At a glance
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Shared Medical Decision Making in Pediatric Diabetes
In Brief
A clinical study evaluating Usual Clinical Practice and Shared Medical Decision Making for Type 1 Diabetes Mellitus. Completed, enrolled 153 participants across 1 site.
Detailed Summary
This work is testing a shared medical decision making intervention for adolescents with type 1 diabetes and their parents who are candidates for adding either an insulin pump or continuous glucose monitor to their treatment plan. The first half of the work consisted of the stakeholder driven design, construction and refinement of web-delivered multimedia decision aids for each of these decisions. The randomized controlled trial of that intervention began enroling participants in February 2015. A sample of 166 eligible adolescents who receive care at an operating entity of the Nemours Children's Health System will be enrolled and randomized to either Usual Clinical Practice alone or augmented by the Shared Medical Decision Making intervention. Primary outcomes include measures of engagement with the pertinent technology if it is chosen and measures of decision quality; Secondary outcomes include indices of metabolic control, quality of life and parent-adolescent relationships around diabetes management.
Study Details
Timeline
Interventions
Diabetes management and education related to insulin pump or continuous glucose monitor as currently practiced at the enrolling site.
Access to and use of multimedia decision aid websites to facilitate adolescent and parent decision making about incorporating these devices into the diabetes management regimen.