Effects of Web-Based Training on HbA1c, Quality of Life and Depression Levels in Adolescents With Type 1 Diabetes

NCT ID: NCT04888780

Last Updated: 2021-05-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2018-05-01

Brief Summary

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Objective: This study was conducted to determine the effect of diabetes training on HbA1c, levels of depression and quality of life of Type 1 Diabetes Mellitus adolescents by using the Web-Based Watson Human Care Model.

Methods: The study was conducted with 30 adolescents between 11-18 years old who was followed by Child Endocrinology Department and who accepted to participate in the research. A web page was developed by considering Training Guide for Adolescents with Type 1 Diabetes and processes of Watson Human Care Theory. Live video interviews were done with adolescents in the experiment group on 14 sessions and these interviews were recorded.

Detailed Description

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Conditions

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Mental Disorder in Adolescence Behavioral Symptoms Problem Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The research had an experimental design with pre-test and post-test control groups. The participants were randomly assigned to the experimental and control groups.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Experiment adolescent group

The web-based Watson's Human Care Theory oriented training and support program are applied to the intervention group.

Group Type EXPERIMENTAL

The web-based Watson's Human Care Theory oriented training

Intervention Type OTHER

Video calls were held every 15 days via the skype program with complete adherence to the schedule. In these interviews, the clinical picture of diabetes and the psychosocial status of adolescents were discussed. A total of 14 interviews with 15-day intervals were made with each adolescent. All video interviews were carried out by the first researcher and they were all recorded.

Control adolescent group

No intervention is applied to the control group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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The web-based Watson's Human Care Theory oriented training

Video calls were held every 15 days via the skype program with complete adherence to the schedule. In these interviews, the clinical picture of diabetes and the psychosocial status of adolescents were discussed. A total of 14 interviews with 15-day intervals were made with each adolescent. All video interviews were carried out by the first researcher and they were all recorded.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Internet access in the home environment,
* Having a computer in the home environment and being able to use a person from the child and / or family,
* Adolescent diagnosed with T1 DM at least 6 months ago,
* Adolescent's ability to understand information, read and write in Turkish, and have no problems preventing him from communicating verbally,
* Agreeing to sign the consent form that the family agreed to participate in the study,

Exclusion Criteria

* The patients, whose families did not agree to participate in the research for various reasons,
* Internet not access in the home environment,
* Adolescent has a chronic disease other than T1 DM,
* Adolescent newly diagnosed with T1 DM,
Minimum Eligible Age

11 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Adiyaman University Research Hospital

OTHER

Sponsor Role collaborator

Gaziantep Islam Science and Technology University

OTHER

Sponsor Role lead

Responsible Party

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Sema Icel

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Adiyaman University Research Hospital

Adıyaman, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Karahan Okuroglu G, Ecevit Alpar S. Effect of Web-based diabetes training program on diabetes-related knowledge, attitudes, and skills of health professionals: A randomized controlled trial. Jpn J Nurs Sci. 2019 Apr;16(2):184-193. doi: 10.1111/jjns.12228. Epub 2018 Aug 2.

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Jaser SS. Family interaction in pediatric diabetes. Curr Diab Rep. 2011 Dec;11(6):480-5. doi: 10.1007/s11892-011-0222-y.

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Charalampopoulos D, Hesketh KR, Amin R, Paes VM, Viner RM, Stephenson T. Psycho-educational interventions for children and young people with Type 1 Diabetes in the UK: How effective are they? A systematic review and meta-analysis. PLoS One. 2017 Jun 30;12(6):e0179685. doi: 10.1371/journal.pone.0179685. eCollection 2017.

Reference Type RESULT
PMID: 28665946 (View on PubMed)

Muscatello MR, Troili GM, Pandolfo G, Mento C, Gallo G, Lanza G, Pintaudi B, Di Vieste G, Di Benedetto A, Zoccali RA, Bruno A. [Depression, anxiety and anger in patients with type 1 diabetes mellitus.]. Recenti Prog Med. 2017 Feb;108(2):77-82. doi: 10.1701/2636.27098. Italian.

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McGuire HC, Ji L, Kissimova-Skarbek K, Whiting D, Aguirre F, Zhang P, Lin S, Gong C, Zhao W, Lu J, Guo X, Ji Y, Seuring T, Hong T, Chen L, Weng J, Zhou Z. Type 1 diabetes mellitus care and education in China: The 3C study of coverage, cost, and care in Beijing and Shantou. Diabetes Res Clin Pract. 2017 Jul;129:32-42. doi: 10.1016/j.diabres.2017.02.027. Epub 2017 Feb 28.

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Bentzen SM, Knudsen VK, Christiensen T, Ewers B. Relative validity of a web-based food frequency questionnaire for patients with type 1 and type 2 diabetes in Denmark. Nutr Diabetes. 2016 Sep 26;6(9):e232. doi: 10.1038/nutd.2016.40.

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Avdal EU, Kizilci S, Demirel N. The effects of web-based diabetes education on diabetes care results: a randomized control study. Comput Inform Nurs. 2011 Feb;29(2):101-6. doi: 10.1097/NCN.0b013e3181fcbdc6.

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PMID: 21099675 (View on PubMed)

Knox ECL, Quirk H, Glazebrook C, Randell T, Blake H. Impact of technology-based interventions for children and young people with type 1 diabetes on key diabetes self-management behaviours and prerequisites: a systematic review. BMC Endocr Disord. 2019 Jan 10;19(1):7. doi: 10.1186/s12902-018-0331-6.

