Long-term maintenance of treatment outcomes

Diabetes personal trainer intervention for youth with type 1 diabetes

Tonja R. Nansel, Ronald J. Iannotti, Bruce G. Simons-Morton, Leslie P. Plotnick, Loretta M. Clark, Linda Zeitzoff

Research output: Contribution to journalArticle

Abstract

OBJECTIVE - To describe a 2-year follow-up of A1C outcomes of a self-regulation intervention for youth with type 1 diabetes. RESEARCH DESIGN AND METHODS - A total of 81 youths with type 1 diabetes ages 11-16 years were randomized to usual care versus a diabetes personal trainer intervention consisting of six self-monitoring, goal-setting, and problem-solving sessions with trained non-professionals. A1C data were obtained from medical records 2 years postintervention, and ANCOVA adjusting for age and baseline A1C was conducted. RESULTS - An overall intervention effect on A1C (8.93% control vs. 8.43% intervention; F = 8.24, P = 0.05) and a significant intervention-by-age interaction (F = 9.88; P = 0.002) were observed, indicating a greater effect among older than younger youths. Subgroup analyses demonstrated no treatment group differences among pre-/early adolescents but a significant difference in A1C among middle adolescents (9.61% control vs. 8.46% intervention; F = 7.20, P = 0.011). CONCLUSIONS - Findings indicate maintenance of intervention effects on A1C observed at 1-year follow-up.

Original languageEnglish (US)
Pages (from-to)807-809
Number of pages3
JournalDiabetes Care
Volume32
Issue number5
DOIs
StatePublished - May 2009

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Type 1 Diabetes Mellitus
Medical Records
Research Design
Maintenance
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Nansel, T. R., Iannotti, R. J., Simons-Morton, B. G., Plotnick, L. P., Clark, L. M., & Zeitzoff, L. (2009). Long-term maintenance of treatment outcomes: Diabetes personal trainer intervention for youth with type 1 diabetes. Diabetes Care, 32(5), 807-809. https://doi.org/10.2337/dc08-1968

Long-term maintenance of treatment outcomes : Diabetes personal trainer intervention for youth with type 1 diabetes. / Nansel, Tonja R.; Iannotti, Ronald J.; Simons-Morton, Bruce G.; Plotnick, Leslie P.; Clark, Loretta M.; Zeitzoff, Linda.

In: Diabetes Care, Vol. 32, No. 5, 05.2009, p. 807-809.

Research output: Contribution to journalArticle

Nansel, TR, Iannotti, RJ, Simons-Morton, BG, Plotnick, LP, Clark, LM & Zeitzoff, L 2009, 'Long-term maintenance of treatment outcomes: Diabetes personal trainer intervention for youth with type 1 diabetes', Diabetes Care, vol. 32, no. 5, pp. 807-809. https://doi.org/10.2337/dc08-1968
Nansel, Tonja R. ; Iannotti, Ronald J. ; Simons-Morton, Bruce G. ; Plotnick, Leslie P. ; Clark, Loretta M. ; Zeitzoff, Linda. / Long-term maintenance of treatment outcomes : Diabetes personal trainer intervention for youth with type 1 diabetes. In: Diabetes Care. 2009 ; Vol. 32, No. 5. pp. 807-809.
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