Randomized Trial of a Positive Psychology Intervention for Adolescents With Type 1 Diabetes
| Autor: | William E. Russell, Leena Choi, Samuel K. Nwosu, Sarah S. Jaser, Robin Whittemore |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Blood Glucose
Male Coping (psychology) medicine.medical_specialty Adolescent media_common.quotation_subject 030209 endocrinology & metabolism law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires Diabetes mellitus Adaptation Psychological Gratitude Developmental and Educational Psychology medicine Humans 030212 general & internal medicine media_common Glycemic Blood glucose monitoring Type 1 diabetes medicine.diagnostic_test business.industry Blood Glucose Self-Monitoring medicine.disease Psychology Positive Patient Outcome Assessment Diabetes Mellitus Type 1 Caregivers Pediatrics Perinatology and Child Health Quality of Life Physical therapy Female Positive psychology business Regular Articles Follow-Up Studies |
| Zdroj: | J Pediatr Psychol |
| ISSN: | 1465-735X 0146-8693 |
| DOI: | 10.1093/jpepsy/jsz006 |
| Popis: | Objective To evaluate the effects of a positive psychology intervention for adolescents with type 1 diabetes (T1D) on adherence, glycemic control, and quality of life. Methods Adolescents with T1D (n = 120) and their caregivers were randomized to either an Education (EDU) (n = 60) or Positive Affect (PA) intervention (n = 60). Adolescents in the PA group received the intervention reminders (gratitude, self-affirmation, parental affirmation, and small gifts) via text messages or phone calls over 8 weeks. Questionnaires were completed by adolescents and caregivers and clinical data (glucometer and HbA1c) were collected at baseline 3 and 6 months. Data were analyzed using generalized linear modeling. Results After adjusting for covariates, adolescents in the PA group demonstrated significant improvement in quality of life at 3 months, compared to the EDU group, but this was not sustained at 6 months. Similarly, the PA group showed a significant decrease in disengagement coping at 3 months but not at 6 months. There was no significant intervention effect on blood glucose monitoring, but the odds of clinically significantly improvement (checking at least one more time/day) were about twice as high in the PA group as the EDU group. No significant effects were found for glycemic control. Conclusions A positive psychology intervention had initial significant, positive effects on coping and quality of life in adolescents with T1D. A more intensive or longer-lasting intervention may be needed to sustain these effects and to improve adherence and glycemic control. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|