Psychosocial outcomes in young adolescents with type 1 diabetes participating in shared medical appointments.
Adolescent
Child
Diabetes Mellitus, Type 1
/ blood
Family Conflict
/ psychology
Female
Glycated Hemoglobin
/ analysis
Humans
Male
Patient Participation
/ psychology
Psychosocial Functioning
Psychosocial Support Systems
Shared Medical Appointments
/ statistics & numerical data
Surveys and Questionnaires
Treatment Outcome
United States
/ epidemiology
depressive symptoms
family conflict
pediatrics
shared medical appointments
type 1 diabetes
Journal
Pediatric diabetes
ISSN: 1399-5448
Titre abrégé: Pediatr Diabetes
Pays: Denmark
ID NLM: 100939345
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
20
03
2021
received:
10
08
2020
accepted:
06
04
2021
pubmed:
11
4
2021
medline:
29
1
2022
entrez:
10
4
2021
Statut:
ppublish
Résumé
For youth with type 1 diabetes (T1D), the early adolescent period is associated with worsening diabetes management and high rates of negative psychosocial issues, including depressive symptoms and family conflict. Alternative clinical models may help improve both diabetes and psychosocial outcomes. Our study aims to investigate whether Team Clinic, a shared medical appointment model developed specifically for adolescents with T1D, will improve psychosocial outcomes for middle school-aged youth. Youth with T1D, 11-13 years of age, and their caregivers, participated in a randomized controlled trial comparing Team Clinic to traditional clinic visits (control group). Diabetes characteristics were obtained at every visit. Participants and caregivers completed depression screening and family conflict questionnaires at baseline and end of study. Changes in mean scores on clinical and psychosocial outcomes from baseline to end of study were compared between groups using linear mixed-effects models. Eighty-six youth (51% female; 74% White; 10% Hispanic) completed at least one visit during the 12-month study period. At the end of the study, control group participants reported increases in Emotional Problems compared to Team Clinic participants, including higher levels of Negative Mood/Physical Symptoms (p = 0.02). Team Clinic participants reported reduced family conflict surrounding diabetes at study end, compared to control group participants (p = 0.03). Caregivers did not report change in depressive symptoms or family conflict during the study. Hemoglobin A1C levels did not change over time in either group. Participation in Team Clinic was associated with improved psychosocial outcomes in middle school-aged participants with T1D.
Substances chimiques
Glycated Hemoglobin A
0
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
787-795Informations de copyright
© 2021 John Wiley & Sons A/S . Published by John Wiley & Sons Ltd.
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