Tim Wysocki|Michael A. Harris|Lisa M. Buckloh|Debbie Mertlich|Amanda Lochrie|Nelly Mauras|Neil H. White
Randomized Trial of Behavioral Family Systems Therapy for Diabetes
Nemours Children's Clinic|Washington University in St. Louis|Nemours Children's Clinic|Washington University in St. Louis|Nemours Children's Clinic|Nemours Children's Clinic|Washington University in St. Louis|St. Louis Children's Hospital
studies showing family communication conflict resolution critical effective management type 1 diabetes adolescents stimulated interest evaluating psychological treatments targeting processes previous trials shown behavioral family systems therapy bfst improved parentadolescent relationships treatment adherence glycemic control study evaluates revised intervention bfst diabetes bfstd modified achieve greater impact diabetesrelated family conflict treatment adherence metabolic controla sample 104 families adolescents inadequate control type 1 diabetes randomized either remain standard care sc augmentation regimen 12 sessions either multifamily educational support es group 12 sessions bfstd 6 months pertinent measures collected baseline followup evaluations 6 12 18 monthsbfstd significantly superior sc es effects a1c effects treatment adherence family conflict equivocal improvement a1c appeared mediated improvement treatment adherence significantly higher percentage bfstd youth achieved moderate greater improvement 05 sd treatment adherence compared sc group followup es group 6 18 months change treatment adherence correlated significantly change a1c followupthese results support efficacy bfstd improving a1c research needed identify mechanisms effect achieve costeffective dissemination intervention