SMART Project
Illness Management in Children and Young Adults with Type 1 Diabetes
This study will analyze patterns of self-management and adherence to type 1 diabetes (DM1) during early adolescence and will identify salient predictors of self-management and treatment adherence. This three-year study will generate scientific data concerning causes and consequences of self-management of DM1 during early adolescence. Such information could facilitate development of interventions that target problematic patterns of self-management among young adolescents, thus reducing chances of deterioration in their self-management, treatment adherence and metabolic control. Cincinnati Children’s Hospital Medical Center is the central coordinating site for this three-site study, which also includes the University of Miami Diabetes Research Institute in Miami, FL, and the Nemours Clinic in Wilmington, DE.
Study Goals
We hope to accomplish the following specific aims with this study:
- Describe individual differences and group trends, in patterns of change, in DM1 self-management and treatment adherence from early to middle adolescence
- Identify family and individual influences on self-management and treatment adherence
- Assess consequences of self-management and treatment adherence patterns on blood sugar control, hypoglycemic episodes and healthcare utilization
Current Progress
Recruitment is closed for this study; we are currently in our two- and three-year data collection at all sites. Baseline and one-year data collection is finished, and the data is being prepared for analysis.
Illness Management in Children and Young Adults with Type 1 Diabetes