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Adherence in Juvenile Diabetes
Randi Streisand, PhD, CDE, of the Center for Health Services and Community Research, leads the Center’s efforts in promoting regimen adherence and metabolic control in youth with Type 1 diabetes. Much research has focused on adherence and control during the adolescent period of development. Less is known about the precursors of non-adherence and poor control that may be present in the preadolescent stage-an earlier, and potentially more effective point of intervention. Greater attention to preadolescence could result in the prevention or minimization of non-adherence problems typically found during adolescence.
The ongoing clinical trial evaluates whether the health outcomes of childhood diabetes can be improved by providing a family-based diabetes adherence intervention to preadolescents. As part of this study, preadolescent children ages 9-11 years old and their parents are randomized to receive either standard diabetes education or a psychosocially enhanced adherence promotion program. Promotion of adherence is expected to result in increased parental involvement, decreased non-adherence and stabilized metabolic functioning during the study’s follow-up period.
Related Links
Contact Information:
Randi Streisand, PhD, CDE
Center For Health Services and Community Research
Children's Research Institute
Children's National Medical Center
111 Michigan Ave., NW
Washington, DC 20010
202-476-2730
rstreis@cnmc.org
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