Abstract

The incidence of type 1 (T1) diabetes in young children < age 6 is on the rise and the management demands of these youngsters are unique due to their physiological and developmental characteristics. Parents are often solely responsible for their young child's diabetes management, and the stress and burden on parents may undermine adherence, control, and quality of life. By combining psychosocial counseling with standard diabetes management education, we are seeking to improve these outcomes. The proposed study is a randomized controlled trial evaluating the relative efficacy of a newly-developed parenting intervention on parenting behavior and diabetes control. Parents of children ages 1-6 years-old with T1 diabetes will be randomly allocated to either the intervention or comparison condition. In the intervention condition, parents will participate in 5 bi-weekly sessions addressing social, educational, cognitive, and behavioral aspects of parenting and diabetes management. In the comparison condition, parents will also participate in 5 bi-weekly sessions addressing diabetes education. In both conditions, session content will be delivered via the telephone. Participants will be assessed at baseline and again 3-, 6-, and 12- months post-intervention. Primary outcome measures include glycemic variability, experience of hypoglycemia, child mealtime behaviors, and parent and child quality of life; metabolic control will also be assessed. It is anticipated that providing both education and counseling to parents of young children with T1 diabetes will lead to more improved outcomes for parents and children alike. ? ? Public Health Relevance: The incidence of type 1 (T1) diabetes in young children < age 6 is on the rise and the management demands of these youngsters are unique due to their physiological and developmental characteristics. Parents are often solely responsible for their young child's diabetes management, and the stress and burden on parents may undermine adherence, control, and quality of life. By combining psychosocial counseling with standard diabetes management education, we are seeking to improve these outcomes. ? ? ?

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
1R01DK080102-01A1
Application #
7473541
Study Section
Psychosocial Risk and Disease Prevention Study Section (PRDP)
Program Officer
Hunter, Christine
Project Start
2008-04-01
Project End
2013-03-31
Budget Start
2008-04-01
Budget End
2009-03-31
Support Year
1
Fiscal Year
2008
Total Cost
$589,855
Indirect Cost

  Institution

Name
Children's Research Institute
Department
Type
DUNS #
143983562
City
Washington
State
DC
Country
United States
Zip Code
20010

  Publications

Mackey, Eleanor Race; Herbert, Linda; Monaghan, Maureen et al. (2016) The Feasibility of a Pilot Intervention for Parents of Young Children Newly Diagnosed with Type 1 Diabetes. Clin Pract Pediatr Psychol 4:35-50
Herbert, Linda J; Gillespie, Catherine; Monaghan, Maureen et al. (2016) Factors Associated with Recruitment and Retention in Randomized Controlled Trials of Behavioral Interventions for Patients with Pediatric Type 1 Diabetes. J Clin Psychol Med Settings 23:112-25
Monaghan, Maureen; Herbert, Linda Jones; Wang, Jichuan et al. (2015) Mealtime behavior and diabetes-specific parent functioning in young children with type 1 diabetes. Health Psychol 34:794-801
Monaghan, Maureen; Clary, Lauren; Mehta, Priya et al. (2015) Checking In: A Pilot of a Physician-Delivered Intervention to Increase Parent-Adolescent Communication About Blood Glucose Monitoring. Clin Pediatr (Phila) 54:1346-53
Herbert, Linda J; Clary, Lauren; Owen, Victoria et al. (2015) Relations among school/daycare functioning, fear of hypoglycaemia and quality of life in parents of young children with type 1 diabetes. J Clin Nurs 24:1199-209
Powell, Priscilla W; Corathers, Sarah D; Raymond, Jennifer et al. (2015) New approaches to providing individualized diabetes care in the 21st century. Curr Diabetes Rev 11:222-30
Herbert, Linda Jones; Monaghan, Maureen; Cogen, Fran et al. (2015) The impact of parents' sleep quality and hypoglycemia worry on diabetes self-efficacy. Behav Sleep Med 13:308-23
Streisand, Randi; Monaghan, Maureen (2014) Young children with type 1 diabetes: challenges, research, and future directions. Curr Diab Rep 14:520
Monaghan, Maureen; Younge, Tamiko B; McCarter, Robert et al. (2014) Average Daily Risk Range (ADRR) in Young Children With Type 1 Diabetes. J Diabetes Sci Technol 8:70-73
Hilliard, Marisa E; Holmes, Clarissa S; Chen, Rusan et al. (2013) Disentangling the roles of parental monitoring and family conflict in adolescents' management of type 1 diabetes. Health Psychol 32:388-96

Showing the most recent 10 out of 13 publications