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 1 2009

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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