Kicking in Diabetes Support (KIDS) Intervention Effects: Parent Reports of Diabetes Management
Why this work is in the frame
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Bibliographic record
Abstract
Objectives: The Kicking In Diabetes Support (KIDS) Project is a semistructured multifamily group therapy (MGT) intervention for adolescents who have type 1 diabetes (T1D) and their parents, which incorporates both peer support and family systems processes to improve diabetes management skills. The purpose of the present study was to evaluate the clinical utility of this intervention by examining parent perspectives and health-related outcomes. Methods: Adolescents and their parents participated in the 8-session (6 core sessions and 2 booster follow-up sessions at 2 and 4 months) intervention in 1 of 8 waves of the group administration over a four-year period. Parents completed self-report measures (e.g., readiness to change behaviors, self-management, and responsibility in T1D management) at baseline, posttreatment, and follow-up. A medical chart review documented health care utilization and hemoglobin A1c (HbA1c) levels. Results: Of the 38 families that completed baseline assessments, 20 families had parent self-report measures for all 3 timepoints. There were significant improvements in parents’ reports of readiness to change behaviors and self-management. There was variability in reports of parent-adolescent division of T1D responsibility across the 3 timepoints. In addition, adolescent HbA1c levels, the number of clinic visits, and emergency room utilization were significantly reduced over time. Conclusions: The results of this study suggest that parents are amenable to a MGT intervention for adolescents with T1D conducted in a clinical setting. Further, there are sustained improvements in the parent–child interactional processes related to T1D management, glycemic levels, and health care utilization during an often-difficult developmental period. Implications for Impact Statement The present study suggests that from a parent perspective, a multifamily group intervention for adolescents with type 1 diabetes and their parents may be helpful in improving family process constructs (such as shifting responsibility for diabetes care and self-management) and adolescents’ health-related outcomes (such as glycemic levels and health care utilization). This brief diabetes group intervention may be able to be incorporated into a variety of clinical settings, used within different diabetes subpopulations (such as with adolescents recently diagnosed with diabetes), and adapted to various types of diabetes treatment regimens.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it