Feasibility and acceptability of the TEAM pilot trial with African American and Latino families.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-03-26 DOI:10.1093/jpepsy/jsaf001

Ashley M Butler, Marisa E Hilliard, Krystal Christopher, Marissa Baudino, Charles Minard, Lefkothea Karaviti

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引用次数: 0

Abstract

Objective: We adapted the empirically supported Family Teamwork intervention protocol to support collaborative parent involvement in type 1 diabetes (T1D) management among African American and Latino parents of children with T1D. This randomized pilot study aimed to evaluate feasibility and acceptability of the Type 1 Diabetes Empowerment and Management (TEAM) intervention.

Methods: African American and Latino parents (n = 59; 65% recruitment rate) of youth (ages 5-10 years, M = 8.9 ± 1.6 years; 59% female, M hemoglobin A1c 9.0% ± 1.9%) with diabetes duration of ≥1 year and who were fluent in English and not planning to leave the geographic area were recruited and randomized 3:1 to the TEAM intervention (n = 44) or usual diabetes care alone (n = 15). The intervention consisted of six group-based sessions co-led by a study interventionist and a trained parent leader, plus five phone calls with the parent leader. Secondary outcomes included psychosocial questionnaires and HbA1c at baseline and 12 months post-baseline.

Results: Participants attended a mean of 2.1 ± 2.0 (33%) TEAM intervention sessions. Acceptability ratings (5-point scale) among parents who completed ≥1 session (n = 28) were high: helpfulness (4.5 ± 0.75), encouraged new perspectives (4.5 ± 0.58), enjoyment (4.4 ± 0.70), learned new information/skills (4.3 ± 0.70), prompted change to diabetes management (4.6 ± 0.69), and positive impact on family (4.5 ± 0.69). Qualitative interviews (n = 35) indicated positive perspectives about emotional and informational support and suggestions for adding child intervention components. Pre-post data completion rates were 92% for questionnaires.

Conclusions: Despite feasibility challenges, the TEAM intervention was acceptable among parents who attended sessions. Reducing barriers to session attendance may be warranted to impact psychosocial and clinical outcomes.

Trial registration: ClinicalTrials.gov Identifier: NCT04053504.

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在非裔美国人和拉丁裔家庭中进行TEAM试点试验的可行性和可接受性。

目的：我们采用了经验支持的家庭团队干预方案，以支持非裔美国人和拉丁裔1型糖尿病儿童父母在1型糖尿病（T1D）管理中的合作父母参与。本随机试点研究旨在评估1型糖尿病授权和管理（TEAM）干预的可行性和可接受性。方法：非裔美国人和拉丁裔父母(n = 59；青年(5 ~ 10岁，M = 8.9±1.6岁；59%的女性，M血红蛋白A1c(9.0%±1.9%)，糖尿病病程≥1年，英语流利且不打算离开地理区域，被招募并按3:1随机分为TEAM干预组（n = 44）或常规糖尿病护理组（n = 15）。干预包括六个小组会议，由一名研究干预者和一名训练有素的家长领导共同领导，再加上与家长领导的五次电话。次要结局包括心理社会问卷和基线和基线后12个月的HbA1c。结果：参与者平均参加了2.1±2.0（33%）次TEAM干预。完成≥1次治疗的家长（n = 28）的可接受性评分（5分量表）较高：乐于助人（4.5±0.75），鼓励新观点（4.5±0.58），享受（4.4±0.70），学习新信息/技能（4.3±0.70），促进糖尿病管理的改变（4.6±0.69），对家庭的积极影响（4.5±0.69）。定性访谈（n = 35）显示了对情感和信息支持的积极看法，并建议增加儿童干预成分。问卷调查的前后数据完成率为92%。结论：尽管存在可行性挑战，但团队干预在参加会议的家长中是可以接受的。减少参加会议的障碍可能有理由影响心理社会和临床结果。试验注册：ClinicalTrials.gov标识符：NCT04053504。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.