Family Factors in Young People With Diabetes: a Qualitative Study

Study Overview
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Brief Summary
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8 young people (aged 12-15yrs) with type 1 diabetes will be interviewed along with their families during this qualitative study. The interviews will explore factors identified by the young people and their families as important in diabetes management. Comparison of these factors will then be made between the young people with higher and lower HbA1c levels.

Detailed Description
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Family is an important factor in the self-management of type 1 diabetes by children and young people. Existing research has explored the experience of living with diabetes, considered from the perspective of children and parents, but has not provided children's diabetes teams with the information they need to support young people with higher blood glucose levels, and therefore higher risks of long term complications related to their diabetes. During this qualitative study the researcher will meet with young people (aged 12-15yrs) and their families for a joint interview, held in the family home, exploring the factors which they consider important in diabetes self-management. One interview will be held with each family. Recruitment of 8 families is planned. The interviews will be recorded and transcribed to allow thematic analysis, allowing identification of common factors considered to be important by families. The HbA1c of young people with diabetes is checked regularly in clinic and provides an assessment of blood glucose levels over the preceding months. Higher HbA1c levels are associated with higher risk of long term complications. The index young people will be recruited in 2 groups: one group will have lower risk of long term complications (identified by an HbA1c level of <58mmol/mol). The other will have higher risk (HbA1c 75-100mmol/mol). A comparison will be made between the families in each group, to identify which themes are more common in the lower or higher risk groups.

Official Title
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Factors Affecting Diabetes Self-management in Young People and Their Families: a Qualitative Study

Conditions
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Type 1 Diabetes

Intervention / Treatment
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* Other: Interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 12 - 15 years (between their 12th and 16th birthday at recruitment) Type 1 diabetes diagnosed for at least 6 months Group 1: HbA1c <58mmols/mol on last known test Group 2: HbA1c ≥75mmols/mol and <100mmols/mol on last known test Willing to participate in group interview with at least one parent/carer Exclusion Criteria: Family currently identified as not suitable for lone visits Participants with inadequate English to take part in a semi-structured interview conducted in English Children and Young people for whom the last HbA1c incongruent with their previous results will be excluded

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Lower risk of long term complications<br>Young people with diabetes who have HbA1c <58mmols/mol, and family members. | Other: Interview<br>* Qualitative interviews only<br>|
| Higher risk of long term complications<br>Young people with diabetes who have HbA1c ≥75mmols/mol and <100mmols/mol, and family members. | Other: Interview<br>* Qualitative interviews only<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thematic Analysis | Themes identified against the primary question: what factors do families identify as important in self-management of a young person's Type 1 diabetes | Interviews of up to 90mins conducted during the study period (a period of 5 weeks ending on the 31st of March 2020) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Children and young people, Family, Qualitative