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Charron-Prochownik, D.
10/01/02 - 09/30/05
American Diabetes Association
Reproductive Health Program for Teen
Girls with Diabetes:
An Intervention Study
This project proposes to develop a CD-ROM multi-media
intervention for preconception counseling for teen women
with diabetes. The goal of this research is to introduce an
effective intervention program for diabetic teens addressing
diabetes-related reproductive health issues early in their
childbearing years, prior to sexual activity, to empower
these young women to make well informed reproductive health
choices for themselves and their future children.
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Charron-Prochownik, D. (Trucco)
11/01/02 - 10/31/05
Department of Defense
DAMD17-01-1-0009
New Improved Technology to Improve Prediction and
Prevention of Type 1 Diabetes
This proposal is a subcontract submitted to Children's
Hospital that will: 1) improve our ability to characterize
the risk of developing type 1 diabetes; 2) develop and
evaluate materials and processes for communicating; and 3)
evaluate the psychosocial and behavioral effects of
receiving type 1 diabetes risk information.
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Charron-Prochownik, D.
10/01/04-03/15/06
University of
Pittsburgh Diabetes Institute
Reproductive Health Program for Women with Diabetes Across
the Lifespan
The overall
objective is to establish a comprehensive Reproductive
Health Program for Women with Diabetes Across the Lifespan.
This innovative approach will be the first of its kind to
establish a program devoted to the multi-stage reproductive
health needs of women with diabetes. The program will
encompass existing specialty units/clinics across the
University of Pittsburgh Medical Centers, linking out
resources thus instilling continuity.
This program is aimed at risk-reducing and health-promoting
self-management behaviors during the childbearing years. It
will be significant in establishing new standards of
computer-based Preconception Counseling education,
self-management and healthcare delivery, while decreasing
morbidity and mortality in women with diabetes and their
offspring. By providing technically-enhanced reproductive
health information, decision-mailing skills and self-care
management skills, the program strategies can empower women
to control their reproductive health and make informed
healthy choices for themselves and their future children. |
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Charron-Prochownik, D.
08/01/05-05/31/10
1 R01
HD044097-01 NIH
Reproductive Health Intervention for Teen Girls with DM
Diabetes (DM)
can cause reproductive complications in women with DM,
planning a pregnancy and maintaining metabolic control
through Preconception Counseling (PC) and care reduces the
incidence of congenital abnormalities from 9% to 2%.
The American Diabetes Association recommends that, beginning
at puberty, PC be given to all women of childbearing age.
However, two-thirds of diabetic women continue to have
unplanned pregnancies. We previously reported that
many teens with type 1 DM were sexually active, unaware of
PC and these problems, and are at high risk for an unplanned
pregnancy. Our team developed a program tailored
specifically for teen women with type 1 DM as a CD and book.
The program evaluation showed that either CD or book alone
were effective (η2 = .062-.291) in enhancing the
short-range outcomes of reproductive health awareness,
knowledge, attitudes, and positively influencing intentions
of 16-19 yr. olds with type 1 DM to prevent an unplanned
pregnancy and seek PC. Although some effects
were sustained over 3-mnths, several attitudes and
intentions towards behaviors were not. These results,
along with the recent epidemic in type 2 DM, especially
among minority female adolescents, emphasize the compelling
need for an earlier cost-effective, more individualized,
maintenance intervention program that will also include
information for teens with type 2 DM. Using a mental
models approach, we plan to restructure the program to
maximize its efficacy. We will then conduct a
multi-site randomized-controlled multi-session study to
evaluate the effects of a combined DVD and book intervention
with a health professional resource component on long-range
cognitive, psychosocial, behavioral and biological outcomes
and its cost-effectiveness in 13-<20 yr. old teens with type
1 or 2 DM. This clinic-based self-administered,
stand-alone education program could be a low-cost method of
reducing unplanned pregnancies and adverse infant outcomes.
Thus setting new standards of practice, focusing on
empowering teens with DM to make informed choices, and
potentially improving their reproductive health and the
health of their future children.
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