Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| R34AT011035 | U.S. NIH Grant/Contract | View source |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Center for Complementary and Integrative Health (NCCIH) | NIH |
Not provided
Not provided
Not provided
Not provided
Type 1 diabetes (T1D) is one of the most common chronic illnesses of childhood. The involved treatment regimen, including daily insulin administration/pump management, frequent blood glucose checks, and careful track-ing of food intake, places a high-stress burden on patients and their families. Adolescence is a particularly risky time for T1D management given a marked decline in treatment adherence and glycemic control. Over 80% of adolescents with T1D have poor glycemic control (A1c >7.5%), and one significant risk factor is the increase in negative affectivity, including depression and anxiety symptoms, that distinguish adolescents with T1D. Elevated depression and anxiety symptoms affect 40% of teens with T1D. Preliminary data support the notion that negative affectivity contributes to diminished treatment adherence and worsening of glycemic control, partially through the effects of negative affectivity on stress-related behavior such as maladaptive eating behavior (e.g., dietary restriction, uncontrolled eating patterns, and insulin omission for weight control). There is no gold-standard approach to address the poor glycemic control seen in adolescents with T1D. The creation of novel, targeted interventions, tailored for the developmental needs of adolescents with T1D and the particular burdens of coping with their chronic illness, are needed. Mindfulness-based interventions delivered to adolescents without T1D, including the team's preliminary work in teens with depression and weight-related disorders, have shown promise in treating negative affectivity, maladaptive eating behavior, and health outcomes. A mindfulness-based approach may be well-suited for adolescents with T1D, but given that the mechanisms of association among negative affectivity, stress-related behavior, and self-care are unique to individuals with T1D, interventions must be specifically tailored for this population. The goal of this study is to, therefore, adapt an existing 6-session mindfulness-based intervention, Learning to BREATHE, for use with adolescents with T1D (BREATHE-T1D). The first specific aim of the study is to adapt BREATHE for adolescents with T1D and to adapt a relevant and credible health education comparison curriculum (HealthEd-T1D). The second aim is to carry out a 2-way pilot randomized controlled trial to evaluate the feasibility and acceptability of BREATHE-T1D and HealthEd-T1D. The result of the current study will be a feasible and acceptable mindfulness intervention and comparison curriculum that can be evaluated in an efficacy trial. The multidisciplinary study team contributes complementary areas of expertise in adolescents with T1D, behavioral intervention development, negative affectivity and maladaptive eating behavior, adolescent mindfulness-based intervention, qualitative data analysis, and delivery of behavioral health interventions via telehealth. The study's innovative approach will enable the investigators to establish a feasible/acceptable intervention tailored for adolescents with T1D, leading to a future proposal for a full-scale efficacy trial.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BREATHE-T1D | Experimental | BREATHE-T1D is a 6-week group mindfulness program adapted specifically for teens with type 1 diabetes. |
|
| BREATHE-T1D Health Education | Placebo Comparator | The health education placebo comparator is a 6-week group diabetes-specific education program designed to be informational but not supportive. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BREATHE-T1D | Behavioral | BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Enrolled of Eligible Participants Screened | The percentage is calculated first by identifying the number of enrolled participants divided by eligible participants. 42 total patients were eligible once screened across the 10 month enrollment period. 42 total then enrolled in the study. | During screening (10 months total) |
| Number of Weeks to Enroll Participants to Form One Cohort | Number of weeks to enroll 10 participants to be randomized 5 per group | During screening (10 months) |
| Percentage of Participants With Data Collected | Number of participants with data at each time point. | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| Percentage of Attended Sessions | Number of intervention sessions (calculated by multiplying number of expected sessions by number of participants for total possible sessions held) attended divided by total number of intervention sessions expected per group. | Immediate post-intervention follow-up (2-3 months post baseline) |
