Coping Skills Training for Children with T1D and Parents

1型糖尿病儿童及家长应对技巧培训

• 批准号: 7089121
• 负责人: MARGARET GREY
• 金额: $ 50.8万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-20 至 2007-09-16
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7089121
• 关键词: adolescence (12-20); anxiety; behavior therapy; behavioral /social science research tag; behavioral medicine; child (0-11); clinical research; clinical trials; conflict; coping; depression; family structure /dynamics; glycation; health behavior; hemoglobin As; hormone therapy; human subject; insulin; insulin dependent diabetes mellitus; longitudinal human study; mental health; parents; patient oriented research; psychological adaptation; quality of life

DESCRIPTION (provided by applicant): This competing continuation application seeks support for a significant extension of our current studies of the effects of a behavioral intervention, coping skills training (CST), for children and adolescents with type 1 diabetes (TID) and their parents. The specific aims for this application are: (1) Using a prospective, clinical trial design, we will determine the effect of booster CST sessions once school-age children reach adolescence on physiologic (serial Hemoglobin Alc (HbAlc), adverse events) and psychosocial adaptation (depressive symptoms and quality of life (QoL) in the children; depressive symptoms, coping, and adaptability in the parents; adaptability, conflict, diabetes behaviors in the family). (2) Using a prospective, randomized clinical trial design, we will determine the effect of CST conducted with parents of children with T1D less than 8 years of age on improving parental (QoL, fear of hypoglycemia, anxiety, and depressive symptoms) and family psychosocial adaptation (family adaptability, cohesion, conflict, and responsibility sharing) as compared to parents who receive a time-equivalent educational intervention. To achieve aim 1, we will maintain 60 subjects in our current study and enroll 30 more (age 8-12) with T1D and one of their parents and randomly assign them to one of two groups: a booster intervention at age 13-14 or education. Booster CST consists of a series of small group efforts designed to help youth cope with the management of their disease and will build on our previously successful work with teens. Both groups will receive intensive DM management from an established team of providers. Data will be collected pre and post intervention and at 6, and 12 months following using HbAlc, Self-Efficacy for Diabetes Scale, Children's Depression Inventory, Issues in Coping with IDDM-Child, and the Diabetes Quality of Life: Youth, Diabetes Family Behavior Scale for the children, and the Diabetes Responsibility & Conflict, Issues in Coping with IDDM-Parent, and FACES II scales in the parents. To meet aim 2, we will enroll 134 parents of young children (< 8 years of age) and randomly assign them to either CST or education. Similar parent and child outcomes will be collected at 0, 3, 6, and 12 months. It is expected that this important and timely study will yield valuable information to help other youth manage this devastating disease, and move our work from simple efficacy studies to effectiveness across groups.

描述（由申请人提供）：本竞争性延续申请寻求支持，以显着扩展我们目前的研究，这些研究涉及行为干预、应对技能训练 (CST) 对 1 型糖尿病 (TID) 儿童和青少年及其父母的影响。该应用的具体目标是：(1) 使用前瞻性临床试验设计，我们将确定学龄儿童进入青春期后加强 CST 课程对生理（连续血红蛋白 Alc (HbAlc)、不良事件）和心理社会的影响。适应（儿童的抑郁症状和生活质量（QoL）；父母的抑郁症状、应对和适应能力；家庭的适应能力、冲突、糖尿病行为）。 (2) 采用前瞻性、随机临床试验设计，我们将确定对 8 岁以下 T1D 儿童的父母进行 CST 对改善父母（生活质量、对低血糖的恐惧、焦虑和抑郁症状）和家庭的影响与接受同等时间教育干预的父母相比，社会心理适应（家庭适应性、凝聚力、冲突和责任分担）。为了实现目标 1，我们将在当前的研究中保留 60 名受试者，并招募另外 30 名 T1D 患者（8-12 岁）及其父母之一，并将他们随机分配到两组中的一组：13-14 岁的加强干预或教育。 Booster CST 由一系列小组努力组成，旨在帮助青少年应对疾病管理，并将以我们之前在青少年方面的成功工作为基础。两个小组都将接受来自已建立的提供商团队的集中 DM 管理。将在干预前和干预后以及干预后 6 个月和 12 个月时使用 HbAlc、糖尿病自我效能量表、儿童抑郁量表、儿童 IDDM 应对问题以及糖尿病生活质量：青少年、糖尿病家庭行为收集数据儿童量表、糖尿病责任与冲突、应对 IDDM 家长问题以及 FACES II 量表父母。为了实现目标 2，我们将招募 134 名幼儿（< 8 岁）的家长，并将他们随机分配到 CST 或教育。将在 0、3、6 和 12 个月时收集类似的父母和孩子结果。预计这项重要而及时的研究将产生有价值的信息，帮助其他年轻人应对这种毁灭性的疾病，并使我们的工作从简单的功效研究转向跨群体的有效性研究。