Evidence map›Paper›PMID 28821468›Full record

Trial reportContemporary clinical trials2017

Design and development of a stepped-care behavioral intervention to support parents of young children newly diagnosed with type 1 diabetes.

Marisa E Hilliard, Carrie Tully, Maureen Monaghan, Jichuan Wang, Randi Streisand

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Family member involvement when multiple family members have type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2025
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  8. Review
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  13. "All these people saved her life, but she needs me too": Understanding and responding to parental mental health in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2022
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  14. Article
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  16. Review
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  18. Call the Coach: Opportunities and Challenges for Parent Coaching in Pediatric Type 1 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  19. Article
  20. Type 1 Diabetes Mellitus in Pediatric Patients and Its Impact on Relationships in the Family Environment.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Marisa E HilliardTexas Children's Hospital and Baylor College of Medicine, Houston, TX, United States.
Carrie TullyChildren's National Health System, Washington, DC, United States.
Maureen MonaghanChildren's National Health System, Washington, DC, United States; George Washington University, School of Medicine, Washington, DC, United States.
Jichuan WangChildren's National Health System, Washington, DC, United States; George Washington University, School of Medicine, Washington, DC, United States.
Randi StreisandChildren's National Health System, Washington, DC, United States; George Washington University, School of Medicine, Washington, DC, United States. Electronic address: rstreis@childrensnational.org.
Children's National · USGeorge Washington University · USBaylor College of Medicine · US

Funding

A Stepped Care Behavioral Intervention Trial for Young Children with T1DR01DK102561 · NIDDK · CHILDREN'S RESEARCH INSTITUTE · PI STREISAND, RANDI · 2015 to 2019
$3.5M
Mentoring Behavioral Scientists for Career Development in Pediatric T1D ResearchK12DK097696 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI ANDERSON, BARBARA JANE · 2012 to 2016
$1.8M
NIDDK NIH HHS K12 DK097696NIDDK NIH HHS R01 DK102561
6 · The paper itself

Abstract

One of the most common chronic conditions of childhood, the prevalence of type 1 diabetes (T1D) in young children is increasing. Early childhood development complicates optimal T1D management and glycemic outcomes. Parents are at risk for elevated psychological distress, especially immediately following diagnosis. Few empirically supported interventions are available to support parents and promote optimal T1D management during this vulnerable period. This paper reports on the development and study design of First STEPS: Study of Type 1 in Early childhood and Parenting Support. The aim of this trial is to evaluate the efficacy of a stepped care behavioral intervention for parents of young children over the first year following a new T1D diagnosis. The stepped care design provides participants with up to three intensity levels, or steps, of clinical behavioral intervention support based on need, compared to usual care. Intervention steps include peer parent coaching, telephone-based behavioral support, personalized psychological assessment and recommendations, and intensive assessment of T1D glycemic management with recommendations. Primary outcomes include children's glycemic control and parents' psychosocial functioning. Secondary outcomes include children's behavioral and psychosocial functioning. Exploratory analyses will evaluate demographic, disease-specific, and psychosocial factors related to progression in and response to each step of the intervention.

Indexed as

Behavior TherapyBlood GlucoseCaregiversChildChronic DiseaseDepressionDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHealth EducationHumansMaleMentorsParentsPeer GroupQuality of LifeBlood GlucoseGlycated Hemoglobin

Identifiers

PMID28821468
PMCPMC5641251
OpenAlexW2746095030

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.