Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes
Objective. The purpose of this study was to examine the feasibility and effectiveness of a web-delivered multicomponent behavioral and family-based intervention targeting self-regulation and self-monitoring of blood glucose levels (SMBG) and glycemic control (HbA1c) in teens with type 1 diabetes (T1...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/7485613 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850170113231159296 |
|---|---|
| author | Amy Hughes Lansing Catherine Stanger Alan Budney Ann S. Christiano Samuel J. Casella |
| author_facet | Amy Hughes Lansing Catherine Stanger Alan Budney Ann S. Christiano Samuel J. Casella |
| author_sort | Amy Hughes Lansing |
| collection | DOAJ |
| description | Objective. The purpose of this study was to examine the feasibility and effectiveness of a web-delivered multicomponent behavioral and family-based intervention targeting self-regulation and self-monitoring of blood glucose levels (SMBG) and glycemic control (HbA1c) in teens with type 1 diabetes (T1DM) living in rural US. Methods. 15 teens with poorly controlled T1DM participated in a 25-week web-delivered intervention with two phases, active treatment (weekly treatment sessions and working memory training program) and maintenance treatment (fading of treatment sessions). Results. Almost all (13 of 15) participants completed at least 14 of 15 treatment sessions and at least 20 of 25 working memory training sessions. SMBG was increased significantly at end of active and maintenance treatment, and HbA1c was decreased at end of active treatment (p’s ≤ 0.05). Executive functioning improved at end of maintenance treatment: performance on working memory and inhibitory control tasks significantly improved (p’s ≤ 0.02) and parents reported fewer problems with executive functioning (p=0.05). Improvement in inhibitory control was correlated with increases in SMBG and decreases in HbA1c. Conclusions. An innovative web-delivered and multicomponent intervention was feasible for teens with poorly controlled T1DM and their families living in rural US and associated with significant improvements in SMBG and HbA1c. |
| format | Article |
| id | doaj-art-a37a57ca0bb04fff91be469ad7c81059 |
| institution | OA Journals |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-a37a57ca0bb04fff91be469ad7c810592025-08-20T02:20:33ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/74856137485613Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 DiabetesAmy Hughes Lansing0Catherine Stanger1Alan Budney2Ann S. Christiano3Samuel J. Casella4Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03766, USADepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03766, USADepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH 03766, USAChildren’s Hospital at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USAChildren’s Hospital at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USAObjective. The purpose of this study was to examine the feasibility and effectiveness of a web-delivered multicomponent behavioral and family-based intervention targeting self-regulation and self-monitoring of blood glucose levels (SMBG) and glycemic control (HbA1c) in teens with type 1 diabetes (T1DM) living in rural US. Methods. 15 teens with poorly controlled T1DM participated in a 25-week web-delivered intervention with two phases, active treatment (weekly treatment sessions and working memory training program) and maintenance treatment (fading of treatment sessions). Results. Almost all (13 of 15) participants completed at least 14 of 15 treatment sessions and at least 20 of 25 working memory training sessions. SMBG was increased significantly at end of active and maintenance treatment, and HbA1c was decreased at end of active treatment (p’s ≤ 0.05). Executive functioning improved at end of maintenance treatment: performance on working memory and inhibitory control tasks significantly improved (p’s ≤ 0.02) and parents reported fewer problems with executive functioning (p=0.05). Improvement in inhibitory control was correlated with increases in SMBG and decreases in HbA1c. Conclusions. An innovative web-delivered and multicomponent intervention was feasible for teens with poorly controlled T1DM and their families living in rural US and associated with significant improvements in SMBG and HbA1c.http://dx.doi.org/10.1155/2016/7485613 |
| spellingShingle | Amy Hughes Lansing Catherine Stanger Alan Budney Ann S. Christiano Samuel J. Casella Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes Journal of Diabetes Research |
| title | Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes |
| title_full | Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes |
| title_fullStr | Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes |
| title_full_unstemmed | Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes |
| title_short | Pilot Study of a Web-Delivered Multicomponent Intervention for Rural Teens with Poorly Controlled Type 1 Diabetes |
| title_sort | pilot study of a web delivered multicomponent intervention for rural teens with poorly controlled type 1 diabetes |
| url | http://dx.doi.org/10.1155/2016/7485613 |
| work_keys_str_mv | AT amyhugheslansing pilotstudyofawebdeliveredmulticomponentinterventionforruralteenswithpoorlycontrolledtype1diabetes AT catherinestanger pilotstudyofawebdeliveredmulticomponentinterventionforruralteenswithpoorlycontrolledtype1diabetes AT alanbudney pilotstudyofawebdeliveredmulticomponentinterventionforruralteenswithpoorlycontrolledtype1diabetes AT annschristiano pilotstudyofawebdeliveredmulticomponentinterventionforruralteenswithpoorlycontrolledtype1diabetes AT samueljcasella pilotstudyofawebdeliveredmulticomponentinterventionforruralteenswithpoorlycontrolledtype1diabetes |