| Satisfaction With Intervention Program | Satisfaction report by participants | Immediate post-intervention follow-up (2-3 months post-baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Mindful Attention Awareness Scale | Assessed via teen report. Scores are calculated as an average score of all items with a range of 1 (minimum) to 6 (maximum) with higher scores indicating more mindful attention in daily life. | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's National Hospital | Washington D.C. | District of Columbia | 20010 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38692428 | Background | Lupini F, Basch M, Cooke F, Vagadori J, Gutierrez-Colina A, Kelly KP, Streisand R, Shomaker L, Mackey ER. BREATHE-T1D: Using iterative mixed methods to adapt a mindfulness-based intervention for adolescents with type 1 diabetes: Design and development. Contemp Clin Trials. 2024 Jul;142:107551. doi: 10.1016/j.cct.2024.107551. Epub 2024 Apr 29. | |
| 39212647 | Result | Basch M, Lupini F, Ho S, Dagnachew M, Gutierrez-Colina AM, Patterson Kelly K, Shomaker L, Streisand R, Vagadori J, Mackey E. Mindfulness-based group intervention for adolescents with type 1 diabetes: initial findings from a pilot and feasibility randomized controlled trial. J Pediatr Psychol. 2024 Oct 1;49(10):769-779. doi: 10.1093/jpepsy/jsae071. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | BREATHE-T1D | BREATHE-T1D is a 6-week group mindfulness program adapted specifically for teens with type 1 diabetes. BREATHE-T1D: BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. |
| FG001 | BREATHE-T1D Health Education | The health education placebo comparator is a 6-week group diabetes-specific education program designed to be informational but not supportive. BREATHE-T1D: BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | BREATHE-T1D | BREATHE-T1D is a 6-week group mindfulness program adapted specifically for teens with type 1 diabetes. BREATHE-T1D: BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. |
| BG001 | BREATHE-T1D Health Education |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Enrolled of Eligible Participants Screened | The percentage is calculated first by identifying the number of enrolled participants divided by eligible participants. 42 total patients were eligible once screened across the 10 month enrollment period. 42 total then enrolled in the study. | Number of participants screened (42 in all across 10 months were eligible for the study following screening). | Posted | Count of Participants | Participants | During screening (10 months total) |
|
|
Screening through 3 month follow up, an average of 6 months.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BREATHE-T1D | BREATHE-T1D is a 6-week group mindfulness program adapted specifically for teens with type 1 diabetes. BREATHE-T1D: BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. |
Not provided
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Eleanor Mackey | Children's National Hospital | 202-476-5307 | emackey@childrensnational.org |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 16, 2022 | Dec 17, 2024 | Prot_SAP_000.pdf |
Not provided
Not provided
Not provided
Not provided
Not provided
| Five-Facet Mindfulness Questionnaire |
Assessed via teen report. Scores are calculated as a total score across all items in the scale with a range of 1 (minimum) to 5 (maximum) and total scores presented are a sum of the sub scale (observing, describing, acting with awareness, nonjudging, and non-reactivity) with possible scores ranging from 5-25 with higher scores indicating more mindfulness. |
| Baseline, Immediate post-intervention follow up (2-3 months post baseline), 3 month follow up (5-6 months post-baseline) |
| PROMIS Depression Short Form - Adolescent Report | Scores are calculated as t-scores with higher scores indicating more depressive symptoms. T-scores (range 0-100) over 55 indicate clinically significant depressive symptoms. Interpretation of t-scores is based on a mean of 50 and standard deviation of 10. | Baseline, Immediate post-intervention follow up (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| PROMIS Anxiety Short Form - Adolescent Report | Scores are calculated as t-scores (range 0-100) with higher scores indicating more anxiety symptoms.T-scores over 55 indicate clinically significant anxiety symptoms. Interpretation of t-scores is based on a mean of 50 and standard deviation of 10. | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| Diabetes Eating Problems Survey Revised | Teen report with higher scores indicating more disordered eating behaviors with scores over 25 indicating clinically significant problems. Total scores range from 0 to 64 with higher scores indicating more disordered eating behaviors. | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| UPPS-P Negative Urgency Subscale | Teen report on the UPPS-P Negative Urgency subscale with higher scores indicating more likelihood to act impulsively when experiencing a negative mood. Scores are calculated with an average which can range from 1(minimum) to 4 (maximum). | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| Self-Care Inventory | Teen report on the Self-Care Inventory, a measure of diabetes management with higher scores indicating better self-care for diabetes. Average scores range from 1 (minimum) to 5 (maximum). | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| Problem Areas in Diabetes - Teen | The Problem Areas in Diabetes-Teen (PAID-T) is a 14-item measure of diabetes distress in adolescents with type 1 diabetes. Adolescents are asked how often each diabetes-related problem applied to them in the past month, on a six-point Likert scale (ranging from not a problem to serious problem), with scores reflecting a total across 14 items and higher scores indicating greater severity and a clinical cutoff of >44. Scores can range from 14-84. | Baseline, immediate post intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| Glycemic Control | HbA1c is a measure of an average blood glucose level over the past 3 months and will be abstracted from the medical record as it is assessed at each regular diabetes clinic visit. HbA1c typically ranges from 4% to >14%. | Baseline, immediate post intervention follow up (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
| Interventionist Adherence to Session Manuals | Supervisors listened to recordings of sessions for both programs and completed checklists assessing for the number of expected intervention components included in the sessions. Therefore, values reflect the percentage of expected intervention components included across all program sessions calculated at the end of the intervention period (week 6) for each group cohort. | Week 6 of intervention |
The health education placebo comparator is a 6-week group diabetes-specific education program designed to be informational but not supportive. BREATHE-T1D: BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| HbA1c | HbA1c was abstracted from medical records and assessed at clinic visits. Optimal HbA1c value is <7.0%. Lower values represent more optimal glycemic control. | Mean | Standard Deviation | percentage |
|
| Depression | The PROMIS self-report brief depression measure uses t-scores with scores >55 indicative of depressive symptoms. Higher scores indicate more depressive symptoms. T-scores can be interpreted as 50 indicating the population mean with a standard deviation of 10. | Mean | Standard Deviation | T-score |
|
| Anxiety | The PROMIS self-report brief anxiety measure uses t-scores with >55 indicating significant anxiety symptoms and higher scores indicating greater levels of anxiety. T-scores can be interpreted as 50 indicating the population mean with a standard deviation of 10. | Mean | Standard Deviation | T-score |
|
| Disordered Eating | The Diabetes Eating Problems Survey Revised (DEPS-R) is a measure of disordered eating behavior in individuals with type 1 diabetes, consisting of 16 items. Adolescents are asked to rate how often they agree or engage in each behavior, on a six-point Likert scale (ranging from never to always), with higher scores indicating greater severity of disordered eating behaviors. Total scores can range from 0-80. A score of ≥20 is considered clinically significant, as it has been correlated with poorer glycemic control and potential increased risk of diabetes complications. | Mean | Standard Deviation | units on a scale |
|
| Diabetes Distress | The Problem Areas in Diabetes-Teen (PAID-T) is a 14-item measure of diabetes distress in adolescents with type 1 diabetes. Adolescents are asked how often each diabetes-related problem applied to them in the past month, on a six-point Likert scale (ranging from not a problem to serious problem), with higher scores indicating greater severity and a clinical cutoff of >44. | Mean | Standard Deviation | units on a scale |
|
| Participants |
|
|
| Primary | Number of Weeks to Enroll Participants to Form One Cohort | Number of weeks to enroll 10 participants to be randomized 5 per group | All randomized participants | Posted | Mean | Full Range | weeks | During screening (10 months) |
|
|
|
| Primary | Percentage of Participants With Data Collected | Number of participants with data at each time point. | Posted | Count of Participants | Participants | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Primary | Percentage of Attended Sessions | Number of intervention sessions (calculated by multiplying number of expected sessions by number of participants for total possible sessions held) attended divided by total number of intervention sessions expected per group. | The aim was for each participant to attend 6 program sessions. Therefore, the number of expected sessions multiplied by the number of participants are reflected in the overall number of units analyzed. | Posted | Number | percentage of sessions attended overall | Immediate post-intervention follow-up (2-3 months post baseline) | Sessions | Sessions |
|
|
|
| Primary | Satisfaction With Intervention Program | Satisfaction report by participants | Posted | Count of Participants | Participants | Immediate post-intervention follow-up (2-3 months post-baseline) |
