118 research outputs found
Psychological Well-Being of Parents of Very Young Children With Type 1 Diabetes â Baseline Assessment
Background: Type 1 diabetes in young children is a heavy parental burden. As part of
pilot phase of the KIDSAP01 study, we conducted a baseline assessment in parents to
study the association between hypoglycemia fear, parental well-being and child behavior.
Methods: All parents were invited to fill in baseline questionnaires: hypoglycemia fear
survey (HFS), WHO-5, Epworth Sleepiness Scale and Strength and Difficulties
Questionnaire (SDQ).
Results: 24 children (median age: 5-year, range 1-7 years, 63% male, mean diabetes
duration: 3 ± 1.7 years) participated. 23/24 parents filled out the questionnaires. We found
a higher score for the hypoglycemia fear behavior 33.9 ± 5.6 compared to hypoglycemia
worry 34.6 ± 12.2. Median WHO-5 score was 16 (8 - 22) with poor well-being in two
parents. Median daytime sleepiness score was high in five parents (>10). For six children a
high total behavioral difficulty score (>16) was reported. Pro social behavior score was
lower than normal in six children (<6). Parental well-being was negatively associated with
HFS total (r = - 0.50, p <.05) and subscale scores (r = - 0.44, p <.05 for HFS-Worry and
HFS-Behavior), child behavior (r = - 0.45, p = .05) and positively with child age and
diabetes duration (r = 0.58, p <.01, r = 0.6, p <.01). HFS, parental well-being nor daytime
sleepiness are associated with the HbA1c.
Conclusion: Regular screening of parental well-being, hypoglycemia fear and child
behavior should be part of routine care to target early intervention
Effect of predicted low suspend pump treatment on improving glycaemic control and quality of sleep in children with type 1 diabetes and their caregivers: the QUEST randomized crossover study.
BACKGROUND: In attempting to achieve optimal metabolic control, the day-to-day management is challenging for a child with type 1 diabetes (T1D) and his family and can have a major negative impact on their quality of life. Augmenting an insulin pump with glucose sensor information leads to improved outcomes: decreased haemoglobin A1c levels, increased time in glucose target and less hypoglycaemia. Fear of nocturnal hypoglycaemia remains pervasive amongst parents, leading to chronic sleep interruption and lack of sleep for the parents and their children. The QUEST study, an open-label, single-centre randomized crossover study, aims to evaluate the impact on time in target, in hypoglycaemia and hyperglycaemia and the effect on sleep and quality of life in children with T1D, comparing a sensor-augmented pump (SAP) with predictive low glucose suspend and alerts to the use of the same insulin pump with a flash glucose measurement (FGM) device not interacting with the pump. METHODS/DESIGN: Subjects meeting the inclusion criteria are randomized to treatment with the SAP or treatment with an insulin pump and independent FGM for 5Â weeks. Following a 3-week washout period, the subjects cross over to the other study arm for 5Â weeks. During the week before and in the last week of treatment, the subjects and one of their caregivers wear a sleep monitor in order to obtain sleep data. The primary endpoint is the between-arm difference in percentage of time in glucose target during the final 6Â days of each treatment arm, measured by a blinded continuous glucose measurement (CGM). Additional endpoints include comparison of quantity and quality of sleep as well as quality of life perception of the subjects and one of their caregivers in the two different treatment arms. Recruitment started in February 2017. A total of 36 patients are planned to be randomized. The study recruitment was completed in April 2018. DISCUSSION: With this study we will provide more information on whether insulin pump treatment combined with more technology (SmartGuardÂź feature and alerts) leads to better metabolic control. The inclusion of indicators on quality of sleep with less sleep interruption, less lack of sleep and perception of quality of life in both children and their primary caregivers is essential for this study and might help to guide us to further treatment improvement. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03103867 . Registered on 6 April 2017
Recommended from our members
Psychological Well-Being of Parents of Very Young Children With Type 1 Diabetes â Baseline Assessment
Background: Type 1 diabetes in young children is a heavy parental burden. As part of pilot phase of the KIDSAP01 study, we conducted a baseline assessment in parents to study the association between hypoglycemia fear, parental well-being and child behavior. Methods: All parents were invited to fill in baseline questionnaires: hypoglycemia fear survey (HFS), WHO-5, Epworth Sleepiness Scale and Strength and Difficulties Questionnaire (SDQ). Results: 24 children (median age: 5-year, range 1-7 years, 63% male, mean diabetes duration: 3 ± 1.7 years) participated. 23/24 parents filled out the questionnaires. We found a higher score for the hypoglycemia fear behavior 33.9 ± 5.6 compared to hypoglycemia worry 34.6 ± 12.2. Median WHO-5 score was 16 (8 - 22) with poor well-being in two parents. Median daytime sleepiness score was high in five parents (>10). For six children a high total behavioral difficulty score (>16) was reported. Pro social behavior score was lower than normal in six children (<6). Parental well-being was negatively associated with HFS total (r = - 0.50, p <.05) and subscale scores (r = - 0.44, p <.05 for HFS-Worry and HFS-Behavior), child behavior (r = - 0.45, p = .05) and positively with child age and diabetes duration (r = 0.58, p <.01, r = 0.6, p <.01). HFS, parental well-being nor daytime sleepiness are associated with the HbA1c. Conclusion: Regular screening of parental well-being, hypoglycemia fear and child behavior should be part of routine care to target early intervention
Le lac Onega
Fichelle Alfred. Le lac Onega. In: Annales de Géographie, t. 28, n°151, 1919. pp. 70-74
Graham Hutton. Les nouveaux destins du Danube. OĂč va l'Europe ?
Fichelle Alfred. Graham Hutton. Les nouveaux destins du Danube. OĂč va l'Europe ?. In: Politique Ă©trangĂšre, n°1 - 1940 - 5á”annĂ©e. pp. 69-71
L'industrie tchécoslovaque
Fichelle Alfred. L'industrie tchécoslovaque. In: Annales de Géographie, t. 33, n°184, 1924. pp. 386-390
La population de la République Tchécoslovaque d'aprÚs le recensement du 15 février 1921
Fichelle Alfred. La population de la République Tchécoslovaque d'aprÚs le recensement du 15 février 1921. In: Annales de Géographie, t. 31, n°172, 1922. pp. 367-369
Client de femmes veÌnales : quelles motivations? Une application de la theÌorie du comportement planifieÌ
Le preÌsent meÌmoire a pour ambition dâexpliquer en partie lâachat de services sexuels par des hommes. Ainsi nous mettons aÌ jour les deÌterminants psychologiques lieÌs au clienteÌlisme ainsi que les diffeÌrents eÌleÌments impactant dans la prise de deÌcision du comportement des clients. AÌ cette fin, nous utilisons les fondements de la theÌorie du comportement planifieÌ dâAjzen (1991) ainsi que le modeÌle eÌlargi de Drake et McCabe (2000) pour expliquer les rapports sexuels veÌnaux. Une seÌrie de reÌgression binaire, baseÌ sur les reÌsultats de questionnaires, a permis de mettre en avant plusieurs dimensions reÌveÌlatrices du comportement actuel des clients. AÌ travers ce travail, nous amenons de nouveaux eÌleÌments de reÌponses aux eÌtudes existantes ou du moins de nouveaux questionnements sur le pheÌnomeÌne. Enfin, nous tentons de reÌpondre aÌ nos quatre questions dont le reÌsultat final ressort concluant.Master [120] en sciences de la famille et de la sexualitĂ©, UniversitĂ© catholique de Louvain, 201
- âŠ