D H Grossoehme1,2, E Smith3, D Standiford3, N Morwessel3, J Kichler1,4, D M Maahs5, K Driscoll6, M Seid1,2,7. 1. Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH. 2. Divisions of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. 3. Divisions of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. 4. Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. 5. Division of Pediatric Endocrinology, Stanford University, Stanford, CA. 6. Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, The Children's Hospital of Colorado, Aurora, CO. 7. James M. Anderson Center for Healthy System Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Abstract
AIMS: Using an 18-month, multisite randomized control trial as an exemplar, the aim of this study was to identify themes related to adolescent and parental feasibility and acceptability for participation in large behavioural trials designed to improve adolescents' Type 1 diabetes self-management. METHODS: Thematic analysis methodology was used to develop themes describing factors related to acceptability and feasibility. RESULTS: Based on a sample of interviews (N = 72), factors contributing to intervention acceptability and feasibility were identified. Aspects of acceptability included: a framework for goal-setting, the coach as a non-judgemental listener, perception of an ongoing benefit to participation and the delivery mode. Aspects of feasibility included: participants' altruism to help adolescents with Type 1 diabetes; pre-enrolment preparation for intervention content and duration; and the option of remote intervention delivery via telephone or video, which minimized travel time and costs. In addition, participants described positive outcomes including improvements in behaviour, Type 1 diabetes self-management behaviours and parent-adolescent communication, and emotion-attitude changes. Participants also described potential revisions that may inform future trials. CONCLUSIONS: Acceptability and feasibility of behavioural interventions with adolescents with chronic illness have multifactorial dimensions. While empowering adolescent self-management, parental support is also an under-appreciated aspect to consider. Potential revisions were identified for subsequent behavioural trials.
RCT Entities:
AIMS: Using an 18-month, multisite randomized control trial as an exemplar, the aim of this study was to identify themes related to adolescent and parental feasibility and acceptability for participation in large behavioural trials designed to improve adolescents' Type 1 diabetes self-management. METHODS: Thematic analysis methodology was used to develop themes describing factors related to acceptability and feasibility. RESULTS: Based on a sample of interviews (N = 72), factors contributing to intervention acceptability and feasibility were identified. Aspects of acceptability included: a framework for goal-setting, the coach as a non-judgemental listener, perception of an ongoing benefit to participation and the delivery mode. Aspects of feasibility included: participants' altruism to help adolescents with Type 1 diabetes; pre-enrolment preparation for intervention content and duration; and the option of remote intervention delivery via telephone or video, which minimized travel time and costs. In addition, participants described positive outcomes including improvements in behaviour, Type 1 diabetes self-management behaviours and parent-adolescent communication, and emotion-attitude changes. Participants also described potential revisions that may inform future trials. CONCLUSIONS: Acceptability and feasibility of behavioural interventions with adolescents with chronic illness have multifactorial dimensions. While empowering adolescent self-management, parental support is also an under-appreciated aspect to consider. Potential revisions were identified for subsequent behavioural trials.
Authors: Elizabeth J Mayer-Davis; David M Maahs; Michael Seid; Jamie Crandell; Franziska K Bishop; Kimberly A Driscoll; Christine M Hunter; Jessica C Kichler; Debra Standiford; Joan M Thomas Journal: Lancet Child Adolesc Health Date: 2018-07-30
Authors: Cyd K Eaton; Ana M Gutierrez-Colina; Lauren F Quast; Rochelle Liverman; Jennifer L Lee; Laura L Mee; Bonney Reed-Knight; Grace Cushman; Gloria Chiang; Rene Romero; Chad Mao; Rouba Garro; Ronald L Blount Journal: J Pediatr Psychol Date: 2018-08-01
Authors: Tim Wysocki; Tonja R Nansel; Grayson N Holmbeck; Rusan Chen; Lori Laffel; Barbara J Anderson; Jill Weissberg-Benchell Journal: J Pediatr Psychol Date: 2008-12-26