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Wayne State University study aims to improve diabetes management in high-risk youth
Date:9/23/2011

take little time on the part of physicians and other health care providers, because they're very busy."

The study, to be conducted at diabetes clinics run by Dr. Kathleen Moltz, WSU assistant professor of pediatrics, will involve a computer program that uses the motivational interviewing approach. It is adapted from a program developed by grant co-investigator Steven Ondersma, Ph.D, WSU associate professor of psychiatry.

Recent research by Ellis' group has shown that parental supervision and monitoring of adolescents' daily diabetes care is a significant predictor of illness management and metabolic control. No results have been published for clinical trials of interventions that have directly targeted parental monitoring as a means of improving illness management in adolescents with diabetes.

Ellis' study will have three components. In the first, parents and adolescent will receive computer-delivered, motivation-building intervention. Parents will be encouraged to supervise diabetes care, and adolescents will be urged to complete all of their daily diabetes care.

In the second, parents will continue to receive the motivation-building intervention, while adolescents will receive a control intervention consisting of information about diabetes-related topics not directly related to daily diabetes care completion for example, emergency preparedness for people with diabetes. In the third component, both parents and adolescents will receive a control intervention.

If successful, the intervention will be delivered preventively at diabetes patients' regular doctor visits, Ellis said, adding that stronger interventions still may be needed in some cases. However, her current study could result in a relatively simple way to benefit a large number of patients.

"If you can get an intervention with even a very small effect out there to a huge portion of the population, that's well worth it," Ellis said. "But conversely, you
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Contact: Julie O'Connor
julie.oconnor@wayne.edu
313-577-8845
Wayne State University - Office of the Vice President for Research
Source:Eurekalert

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