Home-Based Interventions for Adolescents With Type 1 Diabetes
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 10 - 17 |
| Updated: | 4/21/2016 |
| Start Date: | December 2014 |
| End Date: | July 2016 |
Translating Home-Based Interventions for Adolescents With Poorly Controlled TID
Adolescents with T1D and chronic poor metabolic control are at high risk for short and
long-term diabetes complications and are heavy users of both medical resources and health
care dollars. The purpose of the proposed study is to collaborate with a community agency to
develop and test an intervention, Fit Families, that uses the core components of a
previously successful home-based family treatment, but that can delivered by lower cost
community health workers. If successful, Fit Families could improve health outcomes in a
vulnerable population at high risk for diabetes complications, and could be translated to
real-world treatment settings.
long-term diabetes complications and are heavy users of both medical resources and health
care dollars. The purpose of the proposed study is to collaborate with a community agency to
develop and test an intervention, Fit Families, that uses the core components of a
previously successful home-based family treatment, but that can delivered by lower cost
community health workers. If successful, Fit Families could improve health outcomes in a
vulnerable population at high risk for diabetes complications, and could be translated to
real-world treatment settings.
The proposed study is a planning grant in which MST will be adapted for delivery by
community health workers and will be conducted in collaboration with CHASS, a community
agency providing health care to underserved residents of Detroit with diabetes. The new
intervention, Fit Families (FF), will be tested in a pilot randomized controlled trial in
order to evaluate FF feasibility, finalize outcome measures, estimate intervention effect
sizes on health outcomes (i.e., youth adherence, glycemic control, quality of life) and
determine potential cost savings associated with reduced hospital admissions. These steps
will allow for finalization of intervention content and other trial parameters in
preparation for a larger R18 dissemination trial.
The design for the proposed study is a randomized, controlled trial using a sample of 60
adolescents. Half will be randomly assigned to the treatment intervention, Fit Families plus
standard medical care, and the other half will be assigned to standard medical care alone.
Families who are randomized to FF receive intensive, home-based family therapy delivered by
a community health worker (CHW) for approximately six months.
community health workers and will be conducted in collaboration with CHASS, a community
agency providing health care to underserved residents of Detroit with diabetes. The new
intervention, Fit Families (FF), will be tested in a pilot randomized controlled trial in
order to evaluate FF feasibility, finalize outcome measures, estimate intervention effect
sizes on health outcomes (i.e., youth adherence, glycemic control, quality of life) and
determine potential cost savings associated with reduced hospital admissions. These steps
will allow for finalization of intervention content and other trial parameters in
preparation for a larger R18 dissemination trial.
The design for the proposed study is a randomized, controlled trial using a sample of 60
adolescents. Half will be randomly assigned to the treatment intervention, Fit Families plus
standard medical care, and the other half will be assigned to standard medical care alone.
Families who are randomized to FF receive intensive, home-based family therapy delivered by
a community health worker (CHW) for approximately six months.
Inclusion Criteria:
- a current hemoglobin A1c(HbA1c) of >9.0%
- an average HbA1c of >9.0% during the past year
- reside in the metro Detroit tri-county area
- diagnosed with Type 1 diabetes for at least one year
- aged 10-17
- patient of Children's Hospital of Michigan Diabetes Clinic
Exclusion Criteria:
- severe mental impairment/thought disorder
- Active suicidality
- Active homicidality
- Diabetes secondary to another comorbid medical condition and/or medical management
differing substantially from that of most children with diabetes.
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