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Randomized Controlled Trial
. 2017 Jun;23(6):493-502.
doi: 10.1089/tmj.2016.0182. Epub 2017 Jan 6.

Brief Computer-Delivered Intervention to Increase Parental Monitoring in Families of African American Adolescents with Type 1 Diabetes: A Randomized Controlled Trial

Deborah A Ellis  1 , April Idalski Carcone  1 , Steven J Ondersma  2 , Sylvie Naar-King  1 , Bassem Dekelbab  3 , Kathleen Moltz  4
Affiliations
Randomized Controlled Trial

Brief Computer-Delivered Intervention to Increase Parental Monitoring in Families of African American Adolescents with Type 1 Diabetes: A Randomized Controlled Trial

Deborah A Ellis et al. Telemed J E Health. 2017 Jun.

Abstract

Background: African American adolescents with type 1 diabetes (T1D) are at elevated risk for poor diabetes management and metabolic control. Parental supervision and monitoring of adolescent diabetes management have been shown to promote better diabetes management among adolescents, but parents typically decrease their oversight during the transition to independent diabetes care.

Introduction: The purpose of the study was to conduct a randomized clinical trial to test the feasibility and efficacy of a three-session, computer-delivered motivational intervention (The 3Ms) to promote increased parental monitoring among primary caregivers of young African American adolescents with T1D. The intervention was brief and optimized for delivery during routine diabetes clinic visits.

Materials and methods: Sixty-seven adolescents with T1D aged 11-14 and their primary caregiver were randomly assigned to one of three arms: adolescent and parent motivational intervention (Arm 1), adolescent control and parent motivational intervention (Arm 2), or adolescent and parent control (Arm 3). Intervention effects were assessed 1 month after intervention completion.

Results: Parents in Arm 1 and Arm 2 had significant increases in knowledge of the importance of monitoring adolescents' diabetes care. Parents in Arm 2 also had trend to significant increases in direct observation and monitoring of adolescent diabetes care, and adolescents in Arm 2 had significant improvements in glycemic control.

Discussion and conclusions: Findings from the present study provide preliminary support for the efficacy of a brief, computer-delivered parenting intervention for improving family management practices and adolescent health outcomes among African American adolescents with T1D and their caregivers.

Keywords: behavioral health; e-Health; education; pediatrics.

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Conflict of interest statement

No competing financial interests exist for Drs. Carcone, Ellis, Naar-King, or Moltz. Dr. Ondersma is part owner of Interva, a company that markets the CIAS intervention authoring tool used to develop the intervention for this study.

Figures

<b>Fig. 1.</b>
Fig. 1.
Consort flowchart
See this image and copyright information in PMC

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