45-LB: Improving Resiliency in Children with Type 1 Diabetes
| Autor: | Gabriel Q. Shaibi, Francine Hoekstra, Melissa Chambers, Synthia S. Puffenberger, Chirag Kapadia |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Type 1 diabetes
business.industry Endocrinology Diabetes and Metabolism media_common.quotation_subject Motivational interviewing medicine.disease Psychological health Distress Diabetes mellitus Intervention (counseling) Internal Medicine medicine Psychological resilience business Pediatric population Clinical psychology media_common |
| Zdroj: | Diabetes. 70 |
| ISSN: | 1939-327X 0012-1797 |
| DOI: | 10.2337/db21-45-lb |
| Popis: | Type 1 diabetes (T1D) is a chronic medical condition that can negatively impact both physical and psychological health. Diabetes resilience can be protective against the physical and social/emotional consequences among children with T1D yet few studies have examined the ability to increase resiliency in the pediatric population. Forty children with T1D (Age 14.1±2.3 years, 48% female, Hba1c 12.0±1.6%) were enrolled in a 4-month multi-disciplinary intervention that included medical management, Psychology-led motivational interviewing, and frequent support from a Certified Diabetes Care and Education Specialist (CDCES). Participants completed the Diabetes Strengths and Resilience (DSTAR) measure at baseline and post-intervention. The DSTAR is a validated assessment tool aimed to assess both self and parent reported measures of general and diabetes-related child self-efficacy and level of perceived support, as well as diabetes distress. HbA1c was assessed at baseline and 4 months. At baseline, higher DSTAR scores were associated with lower HbA1c (r=-0.34, p=0.03). DSTAR scores increased significantly in response to the intervention from 43.9±6.4 to 47.2±6.9 at 4 months (p Disclosure S. S. Puffenberger: None. F. Hoekstra: None. C. R. Kapadia: None. G. Q. Shaibi: None. M. Chambers: None. Funding Thomas J. Beatson Jr. Foundation |
| Databáze: | OpenAIRE |
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