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Home Video-based Telemedicine to Reduce Hypoglycemia Fear in Parents of Young Children
Sponsor: Nemours Children's Clinic
Summary
Investigators developed REDCHiP (Reducing Emotional Distress for Childhood Hypoglycemia in Parents), an innovative video-based telemedicine intervention. In the pilot work, investigators found preliminary efficacy for REDCHiP in reducing parental FH, parenting stress, and children's HbA1c. The objective of this clinical trial is to conduct a randomized clinical trial (RCT) comparing REDCHiP to a relevant attention control intervention (ATTN) in families of young children, thereby continuing to establish its efficacy. The proposed R01 aims are: 1) To evaluate whether parents who receive REDCHiP report reductions in FH and parenting stress at post-treatment compared to parents who receive the ATTN; 2) To evaluate whether children of parents who receive REDCHiP have a lower HbA1c and less glycemic variability at post-treatment compared to children of parents who receive ATTN; 3) To examine whether families who receive REDCHiP maintain reductions in FH, parenting stress, and child HbA1c at a 3-month followup compared to families who receive ATTN.
Key Details
Gender
All
Age Range
2 Years - 6 Years
Study Type
INTERVENTIONAL
Enrollment
394
Start Date
2019-10-15
Completion Date
2026-03-31
Last Updated
2026-09-15
Healthy Volunteers
No
Conditions
Interventions
REDCHiP
REDCHiP includes 10 telehealth sessions. REDCHiP uses a three-pronged approach to reduce parents' FH. It uses T1D education and problem-solving to enhance parents' knowledge and skills. It uses child age-appropriate behavioral parent training to promote parents' skills and confidence in managing disruptive child behaviors and reducing their reliance on hypoglycemia avoidance behaviors. It uses cognitive-behavioral therapy strategies to help parents reduce maladaptive thinking/coping related to hypoglycemia fear.
ATTN
Provides a similar attention control. ATTN includes 10 telehealth sessions.
Locations (2)
University of Florida
Gainesville, Florida, United States
The Children's Mercy Hospital
Kansas City, Missouri, United States