부산대학교 도서관

Rapid advances in technology and access to the interact have made it a viable medium for the delivery of psychosocial interventions. The purpose of this study was to translate an efficacious group-based coping skills training (CST) protocol for teens with T1D to the internet (TeenCope) and to evaluate feasibility and acceptability compared to an internet education program. Intervention translation was facilitated by a focus group (teens with T1D and parents) and a think-aloud evaluation of TeenCope (n=5). Themes identified included the need for visual appeal, interactive elements, realistic scenarios, sequencing, internet security, and the opportunity to practice as well as connect with others. Teens (n=12) with T1D (age 14.4±.9 years; duration 5.9±3 years; 58% female; 50% CSII) were randomized to TeenCope or interact education and completed baseline, 6 week, and 3 month data via the internet on depressive symptoms (CDI), self-efficacy, quality of life (PEDS-QL), stress (PSS), and satisfaction. HbA1c was obtained at baseline and 3 months. Repeated measures ANOVA indicated that TeenCope participants had better coping (p=.03) and trends for better diabetes self-efficacy (p=.12) better psychosocial QL (p=.09), and better physical QL (p=.20) compared to education participants. There was excellent participation, but TeenCope participants had twice as many logins over the duration of the program. Satisfaction was high with both groups reporting programs were helpful and sites easy to navigate. There were trends for TeenCope participants to report that the program was more enjoyable (p=.12) and time spent was more worthwhile (10=.22) Overall, teens were engaged and satisfied with the internet programs. TeenCope participants demonstrated higher usage and greater enjoyment, important elements to successful interact programs. TeenCope participants also demonstrated improvement in select health outcomes. Delivery of CST by the internet appears feasible and acceptable. [ABSTRACT FROM AUTHOR]