A randomized control trial of the effect of negotiated telephone support on glycaemic control in young people with Type 1 diabetes

L. Howells; A. C. Wilson; T. C. Skinner; R. Newton; A. D. Morris; S. A. Greene

doi:10.1046/j.1464-5491.2002.00791.x

A randomized control trial of the effect of negotiated telephone support on glycaemic control in young people with Type 1 diabetes

L. Howells, A. C. Wilson, T. C. Skinner, R. Newton, A. D. Morris, S. A. Greene^*

^*Corresponding author af dette arbejde

79 Citationer (Scopus)

Abstract

Aim: To evaluate changes in self-efficacy for self-management in young people with Type 1 diabetes participating in a 'Negotiated Telephone Support' (NTS) intervention developed using the principles of problem solving and social learning theory. Methods: One-year RCT with 79 young people (male 39; mean age ± SD 16.5 ± 3.2 years, duration 6.7 ± 4.4 years, HbA_1c 8.6 ± 1.5%) randomized into: Group 1 (control group), continued routine management, n = 28; Group 2, continued routine management with NTS, n = 25; Group 3, annual clinic with NTS, n = 26. Outcome measures: HbA_1c, self-efficacy, barriers to adherence, problem solving, and diabetes knowledge. Results: There were no differences between the groups at baseline. Participants in Groups 2 and 3 received an average of 16 telephone calls/year (range 5-19), median duration 9 min (2-30), with a median interval of 3 weeks (1-24) between calls. Significant correlations were found between age and average length of call (r = 0.44, P < 0.01) and frequency of contact (r = 0.36, P < 0.05). Social and school topics were discussed frequently. After 1 year, while the participants in the two intervention groups showed significant improvements in self-efficacy (P = 0.035), there was no difference in glycaemic control in the three groups. Barriers to insulin use adherence were a significant predictor of HbA_1c (P < 0.001) after controlling for baseline. Conclusions: NTS is an effective medium to deliver a simple theory-based psychological intervention to enhance self-efficacy for diabetes self-management. Reduced clinic attendance, combined with NTS, did not result in a deterioration of HbA_1c. Intensive personal support needs to be combined with intensive diabetes therapy to improve glycaemic control in this age group.

Originalsprog	Engelsk
Tidsskrift	Diabetic Medicine
Vol/bind	19
Udgave nummer	8
Sider (fra-til)	643-648
Antal sider	6
ISSN	0742-3071
DOI	https://doi.org/10.1046/j.1464-5491.2002.00791.x
Status	Udgivet - 17 sep. 2002

FN’s Verdensmål

Dette resultat bidrager til følgende verdensmål

Adgang til dokumentet

10.1046/j.1464-5491.2002.00791.x

Andre filer og links

Link to publication in Scopus

Citationsformater

@article{d86c6c7166a54d428019d77df53fe581,

title = "A randomized control trial of the effect of negotiated telephone support on glycaemic control in young people with Type 1 diabetes",

abstract = "Aim: To evaluate changes in self-efficacy for self-management in young people with Type 1 diabetes participating in a 'Negotiated Telephone Support' (NTS) intervention developed using the principles of problem solving and social learning theory. Methods: One-year RCT with 79 young people (male 39; mean age ± SD 16.5 ± 3.2 years, duration 6.7 ± 4.4 years, HbA1c 8.6 ± 1.5%) randomized into: Group 1 (control group), continued routine management, n = 28; Group 2, continued routine management with NTS, n = 25; Group 3, annual clinic with NTS, n = 26. Outcome measures: HbA1c, self-efficacy, barriers to adherence, problem solving, and diabetes knowledge. Results: There were no differences between the groups at baseline. Participants in Groups 2 and 3 received an average of 16 telephone calls/year (range 5-19), median duration 9 min (2-30), with a median interval of 3 weeks (1-24) between calls. Significant correlations were found between age and average length of call (r = 0.44, P < 0.01) and frequency of contact (r = 0.36, P < 0.05). Social and school topics were discussed frequently. After 1 year, while the participants in the two intervention groups showed significant improvements in self-efficacy (P = 0.035), there was no difference in glycaemic control in the three groups. Barriers to insulin use adherence were a significant predictor of HbA1c (P < 0.001) after controlling for baseline. Conclusions: NTS is an effective medium to deliver a simple theory-based psychological intervention to enhance self-efficacy for diabetes self-management. Reduced clinic attendance, combined with NTS, did not result in a deterioration of HbA1c. Intensive personal support needs to be combined with intensive diabetes therapy to improve glycaemic control in this age group.",

keywords = "Adherence, Adolescence, Problem solving, Self efficacy, Type 1 diabetes",

author = "L. Howells and Wilson, {A. C.} and Skinner, {T. C.} and R. Newton and Morris, {A. D.} and Greene, {S. A.}",

year = "2002",

month = sep,

day = "17",

doi = "10.1046/j.1464-5491.2002.00791.x",

language = "English",

volume = "19",

pages = "643--648",

journal = "Diabetic Medicine Online",

issn = "1464-5491",

publisher = "Wiley-Blackwell",

number = "8",

}

TY - JOUR

T1 - A randomized control trial of the effect of negotiated telephone support on glycaemic control in young people with Type 1 diabetes

AU - Howells, L.

