: Although intervention or prevention with young children with T1DM may help ameliorate problems or forestall later problems in metabolic control, a number of potential barriers to research have constrained the development of such interventions. To assess the feasibility of intervening with young children and their families, we propose to conduct an exploratory pilot study of a behavioral intervention for young children (ages 7 to 11) newly diagnosed with T1DM. The intervention, derived from the pediatric prevention work of Seligman and his colleagues, seeks to apply positive psychology principles to enhance optimism, self-efficacy, and parent-child collaboration in diabetes management, in order to improve quality of life, adherence, and metabolic control. This exploratory study will allow us to evaluate the feasibility of intervening with young children and their caretakers and to estimate intervention effect sizes in preparation for a randomized controlled clinical trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
23
The treatment which incorporates cognitive restructuring and skill training, was designed to help children with diabetes and their families develop particular skills and optimistic/positive thinking style in order to facilitate better coping with the enduring demands and stress of diabetes management. The goal of the intervention was to improve the child's diabetes management both medically and psychologically by promoting optimism (positive outlook), mastery (problem-solving) and child-parent collaboration (team-work).
Mount Sinai School of Medicine
New York, New York, United States
adherence
Time frame: at baseline
adherence
Time frame: at 3 months
adherence
Time frame: at 6 months
adherence
Time frame: at 9 months
quality of life
Time frame: at baseline
quality of life
Time frame: at 3 months
quality of life
Time frame: at 6 months
quality of life
Time frame: at 9 months
optimism
Time frame: at baseline
optimism
Time frame: at 3 months
optimism
Time frame: at 6 months
optimism
Time frame: at 9 months
self-efficacy
Time frame: at baseline
self-efficacy
Time frame: at 3 months
self-efficacy
Time frame: at 6 months
self-efficacy
Time frame: at 9 months
parent-child collaboration
Time frame: at baseline
parent-child collaboration
Time frame: at 3 months
parent-child collaboration
Time frame: at 6 months
parent-child collaboration
Time frame: at 9 months
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