Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial.
Document Type
Article
Publication Date
4-9-2024
Publication Title
JMIR Diabetes
Abstract
BACKGROUND: Black adolescents with type 1 diabetes (T1D) are at increased risk for suboptimal diabetes health outcomes; however, evidence-based interventions for this population are lacking. Depression affects a high percentage of youth with T1D and increases the likelihood of health problems associated with diabetes.
OBJECTIVE: Our aim was to test whether baseline levels of depression moderate the effects of a brief eHealth parenting intervention delivered to caregivers of young Black adolescents with T1D on youths' glycemic control.
METHODS: We conducted a multicenter randomized controlled trial at 7 pediatric diabetes clinics located in 2 large US cities. Participants (N=149) were allocated to either the intervention group or a standard medical care control group. Up to 3 intervention sessions were delivered on a tablet computer during diabetes clinic visits over a 12-month period.
RESULTS: In a linear mixed effects regression model, planned contrasts did not show significant reductions in hemoglobin A
CONCLUSIONS: A brief, culturally tailored eHealth parenting intervention improved health outcomes among Black adolescents with T1D and depressive symptoms.
TRIAL REGISTRATION: ClinicalTrials.gov NCT03168867; https://clinicaltrials.gov/study/NCT03168867.
Volume
9
First Page
e55165
Recommended Citation
Ellis D, Carcone AI, Templin T, Evans M, Weissberg-Benchell J, et al [Dekelbab MB] Moderating effect of depression on glycemic control in an ehealth intervention among black youth with type 1 diabetes: findings from a multicenter randomized controlled trial. JMIR Diabetes. 2024 Apr 9;9:e55165. doi: 10.2196/55165. PMID: 38593428
DOI
10.2196/55165
ISSN
2371-4379
PubMed ID
38593428
