The purpose of this project is to assess the introduction of an individual follow-up distance coaching (phone and messages on a secure line platform) in order to optimize the health care of type 1 diabetes children with therapy adjustment difficulties. It is a personalized, multi-disciplinary, medical et paramedical. It will consist of an individual coaching for the children and families with therapy adjustment difficulties. The hypothesis is that the proposed coaching would allow to improve the patient glycemic control not only during this coaching, but also, to bring long lasting improvement following the coaching.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
106
coaching on the phone or with messages on line twice a month in order to help patients to adjust their insulin doses and fill in their self-assessment test.
completion of the self-assessment test at inclusion, at M6 and M12 for all study participants
Hôpital Jeanne de Flandres
Lille, France
Difference between the rate of glycosylated hemoglobin (HbA1c) before randomization (baseline) and the rate of glycosylated hemoglobin after 6 months coaching (measure M6).
Time frame: at 6 months
Difference between the rate of glycosylated hemoglobin (HbA1c) before randomization (baseline) and the follow-up.
Time frame: at baseline, at 3 months, at 12 months
Rate of patients presenting at least one bad accident (ketoacidosis and/or severe hypoglycemia)
Time frame: at 6 months
Patient self-assessment score
Time frame: at baseline, at 6 months, at 12 months
Capacity of proper adjustment of the treatment: binary variable " yes/no " evaluated to the judgment of the investigator
Time frame: at baseline, at 6 months, at 12 months
Binary variable attendance = 80% honored appointments
Time frame: at 6 months
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