Flexible Lifestyles for Youth (FL3X) behavioural intervention for at‐risk adolescents with Type 1 diabetes: a randomized pilot and feasibility trial

Publisher: John Wiley & Sons Inc

E-ISSN: 1464-5491|32|6|829-833

ISSN: 0742-3071

Source: DIABETIC MEDICINE, Vol.32, Iss.6, 2015-06, pp. : 829-833

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Abstract

AbstractAimTo determine the potential effect sizes for the Flexible Lifestyle for Youth (FL3X) behavioural intervention to improve glycaemic control (HbA1c) and quality of life for at‐risk adolescents with Type 1 diabetes.MethodsParticipants [n = 61; age 12–16 years, HbA1c 64–119 mmol/mol (8–13%)] were randomized to FL3X (minimum three sessions) or usual care. Effect sizes (Cohen's d), comparing the mean difference between the groups, were calculated.ResultsStudy retention (95%), attendance at intervention sessions (87% attended all three sessions) and acceptability were high (100% of the adolescents and 91% of parents would recommend the programme to others). Overall, 41% of participants in the intervention group and 24% of participants in the control group were ‘responders’ [HbA1c decreased by  >  6 mmol/mol (0.5%); d = 0.37]. HbA1c levels decreased (d = ‐0.18), diabetes‐specific quality of life increased (d = 0.29), but generic quality of life decreased (d = ‐0.23) in the intervention compared with the control group.ConclusionsThe FL3X programme merits further study for improving HbA1c and diabetes‐specific quality of life in adolescents with Type 1 diabetes. (Clinical trials registry no.: NCT01286350).

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