DiaBetter Together：针对向成人护理过渡的 1 型糖尿病年轻成人的基于优势的同伴指导干预临床试验方案。

IF 2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary clinical trials Pub Date : 2024-10-10 DOI:10.1016/j.cct.2024.107713

Samantha A. Carreon , Charles G. Minard , Sarah K. Lyons , Wendy Levy , Stephanie Camey , Kishan Desai , Brenda Duran , Randi Streisand , Barbara J. Anderson , Siripoom V. McKay , Tricia S. Tang , Sridevi Devaraj , Ryan Ramphul , Marisa E. Hilliard

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引用次数: 0

摘要

背景：1 型糖尿病（T1D）的管理对年轻成人来说具有挑战性，他们需要从儿科医疗系统转到成人 T1D 医疗系统，同时还要处理典型的发展需求（如社交、财务、工作/学校、居住）。许多青壮年在接受成人后续治疗之前，会有较长的治疗间隔，从而增加了不良健康后果的风险。目前很少有循证计划来支持患有 T1D 的年轻人，以促进他们在此期间更及时地过渡。本文报告了 "DiaBetter Together "项目的设计情况，该项目是一项随机对照试验，旨在评估在 T1D 青少年患者从儿科转入成人护理期间，同伴导师提供的为期 12 个月的干预措施与常规护理措施的比较：100名患有T1D的青少年（17-25岁）和29名同伴导师参加了这项随机临床试验。同伴指导员是经验丰富的年长 T1D 患者，接受过研究小组的培训，他们将分享成功驾驭成人医疗系统的过渡经验和策略，帮助青少年为首次成人护理就诊做好准备，并使用基于优势的支持策略教授和示范应对 T1D 相关挑战的技能：试验的主要结果是 HbA1c，次要结果包括接受成人护理的时间、参与糖尿病自我管理行为和社会心理健康：本研究的目标是评估一种适合发展的支持性干预措施，该措施可以改善 T1D 自我管理和在困难的青年时期成功转移护理，并促进最佳的 T1D 健康结果。

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DiaBetter Together: Clinical trial protocol for a strengths-based Peer Mentor intervention for young adults with type 1 diabetes transitioning to adult care

Background

Type 1 diabetes (T1D) management is challenging for young adults, who are expected to transfer from the pediatric to adult T1D healthcare system while also managing typical developmental demands (e.g., social, financial, work/school, residential). Many young adults have extended gaps in care before following up in adult care, increasing risk for poor health outcomes. There are few evidence-based programs to support young adults with T1D to promote a timelier transition during this period. This paper reports on the design of DiaBetter Together, a randomized controlled trial to evaluate a 12-month Peer Mentor-delivered intervention compared to usual care among young adults with T1D during the transfer from pediatric to adult care.

Methods

One-hundred young adults (age 17–25) with T1D and 29 Peer Mentors enrolled in this randomized clinical trial. Peer Mentors are experienced, older young adults with T1D, trained by the study team to share transition experiences and strategies to successfully navigate the adult healthcare system, help young adults prepare for the first adult care visit, and use strengths-based support strategies to teach and model skills for managing T1D-related challenges.

Results

The primary outcome of the trial is HbA1c, and secondary outcomes include time to adult care, engagement in diabetes self-management behaviors, and psychosocial well-being.

Conclusion

The goal of this research is to evaluate a developmentally appropriate, supportive intervention that can improve T1D self-management and successful transfer of care during the difficult young adult years and promote optimal T1D health outcomes.

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来源期刊

Contemporary clinical trials 医学-药学

CiteScore

3.70

自引率

4.50%

发文量

281

审稿时长

44 days

期刊介绍： Contemporary Clinical Trials is an international peer reviewed journal that publishes manuscripts pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from disciplines including medicine, biostatistics, epidemiology, computer science, management science, behavioural science, pharmaceutical science, and bioethics. Full-length papers and short communications not exceeding 1,500 words, as well as systemic reviews of clinical trials and methodologies will be published. Perspectives/commentaries on current issues and the impact of clinical trials on the practice of medicine and health policy are also welcome.