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Diabetes Educ. 2015 Apr;41(2):224-30. doi: 10.1177/0145721714567235. Epub 2015 Jan 22.

A novel behavioral intervention in adolescents with type 1 diabetes mellitus improves glycemic control: preliminary results from a pilot randomized control trial.

Author information

1
Department of Quantitative Health Science, University of Massachusetts Medical School, Worcester, Massachusetts (Dr Maranda)
2
Division of General Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas (Dr Lau)
3
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas (Dr Stewart)
4
Division of Endocrinology, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas (Dr Gupta)

Abstract

PURPOSE:

The purpose of this study was to develop and pilot-test an innovative behavioral intervention in adolescents with type 1 diabetes mellitus (T1DM) incorporating structured care of a pet to improve glycemic control.

METHODS:

Twenty-eight adolescents with A1C > 8.5% (69 mmol/mol) were randomly assigned to either the intervention group (care of a Betta splendens pet fish) or the control group (usual care). Adolescents in the intervention group were given instructions to associate daily and weekly fish care duties with diabetes self-management tasks, including blood glucose testing and parent-adolescent communication.

RESULTS:

After 3 months, the participants in the intervention group exhibited a statistically significant decrease in A1C level (-0.5%) compared with their peers in the control group, who had an increase in A1C level (0.8%) (P = .04). The younger adolescents (10-13 years of age) demonstrated a greater response to the intervention, which was statistically significant (-1.5% vs 0.6%, P = .04), compared with the older adolescents (14-17 years of age).

CONCLUSIONS:

Structured care of a pet fish can improve glycemic control in adolescents with T1DM, likely by providing cues to perform diabetes self-management behaviors.

PMID:
25614529
PMCID:
PMC4472382
DOI:
10.1177/0145721714567235
[Indexed for MEDLINE]
Free PMC Article

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