Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial

Objective: Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood, and its management is associated with many problems. The study aimed to compare the effect of group self-care training and patient child play (PCP) on quality of life (QoL) in children with type 1 dia...

Full description

Bibliographic Details
Main Authors: Fatemeh Zargar, Ailin Salmani, Neda Mostofizadeh, Reza Bagherian Sararoodi, Zahra Heydari
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2023-12-01
Series:Iranian Journal of Diabetes and Obesity
Subjects:
Online Access:http://ijdo.ssu.ac.ir/article-1-833-en.pdf
_version_ 1797364058087751680
author Fatemeh Zargar
Ailin Salmani
Neda Mostofizadeh
Reza Bagherian Sararoodi
Zahra Heydari
author_facet Fatemeh Zargar
Ailin Salmani
Neda Mostofizadeh
Reza Bagherian Sararoodi
Zahra Heydari
author_sort Fatemeh Zargar
collection DOAJ
description Objective: Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood, and its management is associated with many problems. The study aimed to compare the effect of group self-care training and patient child play (PCP) on quality of life (QoL) in children with type 1 diabetes in Isfahan, Iran. Materials and Methods: This randomized trial was done from January 2020 to October 2021 in Endocrine and Metabolism research center of Isfahan University of medical sciences. Seventy- five children aged 8 to 11 years with T1DM who did not have a severe behavioral problem based on the child behavior checklist (CBCL) were simple randomly assigned to three groups: self-care training, play therapy, and control. The self-care group received ten education sessions via the Skyroom and the playgroup performed PCP for ten sessions. The control group did not receive any psychological intervention. All participants received routine diabetes medication. They completed a health-related QoL questionnaire for children (KIDSCREEN-52) before and after the intervention. Data were analyzed using SPSS-23 software and analysis of covariance. Results: A significant difference between the mean scores of the post-test subscales of physical well-being (P= 0.003), psychological well-being (P= 0.003), moods and emotions (P= 0.02), self-perception (P= 0.002), self-autonomy (P= 0.002), parental relationships and family life (P= 0.001), social and peers support (P= 0.04), school environment (P= 0.003) and social acceptance (P= 0.001) in PCP group. Conclusion: Self-care training and PCP are effective in increasing the QoL, and can be used as a complementary treatment in children with T1DM.
first_indexed 2024-03-08T16:29:54Z
format Article
id doaj.art-0ce68cc80a9c4437abec900b516d38e1
institution Directory Open Access Journal
issn 2008-6792
2345-2250
language English
last_indexed 2024-03-08T16:29:54Z
publishDate 2023-12-01
publisher Shahid Sadoughi University of Medical Sciences
record_format Article
series Iranian Journal of Diabetes and Obesity
spelling doaj.art-0ce68cc80a9c4437abec900b516d38e12024-01-06T09:17:34ZengShahid Sadoughi University of Medical SciencesIranian Journal of Diabetes and Obesity2008-67922345-22502023-12-01154218227Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical TrialFatemeh Zargar0Ailin Salmani1Neda Mostofizadeh2Reza Bagherian Sararoodi3Zahra Heydari4 Department of Health Psychology and Behavioral Sciences Researches Center, Isfahan University of Medical Sciences, Isfahan, Iran. Department of Health Psychology and Behavioral Sciences Researches Center, Isfahan University of Medical Sciences, Isfahan, Iran. Metabolic Liver Diseases Research Center, Isfahan university of Medical Sciences, Isfahan, Iran. Department of Health Psychology and Behavioral Sciences Researches Center, Isfahan University of Medical Sciences, Isfahan, Iran. Department of Epidemiology and Biostatistics, Isfahan University of Medical Sciences, Isfahan, Iran. Objective: Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood, and its management is associated with many problems. The study aimed to compare the effect of group self-care training and patient child play (PCP) on quality of life (QoL) in children with type 1 diabetes in Isfahan, Iran. Materials and Methods: This randomized trial was done from January 2020 to October 2021 in Endocrine and Metabolism research center of Isfahan University of medical sciences. Seventy- five children aged 8 to 11 years with T1DM who did not have a severe behavioral problem based on the child behavior checklist (CBCL) were simple randomly assigned to three groups: self-care training, play therapy, and control. The self-care group received ten education sessions via the Skyroom and the playgroup performed PCP for ten sessions. The control group did not receive any psychological intervention. All participants received routine diabetes medication. They completed a health-related QoL questionnaire for children (KIDSCREEN-52) before and after the intervention. Data were analyzed using SPSS-23 software and analysis of covariance. Results: A significant difference between the mean scores of the post-test subscales of physical well-being (P= 0.003), psychological well-being (P= 0.003), moods and emotions (P= 0.02), self-perception (P= 0.002), self-autonomy (P= 0.002), parental relationships and family life (P= 0.001), social and peers support (P= 0.04), school environment (P= 0.003) and social acceptance (P= 0.001) in PCP group. Conclusion: Self-care training and PCP are effective in increasing the QoL, and can be used as a complementary treatment in children with T1DM.http://ijdo.ssu.ac.ir/article-1-833-en.pdfquality of lifediabetes mellitusplay therapychildren
spellingShingle Fatemeh Zargar
Ailin Salmani
Neda Mostofizadeh
Reza Bagherian Sararoodi
Zahra Heydari
Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial
Iranian Journal of Diabetes and Obesity
quality of life
diabetes mellitus
play therapy
children
title Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial
title_full Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial
title_fullStr Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial
title_full_unstemmed Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial
title_short Comparing the Effect of Internet-Delivered Self-Care Training and Play Therapy on the Quality of Life of Children with Type 1 diabetes in 2021 in Isfahan City- Randomized Clinical Trial
title_sort comparing the effect of internet delivered self care training and play therapy on the quality of life of children with type 1 diabetes in 2021 in isfahan city randomized clinical trial
topic quality of life
diabetes mellitus
play therapy
children
url http://ijdo.ssu.ac.ir/article-1-833-en.pdf
work_keys_str_mv AT fatemehzargar comparingtheeffectofinternetdeliveredselfcaretrainingandplaytherapyonthequalityoflifeofchildrenwithtype1diabetesin2021inisfahancityrandomizedclinicaltrial
AT ailinsalmani comparingtheeffectofinternetdeliveredselfcaretrainingandplaytherapyonthequalityoflifeofchildrenwithtype1diabetesin2021inisfahancityrandomizedclinicaltrial
AT nedamostofizadeh comparingtheeffectofinternetdeliveredselfcaretrainingandplaytherapyonthequalityoflifeofchildrenwithtype1diabetesin2021inisfahancityrandomizedclinicaltrial
AT rezabagheriansararoodi comparingtheeffectofinternetdeliveredselfcaretrainingandplaytherapyonthequalityoflifeofchildrenwithtype1diabetesin2021inisfahancityrandomizedclinicaltrial
AT zahraheydari comparingtheeffectofinternetdeliveredselfcaretrainingandplaytherapyonthequalityoflifeofchildrenwithtype1diabetesin2021inisfahancityrandomizedclinicaltrial