The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes.
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| Title: | The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes. |
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| Authors: | Knauft, Katherine M1,2 (AUTHOR) knauft@wayne.edu, Jacques-Tiura, Angela J2 (AUTHOR), Carcone, April Idalski2 (AUTHOR), Evans, Meredyth3,4 (AUTHOR), Weissberg-Benchell, Jill3,4 (AUTHOR), Buggs-Saxton, Colleen5 (AUTHOR), Boucher-Berry, Claudia6 (AUTHOR), Miller, Jennifer L7 (AUTHOR), Drossos, Tina8 (AUTHOR), Dekelbab, Bassem9 (AUTHOR), Ellis, Deborah A2 (AUTHOR) |
| Source: | Journal of Pediatric Psychology. Aug2024, Vol. 49 Issue 8, p538-546. 9p. |
| Subject Terms: | *Black youth, Type 1 diabetes, Glycemic control, Medical care standards, Psychological distress |
| Abstract: | Objective Due to systemic inequities, Black adolescents with type 1 diabetes are more likely to have suboptimal glycemic control and high rates of diabetes distress, but tailored interventions for this population are lacking. In primary outcomes of a randomized clinical trial, a family-based eHealth intervention improved glycemic control in Black adolescents with type 1 diabetes and elevated depressive symptoms. The present study is a secondary analysis of these clinical trial data examining the moderating effect of diabetes distress on the efficacy of the intervention. Methods Using secondary data from a multicenter randomized clinical trial (Clinicaltrials.gov [NCT03168867]), caregiver–adolescent dyads were randomly assigned to either up to three sessions of an eHealth parenting intervention (n = 75) or a standard medical care control group (n = 74). Black adolescents (10 years, 0 months to 14 years, 11 months old) with type 1 diabetes and a caregiver willing to participate were eligible. Adolescents reported their diabetes distress at baseline, and hemoglobin A1c (HbA1c) data were collected at baseline, 6-, 13-, and 18-month follow-up. Results No between-group contrasts emerged in a linear mixed-effects regression (p 's >.09). Within-group contrasts emerged such that adolescents assigned to the intervention who reported high diabetes distress had lower HbA1c at the 18-month follow-up relative to baseline (p =.004); the 18-month decrease in HbA1c was −1.03%. Conclusions Black adolescents with type 1 diabetes and high levels of diabetes distress showed significant decreases in HbA1c following a family-based eHealth intervention, suggesting diabetes distress may be a key moderator of intervention efficacy within this population. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 179111003 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Knauft%2C+Katherine+M%22">Knauft, Katherine M</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> knauft@wayne.edu</i><br /><searchLink fieldCode="AR" term="%22Jacques-Tiura%2C+Angela+J%22">Jacques-Tiura, Angela J</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carcone%2C+April+Idalski%22">Carcone, April Idalski</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Evans%2C+Meredyth%22">Evans, Meredyth</searchLink><relatesTo>3,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weissberg-Benchell%2C+Jill%22">Weissberg-Benchell, Jill</searchLink><relatesTo>3,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Buggs-Saxton%2C+Colleen%22">Buggs-Saxton, Colleen</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Boucher-Berry%2C+Claudia%22">Boucher-Berry, Claudia</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller%2C+Jennifer+L%22">Miller, Jennifer L</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Drossos%2C+Tina%22">Drossos, Tina</searchLink><relatesTo>8</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dekelbab%2C+Bassem%22">Dekelbab, Bassem</searchLink><relatesTo>9</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ellis%2C+Deborah+A%22">Ellis, Deborah A</searchLink><relatesTo>2</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Aug2024, Vol. 49 Issue 8, p538-546. 9p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Black+youth%22">Black youth</searchLink><br /><searchLink fieldCode="DE" term="%22Type+1+diabetes%22">Type 1 diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Glycemic+control%22">Glycemic control</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+standards%22">Medical care standards</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective Due to systemic inequities, Black adolescents with type 1 diabetes are more likely to have suboptimal glycemic control and high rates of diabetes distress, but tailored interventions for this population are lacking. In primary outcomes of a randomized clinical trial, a family-based eHealth intervention improved glycemic control in Black adolescents with type 1 diabetes and elevated depressive symptoms. The present study is a secondary analysis of these clinical trial data examining the moderating effect of diabetes distress on the efficacy of the intervention. Methods Using secondary data from a multicenter randomized clinical trial (Clinicaltrials.gov [NCT03168867]), caregiver–adolescent dyads were randomly assigned to either up to three sessions of an eHealth parenting intervention (n = 75) or a standard medical care control group (n = 74). Black adolescents (10 years, 0 months to 14 years, 11 months old) with type 1 diabetes and a caregiver willing to participate were eligible. Adolescents reported their diabetes distress at baseline, and hemoglobin A1c (HbA1c) data were collected at baseline, 6-, 13-, and 18-month follow-up. Results No between-group contrasts emerged in a linear mixed-effects regression (p 's >.09). Within-group contrasts emerged such that adolescents assigned to the intervention who reported high diabetes distress had lower HbA1c at the 18-month follow-up relative to baseline (p =.004); the 18-month decrease in HbA1c was −1.03%. Conclusions Black adolescents with type 1 diabetes and high levels of diabetes distress showed significant decreases in HbA1c following a family-based eHealth intervention, suggesting diabetes distress may be a key moderator of intervention efficacy within this population. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=179111003 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1093/jpepsy/jsae033 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 538 Subjects: – SubjectFull: Black youth Type: general – SubjectFull: Type 1 diabetes Type: general – SubjectFull: Glycemic control Type: general – SubjectFull: Medical care standards Type: general – SubjectFull: Psychological distress Type: general Titles: – TitleFull: The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Knauft, Katherine M – PersonEntity: Name: NameFull: Jacques-Tiura, Angela J – PersonEntity: Name: NameFull: Carcone, April Idalski – PersonEntity: Name: NameFull: Evans, Meredyth – PersonEntity: Name: NameFull: Weissberg-Benchell, Jill – PersonEntity: Name: NameFull: Buggs-Saxton, Colleen – PersonEntity: Name: NameFull: Boucher-Berry, Claudia – PersonEntity: Name: NameFull: Miller, Jennifer L – PersonEntity: Name: NameFull: Drossos, Tina – PersonEntity: Name: NameFull: Dekelbab, Bassem – PersonEntity: Name: NameFull: Ellis, Deborah A IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 01468693 Numbering: – Type: volume Value: 49 – Type: issue Value: 8 Titles: – TitleFull: Journal of Pediatric Psychology Type: main |
| ResultId | 1 |
