Introduction: The transition from pediatric to adult diabetes care is particularly risky for AYAs with T1D. We evaluate preliminary outcomes of a behavioral intervention targeting AYA health communication, T1D self-care, and transition readiness. Methods: 52 AYAs (48.1% male; 48.1% non-Hispanic White; M age=20.63±1.10 yrs) enrolled in Planning, Reflecting, and Engaging with Providers for Diabetes Care (PREP-DC) and were randomized to intervention (Int; n=26) or standard care (SC; n=26) groups. AYAs reported on communication, T1D self-care, and transition readiness at baseline and 4 mos (1 mo post-intervention); A1c was taken from medical records. AYAs rated satisfaction with PREP-DC participation (1-5; 5=extremely satisfied). T-tests examined change from baseline to follow-up and by group. Results: At follow-up, 51 AYAs (98%) completed questionnaires and 37 (71%) had A1c data. AYAs reported improvements in communication, T1D self-care, and transition readiness (Table 1), with few group differences. Both groups reported high satisfaction with participation (Int M=4.41±.59; SC M=4.45±.60). Discussion: AYAs were engaged in a behavioral trial promoting health communication; the Int group did not demonstrate significant improvements as compared to SC. Future analyses will evaluate final follow-up outcomes (8 mos post-intervention), including transfer to adult care. Disclosure M.Monaghan: Employee; National Institute of Diabetes and Digestive and Kidney Diseases, Research Support; American Diabetes Association. B.L.Bryant: None. C.H.Wang: None. J.E.Bost: None. R.Streisand: None. Funding American Diabetes Association (1-18-ACE-27 to M.M.)
Background: Managing T1D in a newly diagnosed young child significantly impacts family dynamics and is linked with elevated parental depressive symptoms. We examined the relationship among diabetes-related co-parenting cooperation and conflict soon after diagnosis with parent depressive symptoms 1 and 1.5 years later. Method: Participants were 157 primary caregivers (91.7% female, 76.4% married, 62.2% non-Hispanic White) of young children age 1-6 years (Mage=4.41.7 years; 54.8% female, 61.5% non-Hispanic White) in a behavioral intervention trial after child T1D diagnosis (M=29 days). Parents self-reported on Cooperation and Conflict subscales of the Diabetes-Specific Co-parenting Questionnaire (DCQ) and the Center for Epidemiological Studies Depression Scale (CES-D; ≥16=clinical elevation). Multiple logistic regressions were used with elevated depression score as outcome. Subjective socioeconomic status (SSES) and treatment condition were included as covariates. Results: Higher co-parenting conflict at baseline was associated with a 3.70 (OR=3.70, 95% CI=(1.68, 8.18) and 2.36 (OR=2.36, 95% CI=(1.13, 4.91)) higher odds of clinically elevated CES-D score risk at 1 and 1.5 years post-diagnosis, respectively. Higher co-parenting cooperation at baseline marginally reduced elevated CES-D odds by 0.58 (OR=0.58, 95% CI=(0.31, 1.10)) at 1.5 (but not 1) years post-diagnosis; higher SSES at baseline reduced depression odds by 0.97 (OR=0.97, 95% CI=(0.96, 1.00) at 1.5 (but not 1) years post-diagnosis. Discussion: Increased parental disagreements following T1D diagnosis may predict higher burden of managing T1D in a young child over time and possibly contribute to later depressive symptoms. Parental care strategies and interventions at T1D diagnosis that enhance supportive cooperation and communication among caregivers may help support parent psychosocial functioning over time. Disclosure L.Kang: None. C.H.Wang: None. M.E.Hilliard: None. C.Tully: None. M.Monaghan: Employee; National Institute of Diabetes and Digestive and Kidney Diseases, Research Support; American Diabetes Association. R.Streisand: None. Funding National Institutes of Health (1R01DK102561-01A1)
Introduction: Engagement in and recall of clinical discussions is a key component of patient-centered care. We evaluated frequency and agreement on discussion topics between young adults (YAs) with type 1 diabetes (T1D) and their health care provider (HCP) . Methods: 52 YAs (51.9% female; 48.1% non-Hispanic White (NHW) ; M age = 20.6±1.1 yrs; M T1D duration = 10.9±4.7 yrs; M A1c = 8.2±1.8%) and 9 HCPs (5 MDs; 4 NPs; 100% female) enrolled in a randomized trial to improve health communication skills in YAs preparing for adult T1D care. At baseline, YAs reported demographic information; after the baseline clinic visit, YAs and HCPs separately completed a checklist of topics discussed and rated satisfaction with the visit. Topic frequency and agreement between YAs and HCPs were calculated. Independent samples t-tests and correlations evaluated associations among demographic and clinical characteristics, discussion topics, and agreement. Results: YAs and HCPs had adequate agreement (M = 76.4%; Table 1) . Agreement was not associated with YA gender, age, T1D duration, A1c, or overall visit satisfaction. YAs of color had significantly higher agreement with HCPs than NHW YAs (81.4% vs. 70.8%; t (50) =2.3, p<.05) . Conclusions: Results highlight YA engagement and frequency of developmentally important topics in routine T1D visits. Communication plans may improve frequency of topics raised and recall, and will be evaluated in future research. Disclosure M.Monaghan: Employee; National Institute of Diabetes and Digestive and Kidney Diseases, Research Support; American Diabetes Association. B.Bryant: None. C.H.Wang: None. R.Streisand: None. Funding American Diabetes Association (1-18-ACE-27) ;
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.