University of Colorado School of Medicine, Department of Pediatrics, Barbara Davis Center for Diabetes, 1775 Aurora Ct., Aurora, CO, United States of America.
Children's National, Pediatric Endocrinology, 111 Michigan Ave NW, Washington DC, United States of America.
Contemp Clin Trials. 2023 Aug;131:107270. doi: 10.1016/j.cct.2023.107270. Epub 2023 Jun 20.
Most adolescents with T1D do not meet glycemic recommendations or consistently perform the required self-management behaviors to prevent acute- and long-term deleterious health outcomes. In addition, most youth with T1D do not have access to behavioral health services to address T1D management barriers. Thus, delivering behavioral interventions during routine medical appointments may hold promise for improving T1D outcomes in adolescents. The overall objective of this study was to examine the effect of behavioral interventions, either a Personalized T1D Self-Management Behaviors Feedback Report or Problem-Solving Skills, delivered by a T1D behavioral health provider and a T1D medical provider during a joint, fully integrated appointment to improve health outcomes in youth with T1D. This paper describes the study rationale, design, and baseline characteristics for the 109 adolescent-caregiver dyads who participated. Primary and secondary outcomes include hemoglobin A1c (A1C), T1D self-management behaviors, and biological indicators of complications.
大多数患有 T1D 的青少年不符合血糖建议，也不能始终如一地执行所需的自我管理行为，以预防急性和长期的有害健康后果。此外，大多数患有 T1D 的青少年无法获得行为健康服务来解决 T1D 管理障碍。因此，在常规医疗预约期间提供行为干预措施可能有望改善青少年的 T1D 结局。本研究的总体目标是研究行为干预措施的效果，这些措施由 T1D 行为健康提供者和 T1D 医疗提供者在联合的、完全整合的预约中提供，无论是个性化 T1D 自我管理行为反馈报告还是解决问题技能，以改善患有 T1D 的青少年的健康结局。本文描述了参与的 109 名青少年-照顾者对的研究理由、设计和基线特征。主要和次要结局包括血红蛋白 A1c（A1C）、T1D 自我管理行为和并发症的生物学指标。
