Impact of ambulatory, family-focused teamwork intervention on glycemic control in youth with type 1 diabetes
Abstract
Objective To evaluate an ambulatory, family-focused intervention aimed at optimizing Study design Study design We randomly assigned 105 children and adolescents, 8 to 17 years of age, with T1DM for < or =6 years, to a family-focused teamwork (TW) intervention or to standard multidisciplinary diabetes care (SC). Patients in both study groups were seen at 3- to 4-month intervals and were followed prospectively for 1 year. Measures of family involvement in diabetes tasks, DFC, and quality of life were performed at baseline and after 1 year. Hemoglobin A1c was measured at each visit.Results Patients (n = 100) completed follow-up, (50 in TW and 50 in SC). At entry, A1c was 8.4% +/- 1.3% in TW and 8.3% +/- 1.0% in SC. After 1 year, A1c was 8.2% +/- 1.1% in TW compared with 8.7% +/- 1.5% in SC (P <.05). Both groups had similar frequencies of blood glucose monitoring (BGM) and insulin dosing. Families exposed to the TW intervention maintained or increased family involvement significantly more than families exposed to SC (P =.05). In multivariate analysis, the TW intervention and the daily frequency of BGM significantly predicted A1c (R (2) = 0.17, P =.05). Despite increased family involvement, the TW group reported no increase in DFC or decrease in quality of life.Conclusions The ambulatory TW intervention prevented the expected deterioration in glycemic control seen with SC in youths with T1DM of < or =6 years' duration. Successful family involvement may assist in the preservation of health and the prevention of long-term diabetes complications for youth with diabetes.
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Behavioral family interventions promote collaborative family diabetes management in early adolescence.
“behavioral family interventions to promote collaborative family diabetes management in early adolescence (354,355)”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [354]
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- Authors
- Laffel, L. M. B., Vangsness, L., Connell, A., Goebel-Fabbri, A., Butler, D., & Anderson, B. J.
- Affiliations
- Joslin Diabetes Center (US)
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2003-04
- Volume
- 142
- Issue
- 4
- Pages
- 409-416
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2022193098
- Cited by
- 314
- References
- 34
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 10 · 2021: 13 · 2020: 10 · 2019: 16 · 2018: 19 · 2017: 13 · 2016: 17 · 2015: 21 · 2014: 34 · 2013: 15 · 2012: 23
- FWCI
- 6.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-46887, R01DK046887)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- type 1 diabetes, glycemic control, family involvement, family intervention, children and adolescents, HbA1c, blood glucose monitoring, insulin dose, diabetes self-management, quality of life
- MeSH terms
- Adolescent, Age Factors, Ambulatory Care, Child, Conflict, Psychological, Diabetes Mellitus, Type 1, Family Relations, Female, Follow-Up Studies, Humans, Male, Patient Care Team, Patient Compliance, Prospective Studies, Quality of Life, Family Nursing
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