The Best of Coping: A Randomised Trial to Improve Glycaemic Control and Psychosocial Wellbeing in Adolescents with Type 1 Diabetes

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dc.contributor.advisor Frydenberg, E en
dc.contributor.advisor Northam, E en
dc.contributor.author Serlachius, Anna en
dc.date.accessioned 2018-10-09T22:23:02Z en
dc.date.issued 2012-01-10 en
dc.date.submitted 2011-09-09 en
dc.identifier.uri http://hdl.handle.net/2292/40049 en
dc.description.abstract Type 1 diabetes mellitus (T1DM) is a challenging and complex chronic illness that is associated with serious long-term health complications. T1DM requires intensive self- management in order to regulate blood glucose levels and minimise the risk for biomedical complications. Adolescents with T1DM are considered a vulnerable group, as they are at increased risk for deterioration in glycaemic control (control of blood glucose levels) as well as at increased risk for psychiatric disorders. Psychosocial interventions have tried to reduce these risk factors, and despite moderate improvements it remains unclear which therapeutic approaches and intervention components are the most successful in improving glycaemic control and psychological wellbeing. In order to clarify these issues the following studies were undertaken: (1) a qualitative study was used to modify a generic coping skills program to suit adolescents with T1DM, and (2) a randomised controlled trial (RCT) was conducted to evaluate the modified program and its impact on improving glycaemic control and psychosocial outcomes. The RCT also sought to evaluate the efficacy of cognitive behavioural theory as an underlying framework for interventions for youth with T1DM. Thirteen adolescents with T1DM participated in the qualitative study, and 156 adolescents with T1DM participated in the RCT. The RCT was evaluated at three months after baseline, with per-protocol analyses demonstrating statistically significant improvements in productive coping skills (p=0.022), diabetes-specific self-efficacy (p=0.046), diabetes-related stress (p=0.047), and quality of life (p=0.030) in the treatment group compared to the control group. Although glycaemic control improved in the treatment group compared to the control group (effect size of 0.28), the difference was not statistically significant (p=0.227). The significant improvements seen in psychosocial outcomes testify to the success of the modified coping skills program and the importance of targeting cognitions as part of psychosocial interventions for adolescents with T1DM. If offered as part of standard care, the program is expected to reduce mental health morbidity and improve quality of life in adolescents with T1DM. en
dc.publisher The University of Melbourne en
dc.relation.ispartof PhD Thesis - University of Auckland en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title The Best of Coping: A Randomised Trial to Improve Glycaemic Control and Psychosocial Wellbeing in Adolescents with Type 1 Diabetes en
dc.type Thesis en
thesis.degree.discipline Health Psychology en
thesis.degree.grantor The University of Melbourne and the Royal Children's Hospital, Melbourne en
thesis.degree.level Doctoral en
thesis.degree.name PhD en
dc.rights.holder Copyright: The author en
pubs.author-url http://hdl.handle.net/11343/36980 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.elements-id 671367 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
pubs.record-created-at-source-date 2017-09-20 en


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