An Integrated Care Model to Support Adolescents With Diabetes-related Quality-of-life Concerns: An Intervention Study
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Le résumé fourni par la source
BACKGROUND: Our aim in this study was to determine whether participating in an integrated stepped care model for adolescents with type 1 diabetes (T1D) would lead to improvements in overall quality of life (QoL), diabetes-related quality of life (DRQoL) and glycated hemoglobin (A1C) levels compared with usual care. METHODS: A nonrandomized, 2-group, pre/post, delayed-intervention design was used for this study. The Mind Youth Questionnaire (MY-Q) was used to assess QoL and DRQoL. Adolescents attending the diabetes clinic using the stepped care model formed the intervention group (n=77). These adolescents completed the MY-Q, and the identified concerns were discussed and addressed with them by their care team as part of the care model. Adolescents attending a pediatric diabetes clinic on another site completed the MY-Q as a comparison group (n=39), results were not shared with their care team, and they received the standard care. RESULTS: There were 116 adolescents between 13 to 17 years of age, who completed the MY-Q on 2 occasions. Baseline data were obtained on the first occasion, and, on the second occasion, an average of 12 months later, there was a follow-up assessment. At follow-up, adolescents in the intervention group had a significantly higher overall QoL and reported significantly fewer concerns on DRQoL domains than those in the comparison group. Participation in the intervention group, however, did not lead to improvements in A1C. CONCLUSION: This study shows that implementing an integrated stepped care model within an interprofessional pediatric diabetes clinic can lead to the improvement of adolescents' overall QoL and DRQoL.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- An Integrated Care Model to Support Adolescents With Diabetes-related Quality-of-life Concerns: An Intervention Study
- Date Crossref
- 01/02/2023
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Trillium Health Centre pays non établi dans la noticeÉtablissement de santé
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University of Toronto Institute for Better Health pays non établi dans la noticeUniversité ou école supérieure
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Institute for Better Health pays non établi dans la noticeStructure de recherche
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University of Milano-Bicocca Institute for Better Health pays non établi dans la noticeUniversité ou école supérieure
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Women's and Children's Health Program pays non établi dans la noticeInstitution
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Temerty Faculty of Medicine Institute for Better Health pays non établi dans la noticeUniversité ou école supérieure
Trillium Health Centre, Institute for Better Health — University of Toronto et Institute for Better Health, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.