Medical School, Worcester, Massachusetts (Dr Maranda)
Division of General Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas (Dr Lau)
出版信息
Diabetes Educ. 2015 Apr;41(2):224-30. doi: 10.1177/0145721714567235. Epub 2015 Jan 22.
PURPOSE
The purpose of this study was to develop and pilot-test an innovative behavioral intervention in adolescents with type 1 diabetes mellitus (T1DM) incorporating structured care of a pet to improve glycemic control.
METHODS
Twenty-eight adolescents with A1C > 8.5% (69 mmol/mol) were randomly assigned to either the intervention group (care of a Betta splendens pet fish) or the control group (usual care). Adolescents in the intervention group were given instructions to associate daily and weekly fish care duties with diabetes self-management tasks, including blood glucose testing and parent-adolescent communication.
RESULTS
After 3 months, the participants in the intervention group exhibited a statistically significant decrease in A1C level (-0.5%) compared with their peers in the control group, who had an increase in A1C level (0.8%) (P = .04). The younger adolescents (10-13 years of age) demonstrated a greater response to the intervention, which was statistically significant (-1.5% vs 0.6%, P = .04), compared with the older adolescents (14-17 years of age).
CONCLUSIONS
Structured care of a pet fish can improve glycemic control in adolescents with T1DM, likely by providing cues to perform diabetes self-management behaviors.
目的
本研究旨在开发并进行一项创新性行为干预措施，针对1型糖尿病（T1DM）青少年，该措施纳入宠物的结构化护理，以改善血糖控制。
方法
28名糖化血红蛋白（A1C）> 8.5%（69 mmol/mol）的青少年被随机分配到干预组（照顾一条斗鱼宠物鱼）或对照组（常规护理）。干预组的青少年接受指导，将每日和每周的鱼类护理职责与糖尿病自我管理任务联系起来，包括血糖检测和父母与青少年的沟通。
结果
3个月后，干预组的参与者糖化血红蛋白水平出现了统计学上的显著下降（-0.5%），而对照组的同龄人糖化血红蛋白水平有所上升（0.8%）（P = 0.04）。与年龄较大的青少年（14 - 17岁）相比，年龄较小的青少年（10 - 13岁）对干预的反应更大，具有统计学意义（-1.5%对0.6%，P = 0.04）。
结论
宠物鱼的结构化护理可以改善T1DM青少年的血糖控制，可能是通过提供执行糖尿病自我管理行为的提示来实现的。
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