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Reducing and preventing internalizing and externalizing behavior problems in children with type 1 diabetes: a

E M Westrupp1,2, E Northam1,3, K J Lee4,5

  • 1Cell Biology, Development & Disease, Centre for Hormone Research, Murdoch Childrens Research Institute, Melbourne, Australia.

Pediatric Diabetes
|August 30, 2014
PubMed

Insights

The Triple P-Positive Parenting Program improved parent mental health and family functioning in children with type 1 diabetes. Benefits were most significant for children with pre-existing behavioral issues.

Area of Science:

  • Pediatric Endocrinology
  • Child Psychology
  • Behavioral Health

Background:

  • Children with type 1 diabetes face heightened risks for mental health issues.
  • These mental health challenges correlate with poorer glycemic control and increased long-term morbidity.
  • The Triple P-Positive Parenting Program was evaluated for its efficacy in this population.

Purpose of the Study:

  • To assess the effectiveness of the Triple P-Positive Parenting Program.
  • To determine if the program reduces mental health problems in children with type 1 diabetes.
  • To evaluate improvements in glycemic control and family dynamics.

Main Methods:

  • A randomized controlled trial involving 76 children with type 1 diabetes.
  • Participants were assigned to either the Triple P intervention or standard diabetes care.
  • Outcomes included child behavior, glycemic control, parent mental health, and family functioning over 12 months.

Main Results:

  • The Triple P program showed significant improvements in parent mental health, parenting skills, and family functioning at 3 months.
  • No significant improvements were observed in child mental health or glycemic control at 3 or 12 months.
  • Children with pre-existing mental health problems experienced greater benefits in child and parent mental health, and family conflict, with sustained improvements at 12 months.

Conclusions:

  • The Triple P-Positive Parenting Program demonstrates efficacy in enhancing parent and family outcomes.
  • The program is particularly beneficial for children with type 1 diabetes who have pre-existing mental health conditions.
  • Further research may explore targeted interventions for improving child mental health and glycemic control in this cohort.
Abstract

Keywords:
child behaviorparent mental healthparentingtype 1 diabetes

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