The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes.

Autor:	Knauft KM; Department of Psychology, Wayne State University, 5057 Woodward Ave, Detroit, MI 48202, United States.; Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States., Jacques-Tiura AJ; Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States., Idalski Carcone A; Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States., Evans M; Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.; Department of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, IL, United States., Weissberg-Benchell J; Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.; Department of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, IL, United States., Buggs-Saxton C; Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, United States., Boucher-Berry C; Department of Pediatrics, University of Illinois School of Medicine at Chicago, Chicago, IL, United States., Miller JL; Department of Pediatrics, Northwestern Feinberg School of Medicine, Chicago, IL, United States., Drossos T; Department of Psychiatry and Behavioral Neurosciences, University of Chicago Pritzker School of Medicine, Chicago, IL, United States., Dekelbab B; Pediatric Endocrinology, Corewell Health, Royal Oak, MI, United States., Ellis DA; Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, United States.
Jazyk:	angličtina
Zdroj:	Journal of pediatric psychology [J Pediatr Psychol] 2024 Aug 01; Vol. 49 (8), pp. 538-546.
DOI:	10.1093/jpepsy/jsae033
Abstrakt:	Objective: Due to systemic inequities, Black adolescents with type 1 diabetes are more likely to have suboptimal glycemic control and high rates of diabetes distress, but tailored interventions for this population are lacking. In primary outcomes of a randomized clinical trial, a family-based eHealth intervention improved glycemic control in Black adolescents with type 1 diabetes and elevated depressive symptoms. The present study is a secondary analysis of these clinical trial data examining the moderating effect of diabetes distress on the efficacy of the intervention. Methods: Using secondary data from a multicenter randomized clinical trial (Clinicaltrials.gov [NCT03168867]), caregiver-adolescent dyads were randomly assigned to either up to three sessions of an eHealth parenting intervention (n = 75) or a standard medical care control group (n = 74). Black adolescents (10 years, 0 months to 14 years, 11 months old) with type 1 diabetes and a caregiver willing to participate were eligible. Adolescents reported their diabetes distress at baseline, and hemoglobin A1c (HbA1c) data were collected at baseline, 6-, 13-, and 18-month follow-up. Results: No between-group contrasts emerged in a linear mixed-effects regression (p's > .09). Within-group contrasts emerged such that adolescents assigned to the intervention who reported high diabetes distress had lower HbA1c at the 18-month follow-up relative to baseline (p = .004); the 18-month decrease in HbA1c was -1.03%. Conclusions: Black adolescents with type 1 diabetes and high levels of diabetes distress showed significant decreases in HbA1c following a family-based eHealth intervention, suggesting diabetes distress may be a key moderator of intervention efficacy within this population. (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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