An Internet-Based Program to Improve Self-Management in Adolescents With Type 1 Diabetes

作者：Mulvaney Shelagh A^*; Rothman Russell L; Wallston Kenneth A; Lybarger Cindy; Dietrich Mary S

来源：Diabetes Care, 2010, 33(3): 602-604.

DOI：10.2337/dc09-1881

OBJECTIVE - To report results from YourWay, an Internet-based self-management intervention for adolescents with type I diabetes.
RESEARCH DESIGN AND METHODS - A total of 72 adolescents With type 1 diabetes, ages 13-17 years, were randomized to a usual-care-plus-Internet support or a usual-care group. The intervention was designed to enhance problem-solving barriers to self-management A1C was obtained from medical records, and problem-solving and self-management were obtained via adolescent report.
RESULTS - Group differences were not statistically significant using intent-to-treat analyses. Using as-treated analyses, adolescents in the treatment condition showed statistically significant improvement in self-management (d = 0.64; P = 0.02) and important improvements in problem-solving (d = 0.30 P = 0.23) and A1C (d = -0.28; P = 0.27). Mean A1C for the intervention group remained constant (-0.01%), while the control group increased (0.33%).
CONCLUSIONS - This brief trial Suggests that self-management, support delivered through a secure website may improve self-management and offset typical decreases in adolescent glycemic control.

• 出版日期2010-3