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Randomized Controlled Trial
. 2011 Nov;85(2):140-2.
doi: 10.1016/j.pec.2010.09.018. Epub 2010 Oct 27.

Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program

Shelagh A Mulvaney  1 , Russell L Rothman, Chandra Y Osborn, Cindy Lybarger, Mary S Dietrich, Kenneth A Wallston
Affiliations
Randomized Controlled Trial

Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program

Shelagh A Mulvaney et al. Patient Educ Couns. 2011 Nov.

Abstract

Objective: Describe intervention processes associated with an Internet self-management problem solving program for adolescents with type 1 diabetes, and relate participant characteristics to program use.

Methods: Forty-one adolescents with type 1 diabetes, aged 13-17, participated in an Internet intervention.

Results: Participants reported psychosocial self-management barriers related to social issues (45%), time pressures (22%), and emotions (25%). Most adolescents (76%) completed the two guided problem solving cycles, and most (97%) problems were appropriate and specific to diabetes. Of the 61 diabetes problems reported, 92% were mostly or completely solved. Baseline hemoglobin A1c, diabetes duration, and age were not related to online activities, however females posted more often to the forum (U=130.0, Z=2.13, p=.033). The majority of parents (87%) interacted with their child about the website.

Conclusion: Adolescents experience psychosocial barriers to self-management that can be addressed by teaching problem solving via the Internet.

Practice implications: An Internet self-management problem solving program with minimal external support provides a viable option for diabetes clinics to improve pediatric diabetes outcomes.

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Conflict of interest statement

Author Statement: I confirm all patient/personal identifiers have been removed or disguised so the patient/person(s) described are not identifiable and cannot be identified through the details of the story. The authors have no conflicts of interest to report.

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