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- Title
Randomized Trial of a Positive Psychology Intervention for Adolescents With Type 1 Diabetes.
- Authors
Jaser, Sarah S; Whittemore, Robin; Choi, Leena; Nwosu, Samuel; Russell, William E
- Abstract
<bold>Objective: </bold>To evaluate the effects of a positive psychology intervention for adolescents with type 1 diabetes (T1D) on adherence, glycemic control, and quality of life.<bold>Methods: </bold>Adolescents with T1D (n = 120) and their caregivers were randomized to either an Education (EDU) (n = 60) or Positive Affect (PA) intervention (n = 60). Adolescents in the PA group received the intervention reminders (gratitude, self-affirmation, parental affirmation, and small gifts) via text messages or phone calls over 8 weeks. Questionnaires were completed by adolescents and caregivers and clinical data (glucometer and HbA1c) were collected at baseline 3 and 6 months. Data were analyzed using generalized linear modeling.<bold>Results: </bold>After adjusting for covariates, adolescents in the PA group demonstrated significant improvement in quality of life at 3 months, compared to the EDU group, but this was not sustained at 6 months. Similarly, the PA group showed a significant decrease in disengagement coping at 3 months but not at 6 months. There was no significant intervention effect on blood glucose monitoring, but the odds of clinically significantly improvement (checking at least one more time/day) were about twice as high in the PA group as the EDU group. No significant effects were found for glycemic control.<bold>Conclusions: </bold>A positive psychology intervention had initial significant, positive effects on coping and quality of life in adolescents with T1D. A more intensive or longer-lasting intervention may be needed to sustain these effects and to improve adherence and glycemic control.
- Subjects
TYPE 1 diabetes; ADOLESCENT psychology; POSITIVE psychology; TREATMENT effectiveness; GLYCEMIC control; QUALITY of life; PATIENT compliance; DIABETES in adolescence
- Publication
Journal of Pediatric Psychology, 2019, Vol 44, Issue 5, p620
- ISSN
0146-8693
- Publication type
journal article
- DOI
10.1093/jpepsy/jsz006