Reproductive Health Intervention for Teen Girls with DM

患有 DM 的少女的生殖健康干预

• 批准号: 7097479
• 负责人: DENISE Cecile CHARRON-PROCHOWNIK
• 金额: $ 36.41万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7097479
• 关键词: DVD /CD ROM; adolescence (12-20); behavioral /social science research tag; clinical research; counseling; diabetes mellitus; educational resource design /development; family planning; female; health behavior; health education; human subject; longitudinal human study; pregnancy; publications; reproductive development; social psychology

DESCRIPTION (provided by applicant): Diabetes (DM) can cause reproductive complications. In women with DM, planning a pregnancy and maintaining metabolic control through Preconception Counseling (PC) and care reduces the incidence of congenital abnormalities from 9% to 2%. The American Diabetes Association recommends that, beginning at puberty, PC be given to all women of childbearing age. However, 2/3rds of diabetic women continue to have unplanned pregnancies. We previously reported that many teens with type 1 DM were sexually active, unaware of PC and these problems, and are at high risk for an unplanned pregnancy. Our team developed a theory-based "Reproductive-health Education and Awareness of Diabetes in Youth for Girls" (READY-Girls) program tailored specifically for teen women with type 1 DM as a CD and book. The program evaluation showed that either CD or book alone were effective (n2=. 062-.291) in enhancing the short-range outcomes of reproductive health awareness, knowledge, attitudes, and positively influencing intentions of 16-19 yr. olds with type 1 DM to prevent an unplanned pregnancy and seek PC. Although some effects were sustained over 3 months, several attitudes and intentions towards behaviors were not. These results, along with the recent epidemic in type 2 DM, especially among minority female adolescents, emphasize the compelling need for an earlier cost-effective, more individualized, maintenance intervention program that will also include information for teens with type 2 DM. Using a mental models approach, we plan to restructure the program to maximize its efficacy. We will then conduct a multi-site randomized-controlled multi-session study to evaluate the effects of a combined DVD and book intervention with a health professional resource component on long-range cognitive, psychosocial, behavioral and biological outcomes and its cost-effectiveness in 13-<20 year old teens with type 1 or 2 DM. This clinic-based self-administered, stand-alone education program could be a low-cost method of reducing unplanned pregnancies and adverse infant outcomes. Thus setting new standards of practice, focusing on empowering teens with DM to make informed choices, and potentially improving their reproductive health and the health of their future children.

描述（由申请人提供）：糖尿病（DM）可能导致生殖并发症。在患有DM的妇女中，计划怀孕并通过曾经的看法咨询（PC）维持代谢控制，并且CARA将先天性异常的发生率从9％降低到2％。美国糖尿病协会建议，从青春期开始，将PC提供给所有育龄妇女。然而，2/3名糖尿病妇女继续患有外妊娠。我们以前报道说，许多具有1型DM的青少年是性活跃的，不知道PC和这些问题，并且有计划外怀孕的高风险。我们的团队开发了一个基于理论的“生殖健康教育和对女孩青年糖尿病的认识”（现成的）计划，专门针对1型DM的青少年女性作为CD和书籍量身定制。该计划的评估表明，单独的CD或书籍是有效的（N2 =。062-.291），可以增强生殖健康意识，知识，态度和积极影响16-19岁的意图的短期结果。具有1型DM的老人，以防止计划外怀孕并寻求PC。尽管某些影响持续了3个月，但对行为的几种态度和意图却没有。这些结果以及最近在2型DM中的流行病，尤其是在少数族裔女性青少年中，强调了对较早的成本效益，更个性化的维护干预计划的迫切需求，该计划还将包括2型DM青少年的信息。使用心理模型方法，我们计划重组该程序以最大化其功效。然后，我们将进行一项多站点随机控制的多课程研究，以评估与卫生专业资源成分组合对长期认知，心理社会，行为和生物学成果以及其成本效益在13- <20岁的青少年中具有1或2 dm的成本效益的影响。这项基于诊所的自我管理，独立的教育计划可能是减少计划外怀孕和不良婴儿结果的低成本方法。因此，制定了新的实践标准，专注于通过DM赋予青少年的能力，以做出明智的选择，并有可能改善其生殖健康和未来孩子的健康。