PREP-T1 (Preteen Re-Education With Parents–Type 1 Diabetes) Feasibility Intervention Results. (November 2016)

• Record Type: Journal Article
• Authors: Sullivan-Bolyai, Susan; Crawford, Sybil; Johnson, Kim; Ramchandani, Neesha; Quinn, Diane; D'Alesandro, Bianca; Stern, Kailyn; Lipman, Terry; Melkus, Gail; Streisand, Randi
• Is Part Of: Journal of family nursing. Volume 22:Number 4(2016:Nov.)
• Page Start: 579
• Page End: 605
• Publication Date: 2016-11
• Subjects: T1D -- preteen self-management education -- peer support; Family nursing -- Periodicals; Nursing -- Periodicals; 610.73
• DOI: 10.1177/1074840716676589
• Languages: English
• ISSNs: 1074-8407

Abstract

There has been a 2% to 3% increase in Type 1 diabetes (T1D) in children below 11 years old. Preteens (9-12 years old) with T1D are often overlooked regarding future diabetes self-management (DSM) expectations because parents are still in the "driver's seat." The study purpose was to explore feasibility/ability to recruit and conduct a two-arm trial on reeducation, collaboration, and social support. One component of DSM was reviewed (hypoglycemia) with preteens ( n = 22) and parents ( n = 22). The experimental preteens discussed hypoglycemia management with a teen mentor and nurse educator using a human patient simulator for practice, and working collaboratively with parents. Concurrently, mothers met with a parent mentor and psychologist to discuss growth and development, and collaborative shared management. Comparison dyads discussed hypoglycemia management with a nurse. Preteens slightly improved in diabetes knowledge; the experimental arm had higher problem-solving scores. Parents in the experimental arm had higher self-efficacy scores. Findings will inform future research.