Guided self-determination-young versus standard care in the treatment of young females with type 1 diabetes: study protocol for a multicentre randomized controlled trial

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Lindholm Lena) > (2015-2019) > Guided self-determi...

Haas, JosephineKarolinska Institutet,Karolinska Institutet Institutionen för klinisk forskning och utbildning Södersjukhuset (författare)

Guided self-determination-young versus standard care in the treatment of young females with type 1 diabetes : study protocol for a multicentre randomized controlled trial

Artikel/kapitelEngelska2017

Förlag, utgivningsår, omfång ...

2017-11-24
Springer Science and Business Media LLC,2017
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:du-27244
https://urn.kb.se/resolve?urn=urn:nbn:se:du-27244URI
https://doi.org/10.1186/s13063-017-2296-6DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:137141340URI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-337473URI

Kompletterande språkuppgifter

Språk:engelska
Sammanfattning på:engelska

Ingår i deldatabas

SwePubSwePub

Klassifikation

Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

BACKGROUND: Female adolescents with type 1 diabetes mellitus (T1DM) have the most unsatisfactory glycaemic control of all age groups and report higher disease burden, poorer perceived health, and lower quality of life than their male counterparts. Females with T1DM face an excess risk of all-cause mortality compared with men with T1DM. New methods are needed to help and support young females with T1DM to manage their disease. A prerequisite for successful diabetes management is to offer individualized, person-centred care and support the patient's own motivation. Guided self-determination (GSD) is a person-centred reflection and problem-solving method intended to support the patient's own motivation in the daily care of her diabetes and help develop skills to manage difficulties in diabetes self-management. GSD has been shown to improve glycaemic control and decrease psychosocial stress in young women with T1DM. The method has been adapted for adolescents and their parents, termed GSD-young (GSD-Y). The aim of this study was to evaluate whether an intervention with GSD-Y in female adolescents with T1DM leads to improved glycaemic control, self-management, treatment satisfaction, perceived health and quality of life, fewer diabetes-related family conflicts, and improved psychosocial self-efficacy.METHODS/DESIGN: This is a parallel-group randomized controlled superiority trial with an allocation ratio of 1:1. One hundred female adolescents with T1DM, 15-20 years of age, and their parents (if < 18 years of age), will be included. The intervention group will receive seven individual GSD-Y education visits over 3 to 6 months. The control group will receive standard care including regular visits to the diabetes clinic. The primary outcome is level of glycaemic control, measured as glycosylated haemoglobin (HbA1c). Secondary outcomes include diabetes self-management, treatment satisfaction, perceived health and quality of life, diabetes-related family conflicts, and psychosocial self-efficacy. Data will be collected before randomization and at 6 and 12 months.DISCUSSION: Poor glycaemic control is common in female adolescents and young adults with T1DM. Long-standing hyperglycaemia increases the risks for severe complications and may also have an adverse impact on the outcome of future pregnancies. In this study, we want to evaluate if the GSD-Y method can be a useful tool in the treatment of female adolescents with T1DM.TRIAL REGISTRATION: Current controlled trials, ISRCTN57528404 . Registered on 18 February 2015.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Endokrinologi och diabetes hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Endocrinology and Diabetes hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences hsv//eng
Adolescents
Female
Guided self-determination-young (GSD-Y)
Intervention
Person-centred care
Type 1 diabetes

Biuppslag (personer, institutioner, konferenser, titlar ...)

Persson, MartinaKarolinska Institutet,stitutionen för klinisk forskning och utbildning Södersjukhuset (författare)
Brorsson, Anna Lena,1964-Karolinska Institutet,Karolinska institutet,stitutionen för klinisk forskning och utbildning Södersjukhuset(Swepub:du)anbr (författare)
Toft, Eva Hagström (författare)
Olinder, Anna Lindholm,PhD,1960-Uppsala universitet,Karolinska Institutet,Klinisk diabetologi och metabolism,Department of Clinical Science and Education, Karolinska Institute; Sachs’ Children and Youth Hospital, Södersjukhuset, Stockholm(Swepub:uu)annli614 (författare)
Karolinska InstitutetKarolinska Institutet Institutionen för klinisk forskning och utbildning Södersjukhuset (creator_code:org_t)

Sammanhörande titlar

Ingår i:Trials: Springer Science and Business Media LLC18:11745-6215

Internetlänk

Hitta via bibliotek

Trials (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Haas, Josephine; Persson, Martina; Brorsson, Anna L ...; Toft, Eva Hagstr ...; Olinder, Anna Li ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Endokrinologi oc ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Annan medicin oc ...

Artiklar i publikationen: Trials

Av lärosätet: Högskolan Dalarna; Karolinska Institutet; Uppsala universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se