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Q In children and adolescents with type 1 diabetes, does a low intensity, non-medical intervention using a case manager to monitor and encourage routine diabetes care visits, with or without supplementation by psychoeducational modules, reduce acute adverse outcomes and improve glycaemic control?
METHODS
Design:
randomised controlled trial.
Allocation:
{not concealed}.*
Blinding:
blinded {healthcare providers and data collectors}*.
Follow up period:
24 months.
Setting:
diabetes centre in Boston, Massachusetts, USA.
Patients:
301 children and adolescents aged 7–16 years (mean age 12 y, 56% girls, mean duration of diabetes 5.2 y) who had had type 1 diabetes for >6 months. Inclusion criteria included ⩾1 outpatient medical visit in the previous year, no major psychiatric problems in the patient or parent, stable living environment, and intention for routine follow up at the study centre.
Interventions:
low intensity, non-medical intervention using a …
Footnotes
↵* Information provided by author.
For correspondence: Dr L M Laffel, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA. lori.laffeljoslin.harvard.edu
Sources of funding: National Institute of Diabetes and Digestive and Kidney Diseases, Charles H Hood Foundation, and Katherine Adler Astrove Youth Education Fund.