Advancing Diabetes Management in Adolescents Using Health Information Technology

Indiana University129 enrolled

Overview

The study will compare three treatment strategies to look at the best clinical outcomes. The investigator hypothesizes that the combined approach of a health information technology program plus a conflict-management contract will lead to the best outcomes.

This study will compare three strategies for enhancing adherence to diabetes care in our population. The study will look at which strategy results in the best short-term clinical outcomes for the population. Also, the study will look at patient satisfaction of contact with his/her health care team, quality of life, and family dynamics. The three arms are: 1. HIT (health information technology) aided approach 2. Contracted conflict-management strategy 3. Combination of the HIT-aided approach and the contracted conflict management strategy

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

129

Conditions

Type 1 Diabetes

Interventions

HIT-aided approachBEHAVIORAL

Subjects randomized to this approach will be using the HIT-aided monitor.

Contracted conflict management systemBEHAVIORAL

Subjects randomized to this arm will be using the behavioral contracted conflict management system.

HIT plus contracted conflict managementBEHAVIORAL

Subjects randomized to this arm will use both the HIT-aided approach and the behavioral contract conflict management system.

Eligibility

Sex: ALLMin age: 12 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Type 1 diabetes diagnosed for at least 6 months * At least one or more parent/guardian who agrees to participate Exclusion Criteria: * Other chronic diseases with the exception of well-controlled asthma or treated thyroid disease

Locations (2)

Riley Children's Specialties

Carmel, Indiana, United States

Riley Children's Hospital

Indianapolis, Indiana, United States

Outcomes

Primary Outcomes

Glycemic Control using HBA1C

Change in Glycemic Control

Time frame: Baseline, 3 months, and 6 months

Secondary Outcomes

Frequency of self monitoring blood glucose measurement

change in Self-monitoring blood glucose measurement

Time frame: Baseline, 3 months, 6 months

Quality of Life

Change in Diabetes-specific quality of life measures will be measured by the Varney's Pediatric Quality of Life 3.0 Diabetes Module.

Time frame: Baseline and 6 months

Family dynamics

Change in family dynamics measured by the Cornell Parent Behavior Description Scale and the Helping for Health Inventory.

Time frame: Baseline and 6 months

Treatment Adherence Behaviors

Change in treatment adherence behaviors measured by the Self-Care Inventory with supplemental questions determined by the investigator.

Time frame: Once per month for 6 months

Data from ClinicalTrials.gov

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