AU - Wilson, A. C.

AU - Skinner, T. C.

AU - Newton, R.

AU - Morris, A. D.

AU - Greene, S. A.

PY - 2002/9/17

Y1 - 2002/9/17

N2 - Aim: To evaluate changes in self-efficacy for self-management in young people with Type 1 diabetes participating in a 'Negotiated Telephone Support' (NTS) intervention developed using the principles of problem solving and social learning theory. Methods: One-year RCT with 79 young people (male 39; mean age ± SD 16.5 ± 3.2 years, duration 6.7 ± 4.4 years, HbA1c 8.6 ± 1.5%) randomized into: Group 1 (control group), continued routine management, n = 28; Group 2, continued routine management with NTS, n = 25; Group 3, annual clinic with NTS, n = 26. Outcome measures: HbA1c, self-efficacy, barriers to adherence, problem solving, and diabetes knowledge. Results: There were no differences between the groups at baseline. Participants in Groups 2 and 3 received an average of 16 telephone calls/year (range 5-19), median duration 9 min (2-30), with a median interval of 3 weeks (1-24) between calls. Significant correlations were found between age and average length of call (r = 0.44, P < 0.01) and frequency of contact (r = 0.36, P < 0.05). Social and school topics were discussed frequently. After 1 year, while the participants in the two intervention groups showed significant improvements in self-efficacy (P = 0.035), there was no difference in glycaemic control in the three groups. Barriers to insulin use adherence were a significant predictor of HbA1c (P < 0.001) after controlling for baseline. Conclusions: NTS is an effective medium to deliver a simple theory-based psychological intervention to enhance self-efficacy for diabetes self-management. Reduced clinic attendance, combined with NTS, did not result in a deterioration of HbA1c. Intensive personal support needs to be combined with intensive diabetes therapy to improve glycaemic control in this age group.

AB - Aim: To evaluate changes in self-efficacy for self-management in young people with Type 1 diabetes participating in a 'Negotiated Telephone Support' (NTS) intervention developed using the principles of problem solving and social learning theory. Methods: One-year RCT with 79 young people (male 39; mean age ± SD 16.5 ± 3.2 years, duration 6.7 ± 4.4 years, HbA1c 8.6 ± 1.5%) randomized into: Group 1 (control group), continued routine management, n = 28; Group 2, continued routine management with NTS, n = 25; Group 3, annual clinic with NTS, n = 26. Outcome measures: HbA1c, self-efficacy, barriers to adherence, problem solving, and diabetes knowledge. Results: There were no differences between the groups at baseline. Participants in Groups 2 and 3 received an average of 16 telephone calls/year (range 5-19), median duration 9 min (2-30), with a median interval of 3 weeks (1-24) between calls. Significant correlations were found between age and average length of call (r = 0.44, P < 0.01) and frequency of contact (r = 0.36, P < 0.05). Social and school topics were discussed frequently. After 1 year, while the participants in the two intervention groups showed significant improvements in self-efficacy (P = 0.035), there was no difference in glycaemic control in the three groups. Barriers to insulin use adherence were a significant predictor of HbA1c (P < 0.001) after controlling for baseline. Conclusions: NTS is an effective medium to deliver a simple theory-based psychological intervention to enhance self-efficacy for diabetes self-management. Reduced clinic attendance, combined with NTS, did not result in a deterioration of HbA1c. Intensive personal support needs to be combined with intensive diabetes therapy to improve glycaemic control in this age group.

KW - Adherence

KW - Adolescence

KW - Problem solving

KW - Self efficacy

KW - Type 1 diabetes

UR - http://www.scopus.com/inward/record.url?scp=0036360967&partnerID=8YFLogxK

U2 - 10.1046/j.1464-5491.2002.00791.x

DO - 10.1046/j.1464-5491.2002.00791.x

M3 - Journal article

C2 - 12147144

AN - SCOPUS:0036360967

SN - 1464-5491

VL - 19

SP - 643

EP - 648

JO - Diabetic Medicine Online

JF - Diabetic Medicine Online

IS - 8

ER -

A randomized control trial of the effect of negotiated telephone support on glycaemic control in young people with Type 1 diabetes

Abstract

FN’s Verdensmål

Adgang til dokumentet

Andre filer og links

Fingeraftryk

Citationsformater