Communal Coping Intervention for Adults With Type 2 Diabetes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus, Type 2
- Sponsor
- Carnegie Mellon University
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- self-management
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
The investigators plan to develop a communal coping intervention aimed at instilling a shared appraisal of diabetes and increasing patient-partner collaboration. To that end, the investigators will pilot the first randomized clinical trial of a brief communal coping intervention among couples in which one person has T12
Detailed Description
The investigators will recruit 66 couples in which one person has type 2 diabetes. Power is based on effect sizes from previous couple intervention studies and meta-analyses on primary outcomes. Couples will be randomly assigned to either a communal coping intervention or an attention (diabetes education) control group. All couples will come to the laboratory or meet via zoom, complete a baseline questionnaire assessment (primary and secondary outcomes, mediators) and have a videotaped conversation about how they cope with diabetes. The intervention group will receive the communal coping intervention. Couples in the intervention group will identify 5 collaborative implementation intentions, whereas controls will identify 5 individual implementation intentions. After the in-person session, couples will individually complete a daily diary at the end of the day for 14 consecutive days which focuses on daily communication, mood, and patient self-care. During the first 7 days, the intervention group will receive two text messages per day (morning focus on shared appraisal, evening focus on one of collaborative implementation intentions identified during in-person session). An in-person follow-up interview will take place 6 weeks after the initial session, during which primary outcomes, secondary outcomes, and mediators will be assessed and the videotaped conversation repeated.
Investigators
Vicki Helgeson
Professor
Carnegie Mellon University
Eligibility Criteria
Inclusion Criteria
- •diagnosis of type 2 diabetes for one year
- •married or living with someone for at least one year who is willing to participate in the study as the study partner
- •age 18 and over
- •reliable access to the internet at home
Exclusion Criteria
- •Non-English speakers
- •Patient has a major chronic illness that affects daily life more than diabetes (e.g., currently --undergoing treatment for cancer)
- •Partner does not consent to participate in study
- •Partner has diabetes
Outcomes
Primary Outcomes
self-management
Time Frame: baseline, 2 weeks, 6 weeks
change in Summary of Diabetes Self-Care Activities from baseline to 6 weeks; higher score = better self-care; range 1-5; also change over ecological momentary assessment period
diabetes distress
Time Frame: baseline, 2 weeks, 6 weeks
change in Type 1 Diabetes Distress Scale (Fisher et al., 2015) from baseline to 6 weeks; higher scores = more distress; range 1-6; also change over ecological momentary assessment period change in Type 1 Diabetes Distress Scale (Fisher et al., 2015) from baseline to 6 weeks; higher scores = more distress; range 1-6; also change over ecological momentary assessment period change in Type 1 Diabetes Distress Scale (Fisher et al., 2015) from baseline to 6 weeks; higher scores = more distress; range 1-6; also change over ecological momentary assessment period
Secondary Outcomes
- depressive symptoms(baseline, 2 weeks, 6 weeks)
- life satisfaction(baseline, 2 weeks, 6 weeks)
- relationship quality(baseline, 2 weeks, 6 weeks)