DiaBetter Together: Clinical trial protocol for a strengths-based Peer Mentor intervention for young adults with type 1 diabetes transitioning to adult care.

Autor: Carreon SA; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Minard CG; Baylor College of Medicine, Houston, TX, United States of America., Lyons SK; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Levy W; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Camey S; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Desai K; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Duran B; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Streisand R; Children's National Hospital, Washington, DC, United States of America; George Washington University, School of Medicine, Washington, DC, United States of America., Anderson BJ; Baylor College of Medicine, Houston, TX, United States of America., McKay SV; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Tang TS; University of British Columbia, Faculty of Medicine, Vancouver, BC, Canada., Devaraj S; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America., Ramphul R; University of Texas Health Science Center, School of Public Health, Houston, TX, United States of America., Hilliard ME; Texas Children's Hospital, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America. Electronic address: marisa.hilliard@bcm.edu.
Jazyk: angličtina
Zdroj: Contemporary clinical trials [Contemp Clin Trials] 2024 Dec; Vol. 147, pp. 107713. Date of Electronic Publication: 2024 Oct 10.
DOI: 10.1016/j.cct.2024.107713
Abstrakt: Background: Type 1 diabetes (T1D) management is challenging for young adults, who are expected to transfer from the pediatric to adult T1D healthcare system while also managing typical developmental demands (e.g., social, financial, work/school, residential). Many young adults have extended gaps in care before following up in adult care, increasing risk for poor health outcomes. There are few evidence-based programs to support young adults with T1D to promote a timelier transition during this period. This paper reports on the design of DiaBetter Together, a randomized controlled trial to evaluate a 12-month Peer Mentor-delivered intervention compared to usual care among young adults with T1D during the transfer from pediatric to adult care.
Methods: One-hundred young adults (age 17-25) with T1D and 29 Peer Mentors enrolled in this randomized clinical trial. Peer Mentors are experienced, older young adults with T1D, trained by the study team to share transition experiences and strategies to successfully navigate the adult healthcare system, help young adults prepare for the first adult care visit, and use strengths-based support strategies to teach and model skills for managing T1D-related challenges.
Results: The primary outcome of the trial is HbA1c, and secondary outcomes include time to adult care, engagement in diabetes self-management behaviors, and psychosocial well-being.
Conclusion: The goal of this research is to evaluate a developmentally appropriate, supportive intervention that can improve T1D self-management and successful transfer of care during the difficult young adult years and promote optimal T1D health outcomes.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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