Careful attention to self-care behaviors is crucial to achieving good health outcomes in children and adolescents with type 1 diabetes. Despite the unequivocal research findings that adolescence is a time of poor metabolic control among affected individuals, there have been few prevention efforts geared toward health promotion in this age group. The diabetes education, counseling and information delivery, and evaluation (DECIDE) Program is intended to prevent the deterioration of self-care behaviors often evident during adolescence by intervening during the earlier, more stable time period of preadolescence. This paper describes the foundation for the DECIDE Program and outlines intervention development, current study recruitment, and preliminary program evaluation data. Findings indicate that enrollment into the program is feasible among children and their parents; early feedback suggests that parents and children are also satisfied with their participation. The challenges of conducting randomized controlled trials in health promotion for childhood diabetes are discussed, and ideas are offered for future research directions to improve the integration of child health psychology with public health approaches in this population.
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ACKNOWLEDGMENTS
This research was supported by grants DK062161 from the National Institute of Diabetes and Digestive and Kidney Diseases (to R.S.) and grant 5-MO1-RR-020359-01 (to CNMC).
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Streisand, R., Mednick, L. Development of the Diabetes Education, Counseling, Information Delivery and Evaluation (DECIDE) Program: A Health Promotion Intervention For Preadolescents with Type 1 Diabetes. J Clin Psychol Med Settings 13, 180–190 (2006). https://doi.org/10.1007/s10880-006-9019-6
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DOI: https://doi.org/10.1007/s10880-006-9019-6