The transition from pediatric to adult care is particularly difficult for individuals with Type 1 diabetes. It is hypothesized that a mindfulness-based intervention for individuals making this transition will contribute to personal psychological well-being, superior participation in health care, and more tightly controlled blood sugar levels. Young adults with Type I diabetes will complete an eight-week training program in Mindful Self-Compassion. Intervention effectiveness will be assessed with both self-report and physiological measures. Assessments will occur at the start of the training program, end of the program, and three-months post-program.
This research will evaluate the consequences of an eight-week Mindful Self-Compassion (MSC) intervention on the psychological and physical well-being of 18 to 25 year-old individuals with Type 1 diabetes who are at an age of established risk. Participants will be randomly assigned to either an immediate intervention group or wait-list control group. All participants will be tested before and after the intervention on a battery of self-report measures designed to assess various aspects of self-care and psychological functioning. Blood samples will also be taken before and after the intervention to determine HbA1C levels. Participants will also receive a followup assessment three-months post-intervention to assess the durability of the effects. We expect MSC training to induce positive change in participants' diabetes management and personal well-being.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
60
The MSC program was developed by Christopher K. Germer, PhD and Kristin Neff, PhD.
St. Boniface Hospital Research Centre
Winnipeg, Manitoba, Canada
RECRUITINGChange in average plasma glucose concentration
Assessed by HbA1C test results. The desired outcome is a statistically significant decrease in average glucose concentration, indicating greater diabetes management.
Time frame: Baseline, 8 weeks, and 3 months
Change in diabetes self-management
Assessed by total scores and subscale scores on the Summary of Diabetes Self-Care Activities (Toobert, Hampson, \& Glasgow, 2000), which range from 0 to 7 when item scores are averaged. The items assess general diet, specific diet, exercise, blood-glucose testing, foot care, and smoking. The desired outcome is a statistically significant increase in diabetes self-management.
Time frame: Baseline, 8 weeks, and 3 months
Change in Self-compassion
Assessed by total scores and subscale scores on the Self-Compassion Scale (Neff, 2003), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant increase in self-compassion.
Time frame: Baseline, 8 weeks, and 3 months
Change in Mindfulness
Assessed by total scores and subscale scores on the Five Facet Mindfulness Questionnaire (Baer et al., 2006), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant increase in mindfulness.
Time frame: Baseline, 8 weeks, and 3 months
Change in Fears of Compassion
Assessed by total scores and subscale scores on the Fears of Compassion Scales (Gilbert et al., 2011), which range from 0 to 4 when item scores are averaged. The desired outcome is a statistically significant decrease in fears of compassion.
Time frame: Baseline, 8 weeks, and 3 months
Change in Positive Affect
Assessed by total scores on the Positive Affective Well-Being scale (Hess et al., 2005; score range: 1 to 7) and scores on the positive affect subscale of the Positive and Negative Affect Schedule (Watson, Clark, \& Tellegen, 1988; score range: 1 to 5). The desired outcome is a statistically significant increase in positive affect.
Time frame: Baseline, 8 weeks, and 3 months
Change in Negative Affect
Assessed by scores on the negative affect subscale of the Positive and Negative Affect Schedule (Watson, Clark, \& Tellegen, 1988), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant decrease in negative affect.
Time frame: Baseline, 8 weeks, and 3 months
Change in Perceived Stress
Assessed by total scores on the Perceived Stress Scale (Cohen et al., 1983), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant decrease in perceived stress.
Time frame: Baseline, 8 weeks, and 3 months
Change in Life Engagement
Assessed by total scores on the Life Engagement Test (Scheier et al., 2006), which range from 1 to 5 when item scores are averaged. The desired outcome is a statistically significant increase in life engagement.
Time frame: Baseline, 8 weeks, and 3 months
Change in Health Locus of Control
Assessed by subscale scores (internal, chance, powerful others) on the Multidimensional Health Locus of Control Scale (Wallston et al., 1978), which range from 1 to 6 when item scores are averaged. The desired outcome is a statistically significant increase in internal health locus of control.
Time frame: Baseline, 8 weeks, and 3 months
Change in Eating Disorder Symptomatology
Assessed by total scores and subscale scores on the Eating Disorders Examination Questionnaire (Fairburn \& Beglin, 1994), which range from 0 to 6 when item scores are averaged. The desired outcome is a statistically significant decrease in eating disorder symptomatology.
Time frame: Baseline, 8 weeks, and 3 months
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