Situational Problem Solving in Adolescents With Type 2 Diabetes: Enhancing a Randomized Controlled Trial (RCT)
Adolescents With Type 2 Diabetes
About this trial
This is an interventional health services research trial for Adolescents With Type 2 Diabetes focused on measuring Adolescents, Type 2 Diabetes, Behavioral Research
Eligibility Criteria
Inclusion Criteria:
Patients with a diagnosis of T2DM will be included if they are:
- Age 12-19 years
- A clinical diagnosis of T2DM (according to the patient and their health provider in the clinic)
- Actively receive diabetes care in the Eskind Diabetes Clinic
- Willingness of patient and a caregiver to access the Internet to complete problem solving activities
- Adolescent address is the same as their primary caregiver participating in the study
Exclusion Criteria:
Patients will be excluded if they meet any of the following:
- Identify an outside practitioner as the main provider of their diabetes care
- Have a significant psychiatric illness such as severe depression or active psychosis that would impact on the ability to participate in the study
- Life expectancy of <6 months
- Unable to access the Internet from any convenient location
- Blind or deaf
Parent Inclusion criteria:
- Parents must be a primary caregiver of an adolescent with a diagnosis of T2DM between the ages 12-19 seen at the Eskind Clinic
- Willingness of patient and a caregiver to access the Internet to complete problem solving activities.
Parent Exclusion criteria:
Patients will be excluded if they meet any of the following:
- Identify an outside practitioner as the main provider of their child's diabetes care
- Self report of significant psychiatric illness such as severe depression or active psychosis that would impact on the ability to participate in the study
- life expectancy of <6 months
- unable to access the Internet from any convenient location
- blind or deaf.
Joint Inclusion criteria:
Both the primary caregiver (parent) and adolescent must agree to participate in the research.
Sites / Locations
- Vanderbilt Univ Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
1 (Usual Care)
Intervention
Patients will continue to review usual care in the diabetes clinic. Patients will receive monthly phone calls as an active control condition.
The intervention will include participation in a comprehensive disease management program that includes: (1) application of treatment algorithms, (2) phone assessment from a diabetes nurse practitioner and dietician to assess barriers and promote problem solving, treatment adherence and management, and (3) a behavioral Internet-administered self-management problem solving component.