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Cultivating Healthy Environments in Families With Type 1 Diabetes (CHEF) Fase II 293 Dieta

Completato
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La sperimentazione clinica NCT00999375 è stata uno studio interventistico di Fase II condotto per esaminare il trattamento per Type I Diabetes, attualmente completato. Avviato il 18 settembre 2009, ha previsto l'arruolamento di 293 partecipanti. Sotto la guida di Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), si è concluso il 27 novembre 2013. I dati più recenti da ClinicalTrials.gov sono stati aggiornati l'ultima volta il 29 novembre 2019.
Sommario breve

Background:

  • Type 1 diabetes (T1D) is a common chronic disease in children, occurring in approximately 1 of every 400 to 600 children. Children with T1D are unable to produce insulin, a hormone that allows the body to use glucose from food. Children with T1D manage their diabetes by taking insulin, monitoring their blood glucose levels, and watching their diet, including carbohydrates.
  • Carbohydrates come from man...
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Descrizione dettagliata
This protocol describes a randomized controlled trial to promote consumption of carbohydrates from nutrient-dense whole foods among children and adolescents with type 1 diabetes and to determine the efficacy of such dietary changes in improving glycemic control and other diabetes-related health outcomes.
Titolo ufficiale

Cultivating Healthy Environments in Families With Type 1 Diabetes (CHEF)

Patologie
Type I Diabetes
Pubblicazioni
Articoli scientifici e documenti di ricerca pubblicati su questo studio clinico:
Altri ID dello studio
  • 999909234
  • 09-CH-N234
Numero NCT
Data di inizio (effettiva)
2009-09-18
Ultimo aggiornamento pubblicato
2019-11-29
Data di completamento (stimata)
2013-11-27
Arruolamento (previsto)
293
Tipo di studio
Interventistico
FASE
Fase II
Stato
Completato
Parole chiave
Type 1 Diabetes
Diet
Behavioral Intervention
Children
Adolescents
Scopo principale
Trattamento
Allocazione
Randomizzato
Modello di intervento
In parallelo
Mascheramento
Nessuno (studio in aperto)
Bracci / Interventi
Gruppo/Braccio di partecipantiIntervento/Trattamento
SperimentaleGroup A
Educazione
Problem Solving
Social Learning
Behavior Modification
Comparatore attivoGroup B
Educazione
Esito primario
Misure di esitoDescrizione della misuraArco temporale
Change in glycemic control, change in dietary intake
18 months
Esito secondario
Misure di esitoDescrizione della misuraArco temporale
Change in social cognitive mediators of behavior; change in psychosocial status; change in body composition, lipids, oxidative stress, and inflammation
Criteri di eleggibilità

Età idonea
Bambino
Età minima
8 Years
Sessi idonei
Tutti
  1. Child age 8.0-16.9 years

  2. T1D: classical presentation and/or antibody positivity

  3. Diabetes duration greater than or equal to 12 months

  4. Daily insulin dose greater than or equal to 0.5 units/kilogram

  5. Hemoglobin A1c greater than or equal to 7.0% and less than or equal to 9.5%

  6. Insulin regimen

    • a. Greater than or equal to 3 injections daily, OR
    • b. Continuous subcutaneous insulin infusion (insulin pump) (CSII)
  7. Blood glucose monitoring frequency: Greater than or equal to 3 checks daily

  8. Stable living situation (guardian and address) for greater than or equal to 6 months

  9. Joslin Clinic attendance

    • a. At least one Joslin Clinic visit in last year, AND
    • b. Anticipated care at Joslin Clinic for duration of study

  1. Daily use of premixed insulin

  2. Transition to CSII (insulin pump) therapy in last 3 months

  3. Continuous glucose monitoring use in last 3 months

  4. Participation in a different intervention study in the last 6 months

  5. Presence of co-morbid conditions (any of the following):

    • a. Celiac disease, inflammatory bowel disease, or other significant gastrointestinal condition

    • b. Systemic glucocorticoid use (cumulative 1 month during last year)

    • c. Significant multiple food allergies

    • d. Significant mental illness defined by either:

      • 1. Major psychiatric disorder (e.g., eating disorder, major psychoses), OR
      • 2. Inpatient psychiatric admission during last 6 months
  6. Significant medical or psychiatric illness in caregiver that would prevent active participation in the study

  7. Intent to enroll in another intervention study during the course of this study

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) logoEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
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1 Centri dello studio in 1 paesi

Massachusetts

Joslin Diabetes Center, Boston, Massachusetts, United States