1. Brief Computer-Delivered Intervention to Increase Parental Monitoring in Families of African American Adolescents with Type 1 Diabetes: A Randomized Controlled Trial
- Author
-
Bassem Dekelbab, Deborah A. Ellis, Sylvie Naar-King, Steven J. Ondersma, April Idalski Carcone, and Kathleen Moltz
- Subjects
Adult ,Blood Glucose ,Male ,Parents ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Adolescent ,Motivational interviewing ,030209 endocrinology & metabolism ,Health Informatics ,Motivational Interviewing ,law.invention ,Parental supervision ,03 medical and health sciences ,0302 clinical medicine ,Patient Education as Topic ,Health Information Management ,Randomized controlled trial ,Diabetes management ,law ,Intervention (counseling) ,Diabetes mellitus ,medicine ,Humans ,030212 general & internal medicine ,Parent-Child Relations ,Child ,Health Education ,Original Research ,Motivation ,Type 1 diabetes ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Black or African American ,Self Care ,Diabetes Mellitus, Type 1 ,Family medicine ,Physical therapy ,Female ,Health education ,business ,Goals ,Computer-Assisted Instruction - Abstract
African American adolescents with type 1 diabetes (T1D) are at elevated risk for poor diabetes management and metabolic control. Parental supervision and monitoring of adolescent diabetes management have been shown to promote better diabetes management among adolescents, but parents typically decrease their oversight during the transition to independent diabetes care.The purpose of the study was to conduct a randomized clinical trial to test the feasibility and efficacy of a three-session, computer-delivered motivational intervention (The 3Ms) to promote increased parental monitoring among primary caregivers of young African American adolescents with T1D. The intervention was brief and optimized for delivery during routine diabetes clinic visits.Sixty-seven adolescents with T1D aged 11-14 and their primary caregiver were randomly assigned to one of three arms: adolescent and parent motivational intervention (Arm 1), adolescent control and parent motivational intervention (Arm 2), or adolescent and parent control (Arm 3). Intervention effects were assessed 1 month after intervention completion.Parents in Arm 1 and Arm 2 had significant increases in knowledge of the importance of monitoring adolescents' diabetes care. Parents in Arm 2 also had trend to significant increases in direct observation and monitoring of adolescent diabetes care, and adolescents in Arm 2 had significant improvements in glycemic control.Findings from the present study provide preliminary support for the efficacy of a brief, computer-delivered parenting intervention for improving family management practices and adolescent health outcomes among African American adolescents with T1D and their caregivers.
- Published
- 2017