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PMID: 30630442 (View on PubMed)

Goksen D, Atik Altinok Y, Ozen S, Demir G, Darcan S. Effects of carbohydrate counting method on metabolic control in children with type 1 diabetes mellitus. J Clin Res Pediatr Endocrinol. 2014;6(2):74-8. doi: 10.4274/Jcrpe.1191.

Reference Type RESULT
PMID: 24932599 (View on PubMed)

Bachle C, Lange K, Stahl-Pehe A, Castillo K, Holl RW, Giani G, Rosenbauer J. Associations between HbA1c and depressive symptoms in young adults with early-onset type 1 diabetes. Psychoneuroendocrinology. 2015 May;55:48-58. doi: 10.1016/j.psyneuen.2015.01.026. Epub 2015 Feb 7.

Reference Type RESULT
PMID: 25720348 (View on PubMed)

Mutlu EK, Mutlu C, Taskiran H, Ozgen IT. Association of physical activity level with depression, anxiety, and quality of life in children with type 1 diabetes mellitus. J Pediatr Endocrinol Metab. 2015 Nov 1;28(11-12):1273-8. doi: 10.1515/jpem-2015-0082.

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PMID: 26197465 (View on PubMed)

Samardzic M, Tahirovic H, Popovic N, Popovic-Samardzic M. Health-related quality of life in children and adolescents with type 1 diabetes mellitus from Montenegro: relationship to metabolic control. J Pediatr Endocrinol Metab. 2016 Jun 1;29(6):663-8. doi: 10.1515/jpem-2015-0420.

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PMID: 27054599 (View on PubMed)

Fredette J, Mawn B, Hood K, Fain J. Quality of Life of College Students Living With Type 1 Diabetes: A Qualitative View. West J Nurs Res. 2016 Dec;38(12):1595-1610. doi: 10.1177/0193945916651265. Epub 2016 May 25.

Reference Type RESULT
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Demir G, Ozen S, Cetin H, Darcan S, Goksen D. Effect of Education on Impaired Hypoglycemia Awareness and Glycemic Variability in Children and Adolescents with Type 1 Diabetes Mellitus. J Clin Res Pediatr Endocrinol. 2019 May 28;11(2):189-195. doi: 10.4274/jcrpe.galenos.2019.2019.0009. Epub 2019 Jan 31.

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Tektas P, Cam O. The Effects of Nursing Care Based on Watson's Theory of Human Caring on the Mental Health of Pregnant Women After a Pregnancy Loss. Arch Psychiatr Nurs. 2017 Oct;31(5):440-446. doi: 10.1016/j.apnu.2017.07.002. Epub 2017 Jul 11. No abstract available.

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Arslan-Ozkan I, Okumus H, Buldukoglu K. A randomized controlled trial of the effects of nursing care based on Watson's Theory of Human Caring on distress, self-efficacy and adjustment in infertile women. J Adv Nurs. 2014 Aug;70(8):1801-12. doi: 10.1111/jan.12338. Epub 2013 Dec 22.

Reference Type RESULT
PMID: 24372443 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

http://dergipark.org.tr/tr/download/article-file/95107

N. Yalcin Atar, T. Atabek Asti, Validity and reliability of Turkish version of the caring nurse-patient interaction scale, Florence Nightingale Journal of Nursing. 20(2) (2012) 129-139.

https://doi.org/10.1097/00004650-200207000-00005

J. Watson, Intentionality and caring-healing consciousness: a practice of transpersonal nursing. Holistic Nursing Prac. 16(4) (2002) 12-19.

https://digitalscholarship.unlv.edu/jhdrp/vol9/iss3/6/

S.A. Fitzgerald, V.E.M. Zavala, K.Y.R. Blanco, A.P. Cupertino, M.V. Geana, E.F. Ellerbeck, Acceptability and feasibility of web-based diabetes instruction for Latinos with limited education and computer experience, JHDRP. 9(3) (2016) 94-102.

https://dergipark.org.tr/en/pub/deuhfed/issue/46814/587063

C. Öztürk, D. Ayar, The importance of quality of life in children with type 1 diabetes mellitus, E-Journal of Dokuz Eylul University Nursing Faculty. 6(2) (2013) 99-101.

https://ihslc.mehmetakif.edu.tr/2018/

Z. Karakus Er, Z. Özer, H. Boncuk, The effect of web based patient education on symptom management and quality of life of patients with diagnosed lung cancer. 1st International Health Sciences and Life Congress. 02-05 May, 2018. Burdur, Turkey

https://dergipark.org.tr/tr/pub/patd/article/399725

S. Altundağ, The effect of social support and education at adaptation to disease in children with type 1 diabetes mellitus, Pamukkale Medical Journal. 11(2) (2017) 137-144. https://doi.org/10. 5505/ptd.2017.90958.

https://dergipark.org.tr/tr/pub/pediatri/issue/38632/449217

E. Duras, D. Bezen, O. Özkaya, H. Dursun, Evaluation of the quality of life patients followed up with diagnosis of type 1 diabetes mellitus, The Journal of Current Pediatrics. 16(2) (2018) 72-85.

https://khd.tkd.org.tr/jvi.aspx?un=KVHD-74946

B.N.Ö. Uran, S. Ozer, Y. Yıldırım, An example of Watson's theory of human caring model: case of heart failure. Turk J Card Nur. 6(11) (2015) 183-198. https://doi.org/10.5543/khd.2015.017.

http://dx.doi.org/10.4172/2167-1168.C1.019

K. Öner, H. Arslantaş, Depression, internet addiction and related factors in adolescents of high school students, 6 th World Nursing and Healthcare Conference, August 15-16, 2016. London, United Kingdom..

Other Identifiers

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GaziantepIslamicUST

Identifier Type: -

Identifier Source: org_study_id

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