The Feasibility of a Pilot Intervention for Parents of Young Children Newly Diagnosed With Type 1 Diabetes

Abstract

We evaluate the feasibility, acceptability, and indicators of preliminary efficacy of the pilot of a parent-focused, phone-based intervention to improve glycemic control and parental and child well-being in young children newly diagnosed with Type 1 diabetes (T1D). Thirty mothers of young children ages 1–6 diagnosed with T1D for less than 6 months were randomized to either a phone-based intervention or physical activity education comparison program. Child glycated hemoglobin (HbA1c) and parent report of depressive symptoms, stress, social support, and child quality of life were assessed at baseline, 1, 6, and 12 months postintervention. The program was feasible, as the majority of participants completed more than 80% of the intervention or comparison education sessions and reported high levels of satisfaction. There were no significant Time x Treatment intervention effects. The intervention demonstrated a trend toward moderating the association between baseline maternal depressive symptoms and prospective worsening of HbA1c. Parents of young children newly diagnosed with T1D can be engaged in a phone-based program to provide support during this vulnerable period.