Optimizing Adherence and Glycemia in Youth With New Insulin-dependent Diabetes Mellitus (IDDM)
2 other identifiers
interventional
105
1 country
1
Brief Summary
This 2-year randomized, controlled trial examined the impact of a clinic-based, family teamwork intervention on glycemic control in youth with recently diagnosed type 1 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 1999
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 1999
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2002
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2002
CompletedFirst Submitted
Initial submission to the registry
August 29, 2008
CompletedFirst Posted
Study publicly available on registry
September 3, 2008
CompletedAugust 4, 2021
August 1, 2021
3.6 years
August 29, 2008
August 3, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Glycemic control, assessed by hemoglobin A1c
Change in A1c from baseline to 2 years, measured every 3 months
2 years
Secondary Outcomes (3)
Youth quality of life, measured using the youth PedsQL survey and the parent-proxy PedsQL survey
2 years
Diabetes-specific family conflict, measured using the Diabetes Family Conflict survey (youth and parent versions)
2 years
Parent involvement in diabetes management tasks, measured using the Diabetes Family Responsibility Questionnaire (youth and parent versions)
2 years
Study Arms (2)
Teamwork Group
EXPERIMENTALFamilies randomized to the Teamwork Group received the behavioral family teamwork intervention.
Standard Care
NO INTERVENTIONFamilies in the Standard Care group received standard diabetes care and equal attention from study staff between visits to schedule appointments and encourage regular diabetes follow-up care.
Interventions
Families in the teamwork group received quarterly psychoeducational interventions at regular clinic visits, focusing on promoting family teamwork and reducing diabetes-specific family conflict and diabetes burnout.
Eligibility Criteria
You may qualify if:
- to 17 years old
- Duration of type 1 diabetes between 2 months and 6 years
- Residence in New England or New York
- At least 1 outpatient visit in the past year
You may not qualify if:
- Major co-morbid psychiatric or medical illness in youth
- Diagnosis of an active major psychiatric disorder in either parent
- Diagnosis of a life-threatening medical illness in either parent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Joslin Diabetes Center
Boston, Massachusetts, 02215, United States
Related Publications (3)
Anderson BJ, Vangsness L, Connell A, Butler D, Goebel-Fabbri A, Laffel LM. Family conflict, adherence, and glycaemic control in youth with short duration Type 1 diabetes. Diabet Med. 2002 Aug;19(8):635-42. doi: 10.1046/j.1464-5491.2002.00752.x.
PMID: 12147143RESULTLaffel LM, Vangsness L, Connell A, Goebel-Fabbri A, Butler D, Anderson BJ. Impact of ambulatory, family-focused teamwork intervention on glycemic control in youth with type 1 diabetes. J Pediatr. 2003 Apr;142(4):409-16. doi: 10.1067/mpd.2003.138.
PMID: 12712059RESULTLaffel LM, Connell A, Vangsness L, Goebel-Fabbri A, Mansfield A, Anderson BJ. General quality of life in youth with type 1 diabetes: relationship to patient management and diabetes-specific family conflict. Diabetes Care. 2003 Nov;26(11):3067-73. doi: 10.2337/diacare.26.11.3067.
PMID: 14578241RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lori MB Laffel, MD, MPH
Joslin Diabetes Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief, Pediatric, Adolescent, & Young Adult Section; Investigator, Genetics & Epidemiology Section
Study Record Dates
First Submitted
August 29, 2008
First Posted
September 3, 2008
Study Start
March 1, 1999
Primary Completion
October 1, 2002
Study Completion
October 1, 2002
Last Updated
August 4, 2021
Record last verified: 2021-08