An eHealth Program for Parents of Adolescents With T1DM Improves Parenting Stress: A Randomized Control Trial
| Autor: | Roberta Delvy, Julia L. Coleman, Lisa D. Marceau, Robin Whittemore, Rebekah Zincavage, James Ambrosoli, Bernet Kato, Ling Shi |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Parents Program evaluation medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism media_common.quotation_subject MEDLINE 030209 endocrinology & metabolism Anxiety Health Professions (miscellaneous) law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Diabetes mellitus medicine eHealth Humans Parent-Child Relations media_common Glycated Hemoglobin Type 1 diabetes Teamwork Parenting business.industry Parenting stress Middle Aged medicine.disease Telemedicine Diabetes Mellitus Type 1 Physical therapy Family Therapy Female business Program Evaluation |
| Zdroj: | The Diabetes Educator. 46:62-72 |
| ISSN: | 1554-6063 0145-7217 |
| DOI: | 10.1177/0145721719890372 |
| Popis: | Purpose The purpose of this study was to evaluate the short-term effects of the Type 1 Teamwork program for parents of adolescents with type 1 diabetes mellitus (T1DM) on the primary outcome of psychosocial stress. Methods The study was a randomized wait-list control trial evaluating an eHealth program to reduce parenting stress around T1DM management during adolescence through interactive sessions on the safe transfer of responsibility, positive communication, and stress management. The primary outcome was psychosocial stress (parenting stress specific to child illness and general stress). Secondary outcomes included depressive and anxiety symptoms, parent support for adolescent autonomy, family conflict, and adolescent metabolic control (A1C). Data were collected at baseline, 3 months, and 6 months online. Mixed-model analyses were conducted, using intent-to-treat procedures. Results Parents (n = 162) had a mean age of 45.6 (±5.3) years, were 98% female, 91% white, 91% married/partnered, 51% of high income, and geographically dispersed around the United States. Parents reported that adolescents had a mean A1C of 7.9% (±1.2%) and T1DM duration of 5.08 (±3.62) years. At 6 months, parents in the Type 1 Teamwork group demonstrated less parenting stress compared with the control group. There were no differences between groups on general stress or secondary outcomes. Attrition at 6 months was 32% in the treatment group and 11% in the control group. Conclusions An eHealth program for parents of adolescents with T1DM improves parenting stress in a sample of parents from across the United States. |
| Databáze: | OpenAIRE |
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