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NCT03847194

PRISM for Adolescents With Type 1 Diabetes

Completed NA Results posted Last updated 6 June 2024
What this trial tests

NA trial testing Promoting Resilience in Stress Management (PRISM) in Type 1 Diabetes Mellitus in 172 participants. Completed in 31 March 2024.

Timeline
1 January 2020
Primary endpoint
30 April 2022
31 March 2024

Quick facts

Lead sponsorSeattle Children's Hospital
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment172
Start date1 January 2020
Primary completion30 April 2022
Estimated completion31 March 2024
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Seattle Children's Hospital

Who can join

Adults 13 to 18, any sex, with Type 1 Diabetes Mellitus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

A1C Primary · 6 months

hemoglobin A1C

GroupValue95% CI
PRISM Intervention Arm8.7± 1.8
Usual Care8.6± 1.8
Diabetes Distress Primary · 6 months

Diabetes distress will be measured with the Problem Areas in Diabetes Scale, Teen Version. Higher scores indicate more distress. Total score ranges from 6 to 84.

GroupValue95% CI
PRISM Intervention Arm36.2± 12.5
Usual Care39.9± 15.0
Resilience Secondary · 6 months

Resilience will be measured with the Connor-Davidson Resilience Scale. Higher scores indicate more resilience. Total score ranges from 0-40.

GroupValue95% CI
PRISM Intervention Arm25.2± 6.8
Usual Care25.7± 7.3
Diabetes-specific Quality of Life Secondary · 6 months

Diabetes-specific Quality of life will be measured using the adolescent self-report version of the Type 1 Diabetes and Life (T1DAL) which assesses diabetes-specific health-related quality of life (HRQOL) for people with type 1 diabetes (T1D). Higher scores indicate higher quality of life. Scale ranges 0-100, with higher scores indicating better quality of life.

GroupValue95% CI
PRISM Intervention Arm56.9± 15.4
Usual Care53.5± 15.0
Adherence Secondary · 6 months

Adherence will be measured with the Diabetes Self-Management Questionnaire (DSMQ). The DSMQ ranges from 0-35 with higher scores indicate higher adherence.

GroupValue95% CI
PRISM Intervention Arm19.9± 7.0
Usual Care17.9± 9.1

Sponsor's own description

It is well-known that adolescents with type 1 diabetes are at high risk for elevated diabetes-specific distress and poor glycemic control. This randomized controlled trial uses a novel, person-centered intervention designed to reduce diabetes distress and improve resilience skills, which the investigators hypothesize will in turn improve glycemic control and quality of life. If successful, results will greatly inform future research and clinical strategies aimed at improving outcomes among adolescents with type 1 diabetes.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. From Theory to Patient Care: A Model for the Development, Adaptation, and Testing of Psychosocial Interventions for Patients With Serious Illness.
    Rosenberg AR, Steiner J, Lau N, Fladeboe K, et al · · 2021 · cited 16× · PMID 33677072 · DOI 10.1016/j.jpainsymman.2021.02.036
  2. Promoting Resilience in Stress Management for Adolescents With Type 1 Diabetes: A Randomized Clinical Trial.
    Yi-Frazier JP, Hilliard ME, O'Donnell MB, Zhou C, et al · · 2024 · cited 10× · PMID 39158914 · DOI 10.1001/jamanetworkopen.2024.28287
  3. "It Just Kind of Feels Like a Different World Now:" Stress and Resilience for Adolescents With Type 1 Diabetes in the Era of COVID-19.
    O'Donnell MB, Hilliard ME, Cao VT, Bradford MC, et al · · 2022 · cited 9× · PMID 36992786 · DOI 10.3389/fcdhc.2022.835739
  4. Protocol for the Promoting Resilience in Stress Management (PRISM) intervention: A multi-site randomized controlled trial for adolescents with type 1 diabetes.
    O'Donnell MB, Scott SR, Ellisor BM, Cao VT, et al · · 2023 · cited 6× · PMID 36410689 · DOI 10.1016/j.cct.2022.107017
  5. Resilience in adolescent and young adult oncology: Problems and prospects.
    Rosenberg AR, Salsman JM. · · 2024 · cited 4× · PMID 38150308 · DOI 10.1002/cncr.35180
  6. "Faith, Family, and Friends": Pandemic-Related Coping in Parents of Adolescents With Type 1 Diabetes.
    Baudino MN, Perez SG, O'Donnell MB, Duran B, et al · · 2024 · PMID 40726631 · DOI 10.1037/cpp0000528

Verify or expand the search:

Other trials of Promoting Resilience in Stress Management (PRISM)

Trials testing the same drug.

Other recruiting trials for Type 1 Diabetes Mellitus

Currently open trials in the same condition.

Other Seattle Children's Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03847194.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing