학술논문
Twelve‐month psychosocial outcomes of continuous glucose monitoring with behavioural support in parents of young children with type 1 diabetes.
Document Type
Article
Author
Commissariat, Persis V.; DiMeglio, Linda A.; Kanapka, Lauren G.; Laffel, Lori M.; Miller, Kellee M.; Anderson, Barbara J.; Hilliard, Marisa E.; Woerner, Stephanie; Harrington, Kara; DeSalvo, Daniel; Tamborlane, William; Van Name, Michelle; Laffel, Lori; Hanono, Anat; Naik, Nisha; Ambler‐Osborn, Louise; Schultz, Alan; DiMeglio, Linda; Jolivette, Heather; Ismail, Heba
Source
Subject
*EVALUATION of medical care
*PSYCHOLOGY of parents
*CONFIDENCE intervals
*BLOOD sugar monitoring
*TYPE 1 diabetes
*REGRESSION analysis
*FEAR
*PATIENT satisfaction
*PARENTING
*RANDOMIZED controlled trials
*DESCRIPTIVE statistics
*HYPOGLYCEMIA
*RESEARCH funding
*SCALE analysis (Psychology)
*STATISTICAL sampling
*CROSSOVER trials
*TECHNOLOGY
*BEHAVIOR modification
*CHILDREN
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Language
ISSN
0742-3071
Abstract
Aim: Managing type 1 diabetes in young children can cause significant stress for parents. Continuous glucose monitoring (CGM) may reduce parental burden. The Strategies to Enhance CGM Use in Early Childhood (SENCE) trial randomized parents of children (ages 2 to <8 years) with type 1 diabetes to CGM with family behavioural intervention (CGM + FBI), CGM alone (Standard‐CGM) or blood glucose monitoring for 26 weeks before receiving CGM + FBI (BGM‐Crossover). This report assesses changes in psychosocial outcomes for all groups over 52 weeks. Methods: CGM + FBI (n = 45), Standard‐CGM (n = 42) and BGM‐Crossover (n = 44) participants completed psychosocial assessments at baseline, 26 weeks and 52 weeks. Repeated measures linear regression models evaluated change within and between treatment groups. Results: The BGM‐Crossover group reported improved diabetes burden (Δ −6.9, 95% CI [−11.3, −2.6], p = 0.003), fear of hypoglycaemia (Δ −6.4, CI [−10.1, −2.6], p = 0.002) and technology satisfaction (Δ 7.3, CI [2.4, 12.2], p = 0.005) from 26 to 52 weeks, similar to published findings in the CGM + FBI group over the first 26 weeks. The Standard‐CGM group reported increased technology satisfaction (Δ 7.3, CI [0.6, 14.0], p = 0.027) from baseline to 52 weeks. The CGM + FBI group reported less diabetes burden and fear of hypoglycaemia from baseline to 52 weeks, but changes were not statistically significant. Scores from 26 to 52 weeks did not deteriorate. Conclusions: Parents demonstrated psychosocial benefits following FBI that appeared to maintain without additional intervention. CGM‐focused education with behavioural support likely helps parents of young children with type 1 diabetes reduce burden and worry in the short‐ and long‐term. [ABSTRACT FROM AUTHOR]