Project: Research project

Project Details


DESCRIPTION: Adherence intervention research in diabetes is limited by poor
representation of young, lower income minority children and lack of long
term follow-up. It is important to target this patient group because 1)
minorities have more glycemic control problems and 2) many risk factors for
adolescent glycemic control problems may develop during later childhood.
There is also a need for study of family factors related to adherence and
glycemic control in this patient population. Adherence interventions for
this population should be informed by the child development and clinical
literature, and build on existing empirically useful approaches. The
specific aims of the proposed research are: 1) to determine the
demographic, psychosocial, and behavioral factors that affect glycemic
control of young minority children with diabetes; and 2) to conduct a
randomized prospective study of a family-based adherence intervention for
this age group aimed at improving glycemic control via improved adherence
and psychosocial functioning.

The investigators will recruit 100 7 to 10 year old lower income African
American and Hispanic children and conduct assessments of pertinent
psychosocial, behavioral and metabolic variables using standardized
measures. The 1-year intervention program is based on an established parent
training and synthesis teaching model as well as a family-based diabetes
self-management training program. Follow-up will be obtained 18 months post
treatment, allowing a test of the intervention's effectiveness at preventing
the problems typically expected in late childhood and early adolescence.
Effective start/end date4/26/973/31/03


  • National Institute of Diabetes and Digestive and Kidney Diseases: $184,682.00
  • National Institute of Diabetes and Digestive and Kidney Diseases
  • National Institute of Diabetes and Digestive and Kidney Diseases
  • National Institute of Diabetes and Digestive and Kidney Diseases


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