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Identification and Treatment of Diabetes In Solid Organ Transplant Recipients

7. december 2020 opdateret af: Jee-Young Nina Ham, Emory University
The purpose of this study is to determine the influence of post-transplant diabetes on medical and psychosocial outcomes in individuals who receive solid-organ transplant prior to 18 years of age and their families.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study seeks to understand how organ transplant patients are affected by the development of diabetes, and to test whether early diagnosis of diabetes and comprehensive professional support will:

  1. facilitate the adjustment of children and their families to the rigors of diabetes care
  2. improve adherence to medication regimens
  3. reduce acute complications of diabetes and organ rejection.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

65

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Georgia
      • Atlanta, Georgia, Forenede Stater, 30322
        • Emory Children's Center
      • Atlanta, Georgia, Forenede Stater, 30322
        • Children's Healthcare of Atlanta-Egleston

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

1 år til 18 år (Barn, Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Patients of Children's Healthcare of Atlanta who have received a kidney, liver, or heart transplant

Exclusion Criteria:

  • Received a transplant after 18 years of age
  • Cognitively unable to participant as determined by the study team psychologist
  • Not receiving a solid organ transplant for kidney, liver, or heart
  • Declines participation invitation

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: Participants
Participants will complete tests of glucose tolerance and psychosocial assessments, and will undergo medical history screening. Those children identified with diabetes and/or abnormal glucose tolerance will receive both diabetes self-management education and psychosocial support from a pediatric Certified Diabetes Educator (CDE) and a psychologist, respectively.
Adfærdsmæssigt: Psychologist Support
Participants will complete several psychological questionnaires that are intended to cover a broad spectrum of physical, mental, and emotional aspects of the health of participants; the Behavior Assessment System for Children (BASC) ,the Children Depression Inventory (CDI 2), the Pediatric Quality of Life Inventory Transplant Module (PedsQL), and the Wechsler Abbreviated Scale of Intelligence II (WASI-II). Data gathered from this testing will be used to guide the provision of psychological care to address psychosocial challenges inherent to the care of children with transplant related diabetes.
Adfærdsmæssigt: Pediatric Certified Diabetes Educators (CDEs) Support
Pediatric Certified Diabetes Educators (CDEs) are specially trained to teach diabetes self-management to children and their families. Participants who are diagnosed with diabetes will receive individualized support from a CDE in conjunction with their routine transplant care.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in the Pediatric Quality of Life Inventory Transplant Module (PedsQL)
Tidsramme: Baseline, interval, and end of participation (Up to 18 years of age)
The Pediatric Quality of Life Inventory Transplant Module (PedsQL) is a 15 minute survey intended to measure emotional and physical function in children and determine state of wellbeing.
Baseline, interval, and end of participation (Up to 18 years of age)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Transplant Rejection Rate Post Diabetes Diagnosis
Tidsramme: Up to three years
Participants will be followed at Children's Healthcare of Atlanta, and monitored for rates of transplant rejection after being diagnosed with diabetes.
Up to three years
Rate of Vascular Disease Post Diabetes Diagnosis
Tidsramme: Up to three years
Participants will be followed at Children's Healthcare of Atlanta, and monitored for rates of vascular disease after being diagnosed with diabetes.
Up to three years
Mortality Rate Post Diabetes Diagnosis
Tidsramme: Up to three years
Participants will be followed at Children's Healthcare of Atlanta, and monitored for rates of mortality after being diagnosed with diabetes.
Up to three years
Change in the Wechsler Abbreviated Scale of Intelligence II (WASI-II) Score
Tidsramme: Baseline, interval, and end of participation (Up to 18 years)
The Wechsler Abbreviated Scale of Intelligence II (WASI-II) is intended to determine cognitive ability for use in educational, as well as clinical and research settings. The WASI-II is ideal for any subject over the age of six, and takes approximately one hour to complete.
Baseline, interval, and end of participation (Up to 18 years)
Change in the Children Depression Inventory (CDI 2) Score
Tidsramme: Baseline, interval, and end of participation (Up to 18 years)
The Children Depression Inventory (CDI 2) is a short ten minute self-reported survey intended to aid in the assessment of signs of depression in children ages seven through 17. This test helps determine negative mood, poor self-esteem, a loss of interest in activities, interpersonal problems, and feelings of ineffectiveness, the common traits of depression.
Baseline, interval, and end of participation (Up to 18 years)
Change in the Behavior Assessment System for Children (BASC) Score
Tidsramme: Baseline, interval, and end of participation (Up to 18 years)
The Behavior Assessment System for Children (BASC) takes approximately 15 minutes to complete and is intended to determine emotional and behavioral change in children, as well as to indicate risks to their health and development
Baseline, interval, and end of participation (Up to 18 years)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Emory University

Efterforskere

  • Ledende efterforsker: Nina Ham, MD, Emory University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

7. juli 2016

Primær færdiggørelse (Faktiske)

14. november 2018

Studieafslutning (Faktiske)

14. november 2018

Datoer for studieregistrering

Først indsendt

6. oktober 2015

Først indsendt, der opfyldte QC-kriterier

12. november 2015

Først opslået (Skøn)

16. november 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. december 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. december 2020

Sidst verificeret

1. december 2020

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • IRB00081257

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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