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Camp-based multi-component intervention for families of young children with type 1 diabetes: A pilot and feasibility

Olga T Gupta1, Marsha MacKenzie2, Angie Burris2

  • 1Division of Endocrinology, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.

Pediatric Diabetes
|December 16, 2017
PubMed

Insights

A camp-based intervention improved glycemic control (HbA1c) in young children with type 1 diabetes mellitus (T1DM). Mothers also reported better quality of life and reduced stress after participating in the program.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Psychology

Background:

  • Managing type 1 diabetes mellitus (T1DM) in preschoolers presents unique challenges impacting glycemic control and parental coping.
  • Early childhood T1DM management requires tailored approaches for optimal outcomes.

Purpose of the Study:

  • To assess a camp-based, multi-component intervention's effect on glycated hemoglobin A1c (HbA1c) in young children with T1DM.
  • To evaluate the intervention's impact on parental psychosocial measures, including stress and quality of life.

Main Methods:

  • Two cohorts of 18 children (ages 3-5) and families attended a camp intervention with education and recreational activities.
  • Intervention components were refined after Camp 1.0, leading to a single-session Camp 2.0, with pre- and post-intervention measures of HbA1c, parental stress, QOL, and self-efficacy.

Main Results:

  • Camp 2.0 participants showed a significant decrease in mean HbA1c (-0.5%, P=.002).
  • Mothers reported significant improvements in diabetes-specific QOL and reduced stress (Pediatric Inventory for Parent).
  • A booster session in Camp 1.0 did not provide additional benefits.

Conclusions:

  • A family-centered, camp-based intervention effectively improved HbA1c in young children with T1DM.
  • The intervention positively impacted mothers' perceived quality of life and reduced stress levels.
Abstract

Keywords:
glycated hemoglobin Ahypoglycemiaparentsquality of lifetype 1 diabetes mellitus

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