The purpose of this research is to develop DIPPer Academy, a parent-focused, mobile health (mHealth) behavioral intervention to promote glycemic control in young children.
Because many young children with T1D have glucose levels that exceed targets, investigators need to develop efficacious, accessible, and readily disseminable interventions to help them to improve their glycemic control. To do this, the investigators need efficacious interventions that specifically address the challenges that parents of young children face in daily T1D management. Providers need mHealth interventions that minimize barriers that parents experience when trying to access face-to-face or in clinic interventions. Finally, interventions are needed that are packaged to be easily deployable by other diabetes centers. The investigator's proposed intervention, DIPPer Academy, will include all of these recommended advancements.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
62
The DIPPer Academy curricula will build on treatment models guided by the Health Beliefs Model (HBM) and Social Cognitive Theory (SCT). The curricula includes video microlectures, personalize progress reports, and other features delivered via the internet.
Parents in the standard of care control group will be instructed to manage their child's T1D as recommended by the diabetes team.
University of Kansas Medical Center
Kansas City, Kansas, United States
The Children's Mercy Hospital
Kansas City, Missouri, United States
Child Glycemic Control
Measure of hemoglobin A1c (HbA1c).
Time frame: absolute value Post-treatment (Week 33)
Parent Depressive Symptoms
Center for Epidemiological Studies-Depression Scale Revised (CES-D); higher scores suggest worse outcome. Range 0-60.
Time frame: absolute value Post-treatment (Week 33)
Parent Diabetes Distress
Problem Areas in Diabetes Distress- Parent Report Questionnaire. Higher scores reflect worse outcome. Range 0-72
Time frame: Absolute value at Post-treatment (Week 33)
Family Mealtime behaviors_Frequency
Behavioral Pediatrics Feeding Assessment Scale. This is a 35 item scale. This subscale reflects the frequency of perceived mealtime behavior problems (possible range: 35-175). Higher scores represent a worse outcome.
Time frame: absolute value at Post-treatment (Week 33)
Parents' Hypoglycemia Fear
Measured using the Hypoglycemia Fear Survey (HFS-PYC). This is a 26 item measure and higher values represent a worse outcome. Range: 26-130.
Time frame: absolute value at Post-treatment (Week 33)
Parenting Stress- Frequency
Measured using the Pediatric Inventory for Parents. This is a 42 item measure. Measure is scored so that higher values represent a worse outcome. Range: 42-210
Time frame: Absolute value at Post-treatment (Week 33)
Parents' T1D Self-efficacy
Measured using the Parental Self-Efficacy Scale for Diabetes Management. This is an 8 item measure of self-efficacy. It has only a total score (items are summed for the total). Range 8-40. Higher scores represent a better outcome.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Absolute value at Post-treatment (Week 33)
Parent Knowledge of T1D
Test of Diabetes Knowledge-5. This is a 41 item measure. There is general knowledge (0-29) and Problem solving (0-11). This is scored based on percent of items correct, so higher scores represent a better outcome.
Time frame: Absolute value at Post-treatment (Week 33)
Behavioral Pediatric Feeding Assessment Scale_Problem
Measured using the Behavioral Pediatrics Feeding Assessment Scale. This is a 35 item scale. This subscale reflects the number of mealtime behaviors that parents identify as problematic (possible range: 0-35). Higher scores represent a worse outcome.
Time frame: Absolute value at Post-treatment (Week 33)