Positive Psychology to Improve Adherence in Adolescents With Type 1 Diabetes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Glycemic Control (HbA1c)
Study Overview
Brief Summary
Problems with diabetes management in adolescents with type 1 diabetes are common - occurring at rates as high as 93% - and have serious health consequences, including poor blood sugar control and risk for later complications. Therefore, the investigators proposed to test a positive psychology intervention for adolescents with type 1 diabetes aimed at increasing motivation for diabetes management; specifically, to increase the frequency of blood glucose monitoring. This intervention will boost positive mood in adolescents (age 13-17) through tailored exercises in gratitude, self-affirmation, small gifts, and parent affirmation as a way to improve motivation for diabetes management. In addition, this study will explore the use of technology, by comparing telephone-administered vs. automated text-messaging versions of the intervention, to determine which mode of delivery is more appealing, convenient, and beneficial for adolescents in managing their diabetes.
Participants and parents will complete questionnaires on mood and diabetes management during a routine clinic visits at baseline, 3 months, and 6 months. Clinical measures of diabetes management will be collected from participants' electronic medical records.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 13 Years to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosed with type 1 diabetes for at least 6 months
- •HbA1c between 8-12%
- •Speak and read English
- •Caregiver living with child
Exclusion Criteria
- •Other uncontrolled health conditions
Arms & Interventions
Education
Participants receive educational materials in the mail every 2 weeks for 8 weeks.
Intervention: Education (Behavioral)
Positive Affect - Text
Participants receive positive affect intervention (weekly reminders to use gratitude, self-affirmations, parental affirmations, and gift cards) by SMS. Participants also receive educational materials in the mail every 2 weeks for 8 weeks.
Intervention: Positive Affect (Behavioral)
Positive Affect - Text
Participants receive positive affect intervention (weekly reminders to use gratitude, self-affirmations, parental affirmations, and gift cards) by SMS. Participants also receive educational materials in the mail every 2 weeks for 8 weeks.
Intervention: Education (Behavioral)
Positive Affect - Phone
Participants receive positive affect intervention (weekly reminders to use gratitude, self-affirmations, parental affirmations) by phone. Participants receive small gifts in the mail every 2 weeks for 8 weeks. educational materials in the mail every 2 weeks for 8 weeks.
Intervention: Positive Affect (Behavioral)
Positive Affect - Phone
Participants receive positive affect intervention (weekly reminders to use gratitude, self-affirmations, parental affirmations) by phone. Participants receive small gifts in the mail every 2 weeks for 8 weeks. educational materials in the mail every 2 weeks for 8 weeks.
Intervention: Education (Behavioral)
Outcomes
Primary Outcomes
Glycemic Control (HbA1c)
Time Frame: 6 months
HbA1c measured as part of diabetes clinic visit. The target for children and adolescents is \<7.5%.
Secondary Outcomes
- Diabetes-Related Quality of Life(6 months)
- Family Conflict(6 months)
- Positive Affect(6 months)
- Coping(6 months)
- Frequency of Blood Glucose Monitoring(6 months)
Investigators
Sarah Jaser
Assistant Professor
Vanderbilt University Medical Center