Disease Management in Adolescents With Type 1 Diabetes

Not Applicable

Completed

• Conditions: Adolescent Behavior; Self Efficacy; type1diabetes
• Interventions: Behavioral: Adaptation to Adolescence and Type 1 Diabetes Management Training Program

• Registration Number: NCT06246279
• Lead Sponsor: Akdeniz University

Brief Summary

Adolescence period; It is a transition period of rapid growth, development and maturation in biochemical, physical, social and spiritual terms, which lasts from the beginning of puberty to young adulthood. Adolescence is a predictable developmental transition period for the individual. They also encounter unpredictable situations (such as childhood illnesses). One of these conditions is Type 1 Diabetes Mellitus, which is the most common metabolic endocrine system disease in adolescents. Type 1 diabetes is an important health/disease transition in the life of a child and adolescent. Therefore, this study aimed to determine the effect of the "Adaptation to Adolescence and Type 1 Diabetes Management Training Programme", prepared in line with Meleis's Transition Theory, on the adolescent's developmental transition adaptation, self-efficacy for diabetes management and glycemic control.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-04-01
• Study First Submitted: 2024-01-30
• Study First Submitted QC: 2024-01-30
• Study First Posted: 2024-02-07
• Primary Completion: 2024-04-30
• Study Completion: 2024-04-30
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-30
• Last Update Posted: 2024-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 58

Inclusion Criteria

• Having been diagnosed with type 1 diabetes in the last 6 months
• HbA1c level >7.5

Exclusion Criteria

• presence of a diagnosis of intellectual disability, autism spectrum disorder and psychotic disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental group	Adaptation to Adolescence and Type 1 Diabetes Management Training Program	In addition to the institution's routine T1DM training, the "Adjustment to Adolescence and Transition to Type 1 Diabetes Education Program" prepared in line with Meleis's Transition Theory was applied to adolescents online via the Microsoft Teams Program.

Primary Outcome Measures

Name	Time	Method
Reynolds Adjustment Screening Inventory for Adolescents	This scale was administered three times at beginning, 3rd and 6th months.	Reynolds Adjustment Screening Inventory has four subscales. These; emotional distress (10 items), antisocial behavior (8 items), positive self (6 items related to self-confidence and socialization) and anger control problems (8 items). The Cronbach alpha value of the scale is stated as 0.91. The lowest score of the scale is 32 and the highest score is 165.

Secondary Outcome Measures

Name	Time	Method
Glycemic Control - Hemoglobin A1C	This scale was administered three times at beginning, 3rd and 6th months.	Glycemic control was assessed by HbA1C level. In Type 1 Diabetes, Hb A1C level is one of the basic control parameters checked in the clinic in adolescents. It is repeated routinely every 3 months when the child comes to the outpatient clinic for control for Type 1 Diabetes.
Diabetes Management Self-Efficacy Scale in Adolescents with Type 1 Diabetes	This scale was administered three times at beginning, 3rd and 6th months.	The scale is used to determine the educational needs of adolescents or to evaluate the effectiveness of diabetes education programs. The scale consists of 26 items ranging from 1 (completely agree) to 5 (strongly disagree). The lowest total score that can be obtained from the scale is 26 and the highest is 130. A higher score indicates less self-efficacy. The Cronbach's alpha coefficient of the scale was found to be 0.85.

Trial Locations

Locations (1)

Akdeniz Univercity; 🇹🇷 Antalya, Turkey