Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 May;32(5):807-9.
doi: 10.2337/dc08-1968. Epub 2009 Feb 10.

Long-term maintenance of treatment outcomes: diabetes personal trainer intervention for youth with type 1 diabetes

Tonja R Nansel  1 , Ronald J Iannotti, Bruce G Simons-Morton, Leslie P Plotnick, Loretta M Clark, Linda Zeitzoff
Affiliations

Long-term maintenance of treatment outcomes: diabetes personal trainer intervention for youth with type 1 diabetes

Tonja R Nansel et al. Diabetes Care. 2009 May.

Abstract

Objective: To describe a 2-year follow-up of A1C outcomes of a self-regulation intervention for youth with type 1 diabetes.

Research design and methods: A total of 81 youths with type 1 diabetes ages 11-16 years were randomized to usual care versus a diabetes personal trainer intervention consisting of six self-monitoring, goal-setting, and problem-solving sessions with trained nonprofessionals. A1C data were obtained from medical records 2 years postintervention, and ANCOVA adjusting for age and baseline A1C was conducted.

Results: An overall intervention effect on A1C (8.93% control vs. 8.43% intervention; F = 8.24, P = 0.05) and a significant intervention-by-age interaction (F = 9.88; P = 0.002) were observed, indicating a greater effect among older than younger youths. Subgroup analyses demonstrated no treatment group differences among pre-/early adolescents but a significant difference in A1C among middle adolescents (9.61% control vs. 8.46% intervention; F = 7.20, P = 0.011).

Conclusions: Findings indicate maintenance of intervention effects on A1C observed at 1-year follow-up.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Change in A1C from baseline to each follow-up period. A: Full sample. B: Age subgroups. Error bars included for groups demonstrating significant differences.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Mortensen HB, Hougaard P: the Hvidøre Study Group on Childhood Diabetes. Comparison of metabolic control in a cross-sectional study of 2,873 children and adolescents with IDDM from 18 countries. Diabetes Care 1997; 20: 714– 720 - PubMed
    1. Brink SJ, Moltz K: The message of the DCCT for children and adolescents. Diabetes Spectrum 1997; 10: 259– 267
    1. Wysocki T, Hough BS, Ward KM, Green LB: Diabetes mellitus in the transition to adulthood: adjustment, self-care, and health status. J Dev Behav Pediatr 1992; 13: 194– 201 - PubMed
    1. Nansel TR, Iannotti RJ, Simons-Morton BG, Cox C, Plotnick LP, Clark LM, Zeitzoff L: Diabetes personal trainer outcomes: short-term and 1-year outcomes of a diabetes personal trainer intervention among youth with type 1 diabetes. Diabetes Care 2007; 30: 2471– 2477 - PMC - PubMed
    1. Palmer DL, Berg C, Wiebe DJ, Beveridge RM, Korbel CD, Upchurch R, Swinyard MT, Lindsay R, Donaldson DL: The role of autonomy and pubertal status in understanding age differences in maternal involvement in diabetes responsibility across adolescence. J Pediatr Psychol 2004; 29: 35– 46 - PubMed

Publication types

MeSH terms

Substances