Computerized Intervention of Parental Involvement in Diabetes Care of Their Child
Condition: Diabetes
MeSH terms: Diabetes Mellitus
Study type: Interventional

Summary: 
      The purpose of this study is to develop an intervention to increase parental motivation for
      supervision and monitoring youth diabetes care behavior. The intervention will be tested in
      three brief session in conjunction with regularly scheduled diabetes clinic visits and
      delivered through a computer program based in the principles of Motivational Interviewing.
    

Detailed description: 
      The study includes a development phase (Phase 1: development of the intervention followed by
      feasibility testing with 10 youth and 10 parents) and a pilot validation phase [Phase 2:
      pilot randomized clinical trial (RCT)] using a sample of 90 African American youth
      transitioning to independent diabetes care and their parents. In this phase, families will be
      randomly assigned to one of three study arms: parent motivation for monitoring and youth
      motivation for diabetes care (arm 1), parent motivation for monitoring and youth information
      (arm 2) or parent and youth information (arm 3). In phase 1 (development), youth and their
      caregivers will complete a one-time research visit where they use the program and provide
      feedback via a semi-structured interview regarding the usefulness of the content, its
      user-friendliness and make suggestions for changes to enhance acceptability. In phase 2 (
      RCT), families will complete three intervention plus data collection visits and one
      additional data collection only visit. Research visits will be scheduled to coincide with
      appointments in the diabetes clinic to maximize convenience for families.
    

Intervention name(s): Parent Computer-Delivered Motivational Intervention; Parent & Child Computer-Delivered Motivational Intervention; Computer-Delivered Information
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): Motivational Interviewing (MI) is a client-centered, directive method for enhancing intrinsic motivation to change by exploring & resolving ambivalence, with a strong evidence for improving adolescent & adult health behaviors. Three motivational sessions will be provided by an animated character who delivers the intervention with high fidelity to MI principles. Small amounts of psychoeducation about potential improvements illness management that can result from parental monitoring of diabetes care will be integrated with more purely motivational elements. Mailings will be sent to participants to remind them of the reasons they gave as motivation & goals they set regarding monitoring diabetes care.; Motivational Interviewing (MI) is a client-centered, directive method for enhancing intrinsic motivation to change by exploring & resolving ambivalence, with a strong evidence for improving adolescent & adult health behaviors. Three motivational sessions will be provided by an animated character who delivers the intervention with high fidelity to MI principles. Small amounts of psychoeducation about potential improvements illness management that can result from monitoring/completing diabetes care will be integrated with more purely motivational elements. Mailings will be sent to participants to remind them of the reasons they gave as motivation & goals they set regarding diabetes care.; Computer-Delivered Information about issues related to living with diabetes that do not directly impact completing diabetes care.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Parenting; Parental Monitoring; Diabetes; Care