Metabolic Control Adolescents Type 1 Diabetes

Not Applicable

Completed

• Conditions: Diagnosed at Least 6 Months Ago; Being Able to Read and Write; 13-18 Year; HbA1C> 7.5
• Interventions: Behavioral: training sessions with peer interactive group

• Registration Number: NCT05811078
• Lead Sponsor: Toros University

Brief Summary

Purpose of the research; The aim of this study is to examine the effect of education including peer-interactive group support to be given to adolescents diagnosed with Type 1 diabetes with poor glycemic control in the 13-18 age group on metabolic control of adolescents.

Detailed Description

The lack of a certificate program specific to pediatric diabetes nursing of the Ministry of Health in our country and the insufficient number of diabetes education nurses show that the pediatric population is not adequately trained to provide diabetes management. Along with these obstacles, the lack of use of an evidence-based standard education program reveals the need for effective intervention programs that include approaches specific to adolescents, who are a particularly risky group. Peer interaction can be used as an effective approach to increase adolescents' adherence to treatment. Thus, adolescents who isolate themselves are given the opportunity to cope with the disease and to share with other children. It has been determined that there is no study in the literature that includes peer-interactive group support on adolescents with a diagnosis of Type 1 diabetes who have poor glycemic control but have repeated hospitalizations. This situation shows that there is a need for a study to evaluate the effect of educational intervention including peer-interactive group support on repeated hospitalizations in adolescents with Type 1 diabetes.

Study Timeline

• Study First Submitted: 2022-10-07
• Study First Submitted QC: 2023-03-30
• Study First Posted: 2023-04-13
• Study Start: 2023-04-15
• Primary Completion: 2023-07-15
• Study Completion: 2023-07-15
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-06
• Last Update Posted: 2025-05-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• be between 13-18 years old
• Diagnosed at least 6 months ago
• HbA1C level > 7.5
• Having repeated hospitalizations at least twice
• Living in Mersin city center
• Being able to communicate in Turkish
• Being able to read and write

Exclusion Criteria

• • Using an insulin pump
• Having a chronic disease other than diabetes,
• Diseases that affect cognitive functions, hearing and vision impairments

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Enterprise Group	training sessions with peer interactive group	The contents of the research were created according to the Roy Adaptation model. Each session lasted an average of 2 hours. Peer interactive group support sessions were administered to the adolescents in the intervention group, one week apart. There were 7 sessions in total. The sitting arrangement of the training room is designed to allow children to interact with each other . The sessions lasted an average of 90 minutes as two 45-minute sessions. Between sessions, breaks that lasted for about 15 minutes were given and refreshments prepared for individuals with Type 1 diabetes were served during the breaks. During the break, the adolescents were given the opportunity to interact with each other by chatting. Fun exercise and kitchen workshop activities were also organized as interaction sessions in the initiative group.

Primary Outcome Measures

Name	Time	Method
Implementation of trainings containing peer interactive group support to adolescents and application of scales	7 weeks	The contents of the research were created according to the Roy Adaptation model. Each session lasted an average of 2 hours.; Peer interactive group support sessions were administered to the adolescents in the intervention group, one week apart. There were 7 sessions in total. The sessions lasted an average of 90 minutes as two 45-minute sessions. Between sessions, breaks that lasted for about 15 minutes were given and refreshments prepared for individuals with Type 1 diabetes were served during the breaks. During the break, the adolescents were given the opportunity to interact with each other by chatting. Fun exercise and kitchen workshop activities were also organized as interaction sessions in the initiative group.

Secondary Outcome Measures

Name	Time	Method
Evaluation of Data	one year	The data obtained from the research were evaluated using appropriate statistical methods. In the analysis of comparative data, parametric or nonparametric tests were used by evaluating the conformity to the normal distribution . As descriptive statistics; numbers and percentages are given. In addition, mean and standard deviation values are given for those with normal distribution, and minimum and maximum values, median and percentiles of 25-75 % for those who do not show normal distribution.

Trial Locations

Locations (1)

Toros Üniversty; 🇹🇷 Mersin, Turkey