A multisite trial of a clinic-integrated intervention for promoting family management of pediatric type 1 diabetes: Feasibility and design

Tonja R. Nansel*, Barbara J. Anderson, Lori M.B. Laffel, Bruce G. Simons-Morton, Jill Weissberg-Benchell, Tim Wysocki, Ronald J. Iannotti, Grayson N. Holmbeck, Korey K. Hood, Amanda S. Lochrie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

The feasibility of a family-based clinic-integrated behavioral intervention to improve family management of type 1 diabetes was evaluated. In each of four clinical sites, 30-32 families (a total of 122) were randomized to intervention or usual care comparison groups. The WE*CAN intervention, based on family problem-solving methods, was delivered during three routine clinic visits by trained 'Health Advisors'. Of eligible families across the four sites, 83% agreed to participate, of whom 96% completed the baseline, mid-term, and postintervention assessments. Families participated in an average of 2.85 intervention sessions over an 8-month period. The intervention was integrated into the clinic setting without impairing clinic flow and was implemented with fidelity and consistency across sites by trained non-professionals. The findings provide evidence of the feasibility of conducting a multisite trial to evaluate the effects of a clinic-integrated problem-solving intervention to improve family management. Many lessons were learned that provide guidance for recruitment, measurement, and intervention for the larger clinical trial.

Original languageEnglish (US)
Pages (from-to)105-115
Number of pages11
JournalPediatric Diabetes
Volume10
Issue number2
DOIs
StatePublished - 2009

Keywords

  • Adolescent
  • Child
  • Clinical trial
  • Family
  • Type 1 diabetes mellitus

ASJC Scopus subject areas

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

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