Bergner Erin M, Whittemore Robin, Patel Niral J, Savin Kimberly L, Hamburger Emily R, Jaser Sarah S
Vanderbilt University Medical Center.
Yale School of Nursing.
Transl Issues Psychol Sci. 2018;4(3):215-227. doi: 10.1037/tps0000161.
Problems with adherence are common among adolescents with type 1 diabetes (T1D), who must follow a complex treatment regimen. Positive psychology interventions increase adherence and improve health outcomes in adults with chronic conditions; however, they have not been translated to pediatric populations. We evaluated the acceptability and feasibility of Check It!, a positive psychology intervention to improve adherence in adolescents with T1D. Adolescents with T1D and their parents were randomized to a positive psychology intervention (via phone or text message) or an attention control (education) group. Exit interviews and satisfaction surveys were conducted with adolescents (n=63) and parents (n=55) to assess the acceptability and feasibility of Check it! from a representative sample of each group. Chi-square, -tests, ANOVA and content analysis methods were used to analyze data. Parents and adolescents indicated interest in the intervention, and enrollment numbers support feasibility. In terms of intervention delivery, we identified challenges in implementing the positive psychology reminders to adolescents, particularly in the phone group. Parents in the positive psychology group appreciated the reminders to provide affirmations to their children, and adolescents enjoyed the affirmations and reported using the positive psychology exercises. Regarding acceptability, participants in both groups reported high satisfaction with the intervention overall. Participants reported favorable experiences with Check It!, and findings indicate that text messages are more feasible than phone calls for interventions with adolescents. Overall, a positive psychology intervention delivered with automated text messages is feasible and acceptable to adolescents with T1D and their parents.
对于必须遵循复杂治疗方案的1型糖尿病（T1D）青少年来说，治疗依从性问题很常见。积极心理学干预可提高慢性病成年人的依从性并改善健康结局；然而，这些干预措施尚未应用于儿科人群。我们评估了“检查一下！”（Check It!）这一积极心理学干预措施对提高T1D青少年依从性的可接受性和可行性。患有T1D的青少年及其父母被随机分为积极心理学干预组（通过电话或短信）或注意力控制（教育）组。对青少年（n = 63）和父母（n = 55）进行了退出访谈和满意度调查，以评估“检查一下！”从每组的代表性样本来看的可接受性和可行性。使用卡方检验、t检验、方差分析和内容分析方法来分析数据。父母和青少年表示对干预措施感兴趣，且入组人数证明了其可行性。在干预实施方面，我们发现在向青少年实施积极心理学提醒时存在挑战，尤其是在电话组。积极心理学组的父母对收到向孩子提供肯定话语的提醒表示赞赏，青少年也喜欢这些肯定话语，并报告称使用了积极心理学练习。在可接受性方面，两组参与者总体上对干预措施的满意度都很高。参与者对“检查一下！”有良好的体验，研究结果表明，对于针对青少年的干预措施，短信比电话更可行。总体而言，通过自动短信提供的积极心理学干预对患有T1D的青少年及其父母来说是可行且可接受的。
