Coaching for parents of children with type 1 diabetes: A randomized controlled trial

To assess the effectiveness of a standardized bi-weekly six-month telephone coaching intervention for parents of children with type 1 diabetes. This single-blind randomized controlled trial followed participants for 12 months. The primary outcome was children’s health-related quality of life. Second...

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Published in:Patient education and counseling Vol. 123; p. 108205
Main Authors: Fung, Alex, Howard, Dori, Nichol, Heather, Irvine, Michael A., Zhang, Qian, Bone, Jeffrey N., Glackin, Sinead, Felgar, Elena, Tatla, Sandy, Hursh, Brenden E.
Format: Journal Article
Language:English
Published: Ireland Elsevier B.V 01-06-2024
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Summary:To assess the effectiveness of a standardized bi-weekly six-month telephone coaching intervention for parents of children with type 1 diabetes. This single-blind randomized controlled trial followed participants for 12 months. The primary outcome was children’s health-related quality of life. Secondary outcomes included treatment adherence, diabetes-related family conflict, and hemoglobin A1c. Data was collected using validated questionnaires and health records. We compared groups using a linear mixed effects model. 102 families were randomized (control: n = 49; intervention: n = 53). Coaching had no impact on children’s overall health-related quality of life or overall secondary outcomes; however, there were patterns in subsections that suggest the possible impact of coaching. Coaching was perceived as a positive addition to routine care by 80% of families and 82% would recommend working with a coach to another family. 58% of participants would continue coaching beyond the study. Coaching did not impact overall quality of life or secondary outcomes; however, coaching was well received by families who perceived significant benefits. Patterns in subsections warrant further study. Adding a health coach into diabetes multidisciplinary care supports families in a way that is unique from their routine clinical care. •Health coaching seeks to facilitate patient-focused behaviour change.•A health coach was a positive addition to pediatric T1D care for most families.•Coaching did not impact overall child quality of life.•Exploratory data suggests possible impacts of coaching that warrant further study.•Coaching supports T1D families in a way that is unique from routine clinical care.
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ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2024.108205