Parent Mentors to Improve Adherence to Type I Diabetes Care Regimen in Adolescents

University of California (UC) Davis

Status: Completed

Conditions: Diabetes Mellitus, Type 1

Treatments: Other: Parent mentors

Study type: Interventional

Funder types: Other

Identifiers

NCT03199716

615897

Details and patient eligibility

About

The study aim is to determine if parent mentors can improve adherence to the intensive multiple daily injection regimen (MDI) or the insulin pump therapy, through monitoring the frequency of blood glucose measurements. Researchers are also trying to determine if the parent mentors can improve glycemic control, which is measured through HbA1c. The study hypothesis is that trained parent mentors can help families with children who have poorly controlled T1DM improve adherence to their diabetes regimen and improve their metabolic control.

Full description

The study aim is to determine if parent mentors can improve adherence to the intensive multiple daily injection regimen (MDI) or the insulin pump therapy, through monitoring the frequency of blood glucose measurements. Researchers are also trying to determine if the parent mentors can improve glycemic control, which is measured through HbA1c. Diabetic knowledge, responsibility for diabetes care, degree of diabetes related family conflicts, and major complications of diabetes will also be collected during the patient's routine clinic visit. The study hypothesis is that trained parent mentors can help families with children who have poorly controlled T1DM improve adherence to their diabetes regimen and improve their metabolic control.

Enrollment: 27 patients

Sex: All

Ages: 10 to 15 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for mentee families:

• Residing within 60 miles of a Parent Mentor
• Child diagnosed with T1DM greater than or equal to 1 year at the start of our study's data collection (February 2015)
• On multiple daily injection regime or insulin pump therapy
• Mean HbA1c between 8.5 - 12.5% over the last 2 clinic visits

Inclusion Criteria for parent mentors:

• Child diagnosed with T1DM greater than or equal to 2 years at the start of our study's data collection
• Compliant with suggestions made by the diabetes care team
• Mean HbA1c less than or equal to 8% over the last 2 clinic visits
• No episodes of diabetic ketoacidosis, aside from initial episode at diagnosis, if applicable

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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27 participants in 2 patient groups

Parent Mentors and Intervention Group

Experimental group

Description:

Parent mentors are parents from our UC Davis Pediatrics Endocrinology clinic who have met our parent mentor inclusion criteria; the intervention group are families in our clinic who have met our mentee family inclusion criteria

Treatment:

Other: Parent mentors

Control Group with no Parent Mentors

No Intervention group

Description:

The control group is made up of families at our UC Davis Pediatrics Endocrinology clinic who have met the mentee family inclusion criteria but are not matched with a parent mentor