Communication and coping intervention for mothers of adolescents with type 1 diabetes: Rationale and trial design |
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| Institution: | 1. Vanderbilt University Medical Center, USA;2. University of Connecticut, USA;1. University of Colorado Denver, School of Medicine, Barbara Davis Center for Childhood Diabetes, United States of America;2. Indiana University, School of Medicine, Clinical Psychiatry, United States of America;3. Indiana University, School of Medicine, Pediatric Endocrinology/Diabetology, United States of America;4. Stanford University, School of Medicine, Pediatric Diabetes & Endocrinology, United States of America;5. Kaiser Permanente Norther California, Division of Research, United States of America;1. Medical College of Wisconsin/Children''s Hospital of Wisconsin, Milwaukee, WI 53266, USA;2. Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA;3. Department of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA,;4. Sonderegger Research Center, Division of Social and Administrative Sciences in Pharmacy, School of Pharmacy, University of Wisconsin-Madison, Madison, WI 53705, USA;5. Center for Health Care Delivery Science, Nemours Children''s Health System, Jacksonville, FL 32207, USA;6. Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA;7. Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA;1. Cincinnati Children''s Hospital Medical Center, University of Cincinnati Medical School, United States;2. Department of Nutrition, University of North Carolina, United States;3. Department of Pediatrics, School of Medicine, Stanford University, United States;4. Barbara Davis Center for Childhood Diabetes, University of Colorado Denver, United States;5. National Institute of Diabetes and Digestive and Kidney Diseases, United States |
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| Abstract: | Mothers of adolescents with type 1 diabetes (T1D) experience high rates of depressive symptoms and diabetes distress, which are established risk factors for deteriorating glycemic control, problems with adherence, increased depressive symptoms, and poor quality of life in adolescents. Given that adolescents are a high-risk population for suboptimal glycemic control, novel interventions to improve outcomes in adolescents with T1D are needed. Building on effective interventions to treat depression in adults, and our own pilot work in this population, we developed a cognitive behavioral intervention, Communication & Coping, to target maternal depressive symptoms and parenting behaviors. The randomized controlled trial compares the telephone and Facebook-delivered Communication & Coping intervention, which promotes the use of adaptive coping strategies and positive parenting practices, to a diabetes education control condition on diabetes outcomes and psychosocial outcomes in adolescents with T1D. This paper describes the study rationale, trial design, and methodology. |
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