|
|
|
| Secondary | Mindful Attention Awareness Scale | Assessed via teen report. Scores are calculated as an average score of all items with a range of 1 (minimum) to 6 (maximum) with higher scores indicating more mindful attention in daily life. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | Five-Facet Mindfulness Questionnaire | Assessed via teen report. Scores are calculated as a total score across all items in the scale with a range of 1 (minimum) to 5 (maximum) and total scores presented are a sum of the sub scale (observing, describing, acting with awareness, nonjudging, and non-reactivity) with possible scores ranging from 5-25 with higher scores indicating more mindfulness. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Immediate post-intervention follow up (2-3 months post baseline), 3 month follow up (5-6 months post-baseline) |
|
|
|
| Secondary | PROMIS Depression Short Form - Adolescent Report | Scores are calculated as t-scores with higher scores indicating more depressive symptoms. T-scores (range 0-100) over 55 indicate clinically significant depressive symptoms. Interpretation of t-scores is based on a mean of 50 and standard deviation of 10. | Posted | Mean | Standard Deviation | t-score | Baseline, Immediate post-intervention follow up (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | PROMIS Anxiety Short Form - Adolescent Report | Scores are calculated as t-scores (range 0-100) with higher scores indicating more anxiety symptoms.T-scores over 55 indicate clinically significant anxiety symptoms. Interpretation of t-scores is based on a mean of 50 and standard deviation of 10. | Posted | Mean | Standard Deviation | T-score | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | Diabetes Eating Problems Survey Revised | Teen report with higher scores indicating more disordered eating behaviors with scores over 25 indicating clinically significant problems. Total scores range from 0 to 64 with higher scores indicating more disordered eating behaviors. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | UPPS-P Negative Urgency Subscale | Teen report on the UPPS-P Negative Urgency subscale with higher scores indicating more likelihood to act impulsively when experiencing a negative mood. Scores are calculated with an average which can range from 1(minimum) to 4 (maximum). | Posted | Mean | Standard Deviation | score on a scale | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | Self-Care Inventory | Teen report on the Self-Care Inventory, a measure of diabetes management with higher scores indicating better self-care for diabetes. Average scores range from 1 (minimum) to 5 (maximum). | Posted | Mean | Standard Deviation | units on a scale | Baseline, Immediate post-intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | Problem Areas in Diabetes - Teen | The Problem Areas in Diabetes-Teen (PAID-T) is a 14-item measure of diabetes distress in adolescents with type 1 diabetes. Adolescents are asked how often each diabetes-related problem applied to them in the past month, on a six-point Likert scale (ranging from not a problem to serious problem), with scores reflecting a total across 14 items and higher scores indicating greater severity and a clinical cutoff of >44. Scores can range from 14-84. | Posted | Mean | Standard Deviation | score on a scale | Baseline, immediate post intervention (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | Glycemic Control | HbA1c is a measure of an average blood glucose level over the past 3 months and will be abstracted from the medical record as it is assessed at each regular diabetes clinic visit. HbA1c typically ranges from 4% to >14%. | Posted | Mean | Standard Deviation | percentage | Baseline, immediate post intervention follow up (2-3 months post baseline), 3 month follow up (5-6 months post baseline) |
|
|
|
| Secondary | Interventionist Adherence to Session Manuals | Supervisors listened to recordings of sessions for both programs and completed checklists assessing for the number of expected intervention components included in the sessions. Therefore, values reflect the percentage of expected intervention components included across all program sessions calculated at the end of the intervention period (week 6) for each group cohort. | All participants were included as these were ratings of sessions, not individual by participant. | Posted | Mean | Standard Deviation | percentage of intervention components | Week 6 of intervention |
|
|
|
| 0 |
| 18 |
| 0 |
| 18 |
| 0 |
| 18 |
| EG001 | BREATHE-T1D Health Education | The health education placebo comparator is a 6-week group diabetes-specific education program designed to be informational but not supportive. BREATHE-T1D: BREATHE-T1D is a mindfulness based intervention adapted from Learning to BREATHE specifically for teens with type 1 diabetes. | 0 | 21 | 0 | 21 | 0 | 21 |
Not provided
Not provided